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shoulder radiology

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https://www.readbyqxmd.com/read/29239667/the-prevalence-of-radiological-glenohumeral-osteoarthritis-in-long-term-type-1-diabetes-the-dialong-shoulder-study
#1
N G Juel, J I Brox, J C Hellund, K B Holte, T J Berg
OBJECTIVES: This study compares the prevalence of radiological osteoarthritis (OA) in patients with type 1 diabetes mellitus (DM1) for > 45 years and controls, and explores the association with shoulder pain and glycaemic burden in patients with DM1. METHOD: The Dialong study is a cross-sectional, observational study with 30 years of historical data on long-term glycaemic control. We included 102 patients with DM1 and 73 diabetes-free controls. Demographic data, worst shoulder pain last week [numeric rating scale (NRS) 0-10], pain on abduction at examination (NRS 0-10), and current and historical glycosylated haemoglobin (HbA1c) levels were collected...
December 14, 2017: Scandinavian Journal of Rheumatology
https://www.readbyqxmd.com/read/29234550/a-unique-case-of-melorheostosis-presenting-with-two-radiologically-distinct-lesions-in-the-shoulder
#2
Ahmed A Elsheikh, Rohan S Pinto, Alpesh Mistry, Simon P Frostick
Melorheostosis is a rare, nonhereditary, benign, mesenchymal condition of unknown aetiology affecting the bones and surrounding tissues. A male patient complaining of left shoulder pain, swelling, and mildly limited range of motion has an exclusive combination of the classic dripping wax lesion in the scapula and the myositis ossificans-like lesion in the deltoid muscle; this combination is the first to be reported in the shoulder. Both lesions showed typical findings of melorheostosis in radiographs, CT, MRI, and bone scan...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29230279/elasto-fibroma-dorsi-a-case-report-of-bilateral-tumours-and-excision-of-the-symptomatic-lesion-in-a-male-patient
#3
Yagan Pillay, Rathimala Sabarathnam
Elasto fibroma dorsi is a rare tumour of the shoulder girdle that usually arises at the infra scapular area. We present a 57-year-old male with a soft tissue swelling on his right infra scapular area of 6 months duration. It was a painless lesion which caused him discomfort while sleeping. Preoperative imaging revealed bilateral tumours but the left tumour was impalpable. The surgery itself was uneventful but post-operatively he developed a haematoma which was managed conservatively Elasto fibroma is a benign pseudo tumour of the shoulder girdle...
November 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29230266/-shoulder-tumor-of-startling-appearance
#4
Ilhame Naciri, Baderddine Hassam
Chondrosarcoma is a malignant tumor of bone of mesenchymal origin which usually occurs in people after age 40 at the level of the pelvis and the shoulder. We report the case of a 65-year old female patient, with no particular past medical history, with impaired general condition, hospitalized for exploration of a large tumor of the right shoulder, evolving over 3 years. Clinical examination showed giant, humpbacked, hard, adherent tumor measuring 44 × 32 cm along its longer axis, with inflammatory signs associated with signs of vasculo-nervous compression...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/29225020/arthroscopic-wafer-procedure-versus-ulnar-shortening-osteotomy-as-a-surgical-treatment-for-idiopathic-ulnar-impaction-syndrome
#5
Won-Taek Oh, Ho-Jung Kang, Yong-Min Chun, Il-Hyun Koh, Hae-Mo-Su An, Yun-Rak Choi
PURPOSE: To compare clinical and radiologic outcomes and complication rates of the arthroscopic wafer procedure (AWP) and ulnar shortening osteotomy (USO) for idiopathic ulnar impaction syndrome (UIS). METHODS: From May 2009 to June 2014, 42 patients who were aged 45 years or older with idiopathic UIS underwent either the AWP or USO under the following identical surgical indications: (1) less than 4 mm of positive ulnar variance, (2) Palmer classification 2C or 2D lesion of the triangular fibrocartilage complex, (3) stable distal radioulnar joint (DRUJ) and/or lunotriquetral joint, and (4) no evidence of osteoarthritis of the DRUJ or ulnocarpal joint...
December 7, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29224192/short-term-outcomes-of-arthroscopic-tightrope%C3%A2-fixation-are-better-than-hook-plate-fixation-in-acute-unstable-acromioclavicular-joint-dislocations
#6
Hamid Rahmatullah Bin Abd Razak, Eng-Meng Nicholas Yeo, William Yeo, Tijauw-Tjoen Denny Lie
AIM: The aim of this study was to compare the short-term outcomes of arthroscopic TightRope® fixation with that of hook plate fixation in patients with acute unstable acromioclavicular joint dislocations. PATIENTS AND METHODS: We conducted a prospective case-control study of twenty-six patients with an acute ACJ dislocation who underwent surgical repair with either an arthroscopic TightRope® fixation or a hook plate from 2013 to 2016. Clinical and radiological data were collected prospectively...
December 9, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29216740/new-concepts-of-radiologic-preoperative-evaluation-of-anterior-shoulder-instability-on-track-and-off-track-lesions
#7
Aishwarya Gulati, Riham Dessouky, Vibhor Wadhwa, Drew Sanders, Avneesh Chhabra
The shoulder is the most frequently dislocated joint in the body due to a larger range of motion and a small area of articulation between the humeral and glenoid surfaces. Traumatic shoulder dislocations, especially those associated with injury to the labroligamentous or bony stabilizers of the joint, lead to further reduction of articular surface contact with resultant glenohumeral instability and recurrent shoulder dislocations. Imaging plays an increasingly important role in the preoperative evaluation of patients with traumatic shoulder instability by evaluating glenohumeral bone loss (uni- or bipolar), assessing soft tissue injuries and identifying patients at risk of postoperative recurrence...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/29200488/a-newly-designed-intramedullary-nail-for-the-treatment-of-diaphyseal-forearm-fractures-in-adults
#8
Ibrahim Azboy, Abdullah Demirtaş, Celil Alemdar, Mehmet Gem, Kadir Uzel, Huseyin Arslan
Background: The treatment of diaphyseal forearm fractures using open reduction and plate fixation is generally accepted as the best choice in many studies. However, periosteal stripping, haematoma evacuation may result in delayed union, nonunion and infection. Refracture after plate removal is another concern. To overcome these problems intramedullary nails (IM) with different designs have been used with various outcomes. However previous IM nails have some shortcomings such is rotational instability and interlocking difficulties...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29195900/outcomes-for-subscapularis-management-techniques-in-shoulder-arthroplasty-a-systematic-review
#9
REVIEW
W Stephen Choate, Adam Kwapisz, Amit M Momaya, Richard J Hawkins, John M Tokish
BACKGROUND: This systematic review aims to synthesize published data for the most common subscapularis takedown and repair to compare outcomes in the setting of shoulder arthroplasty. METHODS: Searches of MEDLINE and Cochrane Library databases identified studies that reported clinical or radiologic outcomes for subscapularis management in the setting of shoulder arthroplasty. Comparisons included musculotendinous integrity, subscapularis testing and strength, shoulder range of motion, and functional outcome scores...
November 28, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29189406/cleidocranial-dysplasia-a-review-of-clinical-radiological-genetic-implications-and-a-guidelines-proposal
#10
Emilie Farrow, Romain Nicot, Axel Wiss, Amélie Laborde, Joël Ferri
In this review, we aimed to depict the clinical, radiological, and genetic features of cleidocranial dysplasia (CCD) and to suggest management guidelines, based on our experience of 8 cases, with an emphasis given to dental complications.The most common craniofacial features of CCD that stand out are a patency of the anterior fontanelle, an inverted pear-shaped calvaria, a hypertelorism, a general midface retrusion, and a mandible prognathism, associated with an excessive mobility of the shoulders, a short stature, and teeth abnormalities such as supernumerary teeth and failure of eruption, in particular...
November 17, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29182121/primary-epiphyseal-and-metaepiphyseal-tubercular-osteomyelitis-in-children-a-series-of-8-case
#11
A Agarwal, N Gupta, M Mishra, N Agrawal, D Kumar
Clinical series of primary epiphyseal and metaepiphyseal tubercular osteomyelitis are few. The purpose of our study was to retrospectively review the presentation, healing response and functional results of 8 such cases in children. MATERIAL AND METHODS: The patients were evaluated for pain, deformity, range of motion, limb length discrepancy (if any) and recurrence. Serial radiographs of the region were studied to see remineralization, obliteration of radiological lesions, status of physis and remodeling of the growth plate...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29171580/effectiveness-of-locking-compression-plate-in-wedge-fracture-of-diaphysis-of-radius-and-ulna-in-adults-a-descriptive-case-series
#12
Muhammad Kashif Naseer, Ranjit Kumar Sah, Rana Dilawaiz Nadeem, Syed Muhammad Awais, Muhammad Akhtar
The aim of the study was to see the effectiveness of locking compression plate (LCP) in wedge fracture of diaphysis of radius and ulna in adults. This prospective descriptive case series study inducted total 45 patients presenting with wedge fracture (AO Type, 22-B) of radius and/or ulna. The treatment outcome of these patients were monitored for 24 weeks in 8 visits. Presence or absence of radiological union was noted. The functional outcome was evaluated in terms of Disability of Arm, Shoulder and hand (DASH) score and Grace and Eversmann criteria...
November 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29157898/radiologic-and-clinical-evaluation-of-a-bioabsorbable-collagen-implant-to-treat-partial-thickness-tears-a-prospective-multicenter-study
#13
Theodore F Schlegel, Jeffrey S Abrams, Brandon D Bushnell, J Logan Brock, Charles P Ho
BACKGROUND: Treatment of partial-thickness cuff tears remains controversial. Although conservative therapy may treat symptoms, these defects do not spontaneously heal and conversion to a full-thickness lesion with subsequent repair may alter the tendon footprint. The ability to induce new tissue formation and limit tear progression in intermediate- and high-grade partial-thickness tears without surgical repair may represent a significant advancement in the treatment paradigm for these lesions...
November 17, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29156445/autologous-tenocyte-implantation-into-shoulder-tendon-pathology-in-an-elite-swimmer
#14
Laura M Schwab, Peter Blanch, Mark Young
INTRODUCTION: The use of novel bioengineer treatment techniques such as Autologous Tenocyte Implantation (ATI) have shown promising improvements in both pain ratings and functional outcomes in elbow, gluteal and shoulder tendon pathology. This case will review the injury timeline of ATI intervention in an elite male swimmer with subscapularis tendon pathology and investigate whether ATI has a concomitant healing effect associated with improved functional outcomes. METHODS: A palmaris longus tendon biopsy was performed and cells were expanded by in-vitro culture...
October 13, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29146036/long-term-outcomes-after-infected-mini-open-rotator-cuff-repair-results-of-a-10-year-review
#15
REVIEW
Rafik Asaid, Kevin Eng, Graeme Brown, Richard Page
BACKGROUND: Infection after rotator cuff repair (RCR) is uncommon. There are few reports in the literature regarding the management and long-term results of patients in whom deep infection of the shoulder develops after RCR. The objective of this study was to assess the long-term clinical and radiologic outcomes of these patients. METHODS: We retrospectively reviewed a consecutive series of 764 patients after mini-open RCR in which 9 patients had postoperative infection...
November 13, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29144771/bursal-sided-rotator-cuff-tears-simple-versus-everted-type
#16
Hwan Jin Kim, Jung Youn Kim, Young Moon Kee, Yong Girl Rhee
BACKGROUND: No studies have focused on the everted type of bursal-sided partial-thickness rotator cuff tears (PTRCTs). PURPOSE: To evaluate the radiological characteristics, arthroscopic findings, and clinical and structural outcomes after arthroscopic repair of the everted type of bursal-sided PTRCTs. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Two groups of patients with bursal-sided PTRCTs (simple type, 25 shoulders; everted type, 25 shoulders) were enrolled...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29127438/-bony-bankart-lesions-and-glenoid-defects-from-refixation-techniques-to-bony-augmentation
#17
REVIEW
V Rausch, M Königshausen, J Geßmann, T A Schildhauer, D Seybold
Rim defects of the anterior glenoid cavity are a main reason for residual shoulder instability after traumatic dislocation of the shoulder. These defects can be the result of a glenoid rim fracture or chronic glenoid erosion after repeated shoulder dislocations. Treatment concepts for these entities are entirely different. While in the acute fracture situation glenoid rim fractures can be treated operatively or non-operatively, augmentation of the anterior glenoid for stabilization of the shoulder should be considered if the defect exceeds 15-25% of the anterior glenoid...
November 10, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/29122128/carbon-fibre-reinforced-peek-radiolucent-intramedullary-nail-for-humeral-shaft-fracture-fixation-technical-features-and-a-pilot-clinical-study
#18
Niksa Kojic, Christoph Rangger, Celenk Özgün, Jakisa Lojpur, Jerome Mueller, Yoram Folman, Eyal Behrbalk, Bore Bakota
PURPOSE: This prospective pilot study investigated the safety and efficacy of a novel radiolucent intramedullary nail (IMN) made of Carbon-Fibre-Reinforced Polyaryl-Ether-Ether-Ketone (CFR-PEEK) for humeral shaft fracture fixation. STUDY DESIGN: A prospective, single-arm, four-centre study. PATIENTS AND METHODS: A total of 46 patients with 46 humeral fractures classified as 12 A-B were treated with a novel CFR-PEEK IMN and followed for 12 months...
November 2017: Injury
https://www.readbyqxmd.com/read/29094010/restoration-of-the-joint-geometry-and-outcome-after-stemless-tess-shoulder-arthroplasty
#19
Lars V von Engelhardt, Michael Manzke, Andreas Breil-Wirth, Timm J Filler, Joerg Jerosch
AIM: To evaluate the joint geometry and the clinical outcome of stemless, anatomical shoulder arthroplasty with the TESS system. METHODS: Twenty-one shoulders with a mean follow-up 18 of months were included. On scaled digital radiographs the premorbid center of rotation (CoR) was assessed and compared to the CoR of the prosthesis by using the MediCAD(®) software. Additionally, the pre- and post-operative geometry of the CoR was assessed in relation to the glenoid, the acromion as well as to the proximal humerus...
October 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29083358/the-smr-reverse-shoulder-arthroplasty-in-rotator-cuff-arthropathy-management
#20
Alessandro Beltrame, Paolo Di Benedetto, Daniele Salviato, Giuseppe Niccoli, Renato Gisonni, Vanni Cainero, Araldo Causero
BACKGROUND AND AIM OF THE WORK: Cuff tear arthropathy (CTA) is a well-defined  degenerative pathology  of the shoulder. When conservative treatments are unable to permit a good quality of life, the reverse shoulder arthroplasty (RSA) can guarantee a good restitution of range of motion, function and strength of the shoulder without pain. In this paper we show our clinical, functional and radiological outcomes, as well as complications of RSA in patients with CTA. METHODS: We analyzed 31 patients who underwent to reverse shoulder replacement with Modular Shoulder System (SMR, Systema Multiplana Randelli; Lima-LTO, San Daniele del Friuli, Italy) reverse shoulder system, between August 2010-July 2014...
October 18, 2017: Acta Bio-medica: Atenei Parmensis
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