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Subacromial impingement

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https://www.readbyqxmd.com/read/28322758/increased-seat-dump-angle-in-a-manual-wheelchair-is-associated-with-changes-in-thoracolumbar-lordosis-and-scapular-kinematics-during-propulsion
#1
Beth A Cloud, Kristin D Zhao, Arin M Ellingson, Ahmad Nassr, Anthony J Windebank, Kai-Nan An
OBJECTIVE: To quantify and compare spinal curvature and shoulder kinematics throughout the manual wheelchair propulsion cycle for individuals with spinal cord injury (SCI) who were seated at 2 different seat dump angles. DESIGN: Single-group, repeated-measures study. SETTING: Academic medical center. PARTICIPANTS: Twenty-eight individuals completed the telephone screening; 21 were eligible and completed the study. INTERVENTIONS: Participants' personal manual wheelchairs were modified to have seat dump angles of 0° or 14°, with a vertical backrest...
March 18, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28267909/-functional-evaluation-of-the-supraspinatus-tendon-repair-comparing-mini-open-and-open-techniques
#2
C R Mejía-Salazar, M Sierra-Pérez, M Ruiz-Suárez
OBJECTIVE: To compare two surgical techniques to address the painful shoulder syndrome with partial or total supraspinous tendon tear. METHODS: Patients with a diagnosis of complete supraspinous tendon tear who required surgical repair and subacromial decompression. One group was treated with acromioplasty and tendon plasty using an open approach (G1), and the second one underwent arthroscopy with tendon plasty using a minimally-invasive approach (G2). The surgical approach was not decided at random, but was based on the surgeons preference...
July 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28255657/more-histologic-and-ultrastructural-degenerative-signs-in-the-subscapularis-tendon-and-the-joint-capsule-in-male-patients-with-shoulder-impingement
#3
Stefanos Farfaras, Lars Erik Ejerhed, Erling K Hallström, Kjell Hultenby, Khaled Meknas, Tomas Movin, Nikos Papadogiannakis, Jüri-Toomas Kartus
PURPOSE: The purpose of the present study was to analyze biopsy samples from the subscapularis tendon and from the joint capsule from male patients with shoulder impingement syndrome (SAIS) and compare them with samples from male patients with post-traumatic recurrent shoulder instability. The hypothesis of the study was that patients with SAIS would have more histologic and ultrastructural degenerative changes in their subscapularis tendon and joint capsule than patients with post-traumatic recurrent shoulder instability...
March 2, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28245972/static-and-dynamic-shoulder-imaging-to-predict-initial-effectiveness-and-recurrence-after-ultrasound-guided-subacromial-corticosteroid-injections
#4
Ke-Vin Chang, Wei-Ting Wu, Der-Sheng Han, Levent Özçakar
OBJECTIVE: To explore factors contributing to initial effectiveness and recurrence after ultrasound (US)-guided subacromial corticosteroid injections by assessing clinical measurements as well as static and dynamic shoulder US images. DESIGN: Retrospective cohort study. SETTING: Rehabilitation outpatient clinic. PARTICIPANTS: Adults with shoulder pain referred for injection therapy. INTERVENTIONS: US-guided subacromial corticosteroid injection...
February 25, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28238054/os-acromiale-frequency-and-a-review-of-726-shoulder-mri
#5
C Rovesta, M C Marongiu, A Corradini, P Torricelli, G Ligabue
Os acromiale consist in a lack of fusion between the different ossification spots of the acromial side of scapula from the age of 23-25 years. A relation between os acromiale and some shoulder pathology like impingement syndrome, cuff tear and subacromial bursitis has been described. The etiology is not already known. The aim of this study was to evaluate the frequency of os acromiale in our population, the link between os acromiale and sex, side and shoulder pathology. 1042 shoulder MRI were evaluated to find out os acromiale and the linked cuff pathology...
February 25, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28217425/short-term-effects-of-instrument-assisted-soft-tissue-mobilization-on-pain-free-range-of-motion-in-a-weightlifter-with-subacromial-pain-syndrome
#6
Joseph Paul Coviello, Rumit Singh Kakar, Timothy James Reynolds
BACKGROUND AND PURPOSE: While there is limited evidence supporting the use of soft tissue mobilization techniques for Subacromial Pain Syndrome (SAPS), synonymous with subacromial impingement syndrome, previous studies have reported successful outcomes using soft tissue mobilization as a treatment technique. The purpose of this case report is to document the results of Instrument-Assisted Soft Tissue Mobilization (IASTM) for the treatment of SAPS. CASE DESCRIPTION: Diagnosis was reached based on the subject's history, tenderness to palpation, and four out of five positive tests in the diagnostic cluster...
February 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28211284/decreased-axial-coracoid-inclination-angle-is-associated-with-rotator-cuff-tears
#7
Carlos Torrens, Eduard Alentorn-Geli, Juan Francisco Sanchez, Anna Isart, Fernando Santana
PURPOSE: Coracoid morphology has been related to coracoid impingement mainly resulting in anterior shoulder pain aggravated by forward flexion and internal rotation. However, the coracoid process morphology can also affect the inclination of the coracoacromial ligament and subsequently the subacromial space in the same way that acromial slope does. The purpose of this study was to evaluate the influence of the coracoid body-glenoid surface, coracoid tip-glenoid surface, and coracoid body-coracoid tip angles (coracoid inclination angles) on rotator cuff tears (RCTs)...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28188359/in-vivo-analysis-of-coracoid-and-subacromial-shoulder-impingement-mechanism-during-clinical-examination
#8
Tim Leschinger, Christopher Wallraff, Dirk Müller, Matthias Hackenbroch, Henning Bovenschulte, Jan Siewe
BACKGROUND: Understanding the mechanisms of shoulder impingement created by clinical tests is crucial to accurately evaluate the condition. The objective of this study was to relate mechanisms of subacromial and coracoid impingement occurring in positions of the shoulder during clinical examination, in quantitative and qualitative terms. METHODS: A 1.0T open magnetic resonance imaging system was used in 18 female and 19 male subjects, to determine the distances between the humeral head and the acromion or coracoid, and contact with the rotator cuff (RC)...
February 11, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28185130/frequency-of-shoulder-corticosteroid-injections-for-pain-and-stiffness-after-shoulder-surgery-and-their-potential-to-enhance-outcomes-with-physiotherapy-a-retrospective-study
#9
John G Skedros, Micheal G Adondakis, Alex N Knight, Michael B Pilkington
INTRODUCTION: What is the rate of injecting patients with shoulder corticosteroid injections to alleviate excessive stiffness and pain within 6 months after shoulder surgery? METHODS: Retrospective 10-year review of a shoulder surgeon's practice. Participants included 754 patients who had 945 non-arthroplasty shoulder surgeries. Outcome measures included the rate of injections, diagnoses, patient characteristics, and efficacy via questionnaire. RESULTS: Approximately one in five patients received a subacromial and/or glenohumeral corticosteroid injection...
February 9, 2017: Pain and Therapy
https://www.readbyqxmd.com/read/28096319/rotator-cuff-impingement-associated-with-type-iii-acromial-morphology-in-a-young-athlete-a-case-for-early-imaging
#10
James Inklebarger, Giles Gyer, Anand Parkunan, Nikiforos Galanis, Jimmy Michael
Down-sloped or hooked acromion morphologies may cause bony encroachment on the soft tissues of the subacromial space, predisposing to shoulder impingement syndrome. Of the latter, a hooked or Type III acromion (T3A) has also been linked to rotator cuff (RC) pathology. However, as bony acromial impingement is typically thought to occur over the age of 40, its occurrence in younger shoulder athletes presenting with shoulder pain, impingement and RC pathology may be overlooked. This case serves to illustrate the occurrence of T3A in a younger shoulder athlete, and the importance of early imaging in achieving diagnostic accuracy...
January 16, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28095214/stretching-exercises-for-shoulder-impingement-syndrome-effects-of-6-week-program-on-shoulder-tightness-pain-and-disability-status
#11
Elif Turgut, Irem Duzgun, Gul Baltaci
CONTEXT: Increasing soft tissue flexibility and joint mobility is one of the important aims of the shoulder impingement syndrome (SIS). OBJECTIVE: The aim of this study was to investigate the effects of stretching program on posterior capsule tightness, pectoralis minor tightness, pain severity and disability status in SIS. DESIGN: Single-group pre-test post-test design. SETTING: University outpatient clinic. PARTICIPANTS: Eighteen participants diagnosed with subacromial impingement syndrome (34...
January 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28089258/the-effect-of-scapular-position-on-subacromial-contact-behavior-a-cadaver-study
#12
Takayuki Muraki, Nobuyuki Yamamoto, John W Sperling, Scott P Steinmann, Robert H Cofield, Kai-Nan An
BACKGROUND: Patients with subacromial impingement were reported to show abnormal scapular positions during shoulder elevation. However, the relationship between the scapular positions and subacromial impingement is unclear. The purpose of this study was to biomechanically determine the effect of scapular position on subacromial contact behavior by using fresh frozen cadavers. METHODS: The peak contact pressure on the coracoacromial arch was measured with a flexible tactile force sensor in 9 fresh frozen cadaver shoulders...
January 11, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28070268/a-systematic-review-of-thrust-manipulation-for-non-surgical-shoulder-conditions
#13
REVIEW
Amy L Minkalis, Robert D Vining, Cynthia R Long, Cheryl Hawk, Katie de Luca
PURPOSE: Although many conservative management options are available for patients with non-surgical shoulder conditions, there is little evidence of their effectiveness. This review investigated one manual therapy approach, thrust manipulation, as a treatment option. METHODS: A systematic search was conducted of the electronic databases from inception to March 2016: PubMed, PEDro, ICL, CINAHL, and AMED. Two independent reviewers conducted the screening process to determine article eligibility...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27941908/association-of-bicipital-peritendinous-effusion-with-subacromial-impingement-a-dynamic-ultrasonographic-study-of-337-shoulders
#14
Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
Bicipital peritendinous effusion (BPE) is the most common biceps tendon abnormality and can be related to various shoulder ultrasonographic findings. Since the association of BPE with subacromial impingement is unclear, our study aimed to explore its association with the dynamic subacromial impingement test during ultrasound (US) imaging. We included 337 shoulders referred for US examinations and quantified the amount of BPE. Effusion more than 1 mm in thickness was considered a positive finding. A comparison of three grades of subacromial impingement, adjusted by patient demographics, static sonographic shoulder pathology, and physical findings, by using multivariate regression models revealed that the odds ratio of subacromial impingement (with 95% confidence intervals) in the presence of BPE was 6...
December 12, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27904800/cervical-contribution-to-functional-shoulder-impingement-two-case-reports
#15
Steven Pheasant
BACKGROUND: Subacromial impingement is a common condition among overhead athletes. The cause of subacromial impingement can be multifactorial and often involves impaired rotator cuff function. CASE DESCRIPTION: The following cases outline the presentation, examination and intervention of two overhead athletes, a high school football quarterback and a collegiate swimmer, each presenting with signs and symptoms of subacromial impingement. The unique feature in each case was the manifestation of the cervical spine as the apparent source of rotator cuff weakness, which contributed to functional subacromial impingement although other overt signs of cervical or associated nerve root involvement were absent...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27872990/blood-supply-of-the-subacromial-bursa-and-rotator-cuff-tendons-on-the-bursal-side
#16
Elle Põldoja, Madis Rahu, Kristo Kask, Imke Weyers, Ivo Kolts
PURPOSE: Vascularity of the subacromial bursa and rotator cuff tendons is key factors in the pathogenesis of subacromial bursitis and impingement syndrome, rotator cuff tendinitis, and rotator cuff tears. The purpose of this study was to investigate and describe blood supply to the cranial and caudal parts of the subacromial bursa and the vascularity of the rotator cuff tendons on the bursal side. METHODS: Fourteen fresh cadaveric shoulders from six females and eight males with a mean age of 71...
November 21, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27816913/laser-acupuncture-treatment-improves-pain-and-functional-status-in-patients-with-subacromial-impingement-syndrome-a-randomized-double-blind-sham-controlled-study
#17
Sibel Kibar, Hatice Ecem Konak, Deniz Evcik, Saime Ay
OBJECTIVE:  The present study aims to determine the effect of laser acupuncture in patients with subacromial impingement syndrome (SAIS). DESIGN:  Randomized, double-blind, sham-controlled study. SETTING:  Physical medicine and rehabilitation outpatient clinic. SUBJECTS:  A total 73 patients with SAIS were randomly assigned into a treatment group (n = 36) and a control group (n = 37). METHODS : The treatment group received laser acupuncture, and the control group received sham laser acupuncture...
November 5, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27751718/the-influence-of-induced-shoulder-muscle-pain-on-rotator-cuff-and-scapulothoracic-muscle-activity-during-elevation-of-the-arm
#18
Birgit Castelein, Ann Cools, Thierry Parlevliet, Barbara Cagnie
BACKGROUND: Altered recruitment of rotator cuff and scapulothoracic muscles has been identified in patients with subacromial impingement syndrome. To date, however, the cause-consequence relationship between pain and altered muscle recruitment has not been fully unraveled. METHODS: The effect of experimental shoulder pain induced by injection of hypertonic saline in the supraspinatus on the activity of the supraspinatus, infraspinatus, subscapularis, trapezius, and serratus anterior activity was investigated during the performance of an elevation task by use of muscle functional magnetic resonance imaging in 25 healthy individuals...
March 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27733881/arthroscopic-double-row-transosseous-equivalent-rotator-cuff-repair-with-a-knotless-self-reinforcing-technique
#19
William R Mook, Joshua A Greenspoon, Peter J Millett
BACKGROUND: Rotator cuff tears are a significant cause of shoulder morbidity. Surgical techniques for repair have evolved to optimize the biologic and mechanical variables critical to tendon healing. Double-row repairs have demonstrated superior biomechanical advantages to a single-row. METHODS: The preferred technique for rotator cuff repair of the senior author was reviewed and described in a step by step fashion. The final construct is a knotless double row transosseous equivalent construct...
2016: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/27682276/empty-can-and-drop-arm-tests-for-cuff-rupture%C3%A2-improved-specificity-after-subacromial-injection
#20
L I F Penning, R A De Bie, P Leffers, R E Weijers, G H I M Walenkamp
Shoulder disorders are common in the general population : they occur in about 25 of every 1000 patients per year. A rather large majority are caused by cuff disorders. Differentiating between impingement and cuff rupture is essential to adequate treatment. Clinical tests have been developed, but their accuracy is limited. This study was performed to improve clinical accuracy by combining single tests and adding a subacromial injection. We postulated that the empty can and drop arm tests would result in higher sensitivity and specificity after subacromial injection...
August 2016: Acta Orthopaedica Belgica
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