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Subacromial impingement

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https://www.readbyqxmd.com/read/27904800/cervical-contribution-to-functional-shoulder-impingement-two-case-reports
#1
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
#2
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
#3
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
#4
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...
October 14, 2016: 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
#5
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
#6
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
https://www.readbyqxmd.com/read/27670388/the-comparative-efficacy-of-kinesio-taping-and-local-injection-therapy-in-patients-with-subacromial-impingement-syndrome
#7
Hamit Göksu, Figen Tuncay, Pınar Borman
OBJECTIVE: The aim of this study was to compare the therapeutic effects of kinesio taping (KT) and local subacromial injection in patients with subacromial impingement, syndrome (SIS) with regard to pain, range of motion (ROM) and disability. METHODS: Sixty-one patients (48 females and 13 males; mean age: 43.04 ± 6.31, years) with SIS were enrolled into the study. The patients were randomized into two treatment groups receiving either a single corticosteroid and local anesthetic (LA) injection, or kinesio taping performed three times by intervals of 3 day...
September 23, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27665392/kinesiology-taping-does-not-alter-shoulder-strength-shoulder-proprioception-or-scapular-kinematics-in-healthy-physically-active-subjects-and-subjects-with-subacromial-impingement-syndrome
#8
Karen A Keenan, Jonathan S Akins, Michelle Varnell, John Abt, Mita Lovalekar, Scott Lephart, Timothy C Sell
OBJECTIVE: To examine the effect of kinesiology tape (KT) on shoulder strength, proprioception, and scapular kinematics in healthy and Subacromial Impingement Syndrome (SAIS) subjects. DESIGN: Placebo-controlled quasi-experimental study. SETTING: Research laboratory. PARTICIPANTS: A total of 30 physically active subjects participated. Ten healthy subjects with no previous history of shoulder pathology received KT on the dominant shoulder...
June 19, 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27660656/fractures-of-the-greater-tuberosity-of-the-humerus-a-study-of-associated-rotator-cuff-injury-and-atrophy
#9
Dominique M Rouleau, G Yves Laflamme, Jennifer Mutch
BACKGROUND: This is a retrospective prognostic study on soft tissue injury following isolated greater tuberosity (GT) fractures of the proximal humerus with respect to the relationship between rotator cuff tears and GT displacement. METHODS: Forty-three patients with isolated GT fractures were recruited and evaluated with a standardized interview and physical examination, quality of life and shoulder function questionnaires (Western Ontario Rotator Cuff Index, SF-12 Version 2, Constant, Quick-Disabilities of the Arm, Shoulder and Hand, Visual Analogue Scale), standard shoulder radiographs and an ultrasound...
October 2016: Shoulder & Elbow
https://www.readbyqxmd.com/read/27632855/the-effects-of-rigid-scapular-taping-on-acromio-humeral-distance-in-healthy-shoulders-an-observational-study
#10
Alva H Bdaiwi, Tanya Anne Mackenzie, Lee Heerington, Ian Horlsey, Ann Cools
CONTEXT: Compromise to the acromio-humeral distance has been reported in subjects with subacromial impingement syndrome when compared to healthy subjects. In clinical practice patients are taped with the intention of altering scapular position and influencing the acromio-humeral distance. However, research to determine the effects of taping on acromio-humeral distance is exiguous. OBJECTIVES: To evaluate the effect of ridged taping techniques to increase posterior scapular tilt and upward scapular rotation on the acromio-humeral distance...
August 24, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27617794/ultrasound-guided-subacromial-subdeltoid-bursa-steroid-injections-retrospective-comparison-of-two-approaches-and-the-assessment-of-impingement-tests-to-predict-efficacy
#11
H Chen
Objective: Compare the efficacy of two approaches to ultrasound-guided subacromial-subdeltoid bursa injections and to assess whether shoulder impingement tests acts as a predictive factor for efficacy of the injection. Design: Retrospective chart review and telephone survey of 40 patients who received ultrasound-guided subacromial-subdeltoid injections using 4cc 1% lidocaine and 80 mg methylprednisolone from January 2011 to December 2011. Outcome measures included: number of positive shoulder impingement tests (Neer, Hawkin, Yocum), pain level (10-Point VAS) and duration of pain relief (< 4 weeks, 4-12 weeks, > 12 weeks)...
October 16, 2015: West Indian Medical Journal
https://www.readbyqxmd.com/read/27617500/kinesio-taping-or-just-taping-in-shoulder-subacromial-impingement-syndrome-a-randomized-double-blind-placebo-controlled-trial
#12
Figen Kocyigit, Merve Acar, Mehmet Besir Turkmen, Tugce Kose, Nezahat Guldane, Ersin Kuyucu
OBJECTIVE: To verify effects of kinesio taping (KT) in shoulder subacromial impingement syndrome (SIS) when compared to sham taping applied in the same way with KT. PATIENTS AND METHODS: Patients were randomized as group 1 (n = 21) KT group and group 2 (n = 20) sham-taping group. Taping was applied every three days, three times during the study period. We assessed all the patients at baseline, at the end of the taping period (12th day), and at one-month post-intervention...
October 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27613762/surgical-release-of-the-pectoralis-minor-tendon-for-scapular-dyskinesia-and-shoulder-pain
#13
Matthew T Provencher, Hannah Kirby, Lucas S McDonald, Petar Golijanin, Daniel Gross, Kevin J Campbell, Lance LeClere, George Sanchez, Shawn Anthony, Anthony A Romeo
BACKGROUND: Pectoralis minor (PM) tightness has been linked to pain and dysfunction of the shoulder joint secondary to anterior tilt and internal rotation of the scapula, thus causing secondary impingement of the subacromial space. PURPOSE: To describe outcomes pertaining to nonoperative and operative treatment via surgical release of the PM tendon for pathologic PM tightness in an active population. STUDY DESIGN: Case series; Level of evidence, 4...
September 9, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27574284/letter-to-the-editor-platelet-rich-plasma-versus-steroid-injection-for-subacromial-impingement-syndrome
#14
T M Duymus, L Adiyeke, S Tuna
No abstract text is available yet for this article.
August 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27540732/effect-of-arthroscopic-techniques-on-joint-volume-in-shoulder-instability-bankart-repair-versus-capsular-shift
#15
Przemysław Lubiatowski, Jan Długosz, Marta Ślęzak, Piotr Ogrodowicz, Jakub Stefaniak, Joanna Walecka, Leszek Romanowski
PURPOSE: The evaluation of glenohumeral joint volume in both unstable (with/without laxity) and stable shoulders (subacromial impingement) and volume reduction potential of arthroscopic techniques: (labral anchor repair vs. capsular shift). METHODS: Material was based on 133 patients: anterior shoulder instability without laxity (group I, n = 49), with laxity (group II, n = 22) and subacromial impingement (control group, n = 62) operated in 2010-2011...
August 19, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27525180/rehabilitation-of-subacromial-pain-syndrome-emphasizing-scapular-dyskinesis-in-amateur-athletes-a-case-series
#16
Katherinne F Moura, Renan L Monteiro, Paulo R G Lucareli, Thiago Y Fukuda
STUDY DESIGN: Case series. BACKGROUND AND PURPOSE: Scapular dyskinesis has been associated with several shoulder injuries. Recent literature has suggested that a greater activation of the scapular muscles can play an important role in reducing subacromial impingement in patients with shoulder pain. Thus, the purpose of this case series was to describe a rehabilitation program that emphasizes scapular dyskinesis correction for those with clinical evidence of subacromial pain syndrome...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27507844/clinical-and-ultrasonographic-evaluations-of-the-shoulders-of-elite-swimmers
#17
Scott A Rodeo, Joseph T Nguyen, John T Cavanaugh, Yashika Patel, Ronald S Adler
BACKGROUND: Shoulder pain is a common problem in competitive swimmers, but the structural alterations in elite-level competitive swimmers are not well known. HYPOTHESIS: Adaptive changes are common in the rotator cuff, bursa, labrum, and capsule in elite swimmers, and such abnormalities are related to factors concerning training and correlate with symptoms. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: The study population was the 2008 United States Olympic swimming team...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27505960/-clinical-research-on-the-efficiency-of-physical-examinations-used-for-diagnosis-of-subacromial-impingement-syndrome
#18
Cheng-wei Chen, Zhe-er Pan, Chao Zhang, Cai-long Liu, Lei Chen
OBJECTIVE: To evaluate the reliability and diagnosis accuracy of 5 special tests used for the diagnosis of subacromial impingement syndrome (SAIS). METHODS: A prospective blinded cohort study was taken,in which 105 patients with shoulder pain were reviewed. All the patients took 5 special syndrome tests including Neer syndrome, Hawkins-Kennedy syndrome, painful arc empty can test and external rotation resistance test, also underwent arthroscopic surgical examination...
May 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27504044/shoulder-retractor-strengthening-exercise-to-minimize-rhomboid-muscle-activity-and-subacromial-impingement
#19
Jeremy Fennell, Chetan P Phadke, George Mochizuki, Farooq Ismail, Chris Boulias
PURPOSE: We investigated the best position for shoulder retractor strengthening exercise to maximize middle trapezius activity and minimize rhomboid major activity. Although both trapezius and rhomboids are scapular retractors, rhomboids also act as downward rotators of the scapula, which can worsen subacromial impingement. METHODS: Twelve healthy participants (age 30 [SD 6] y) with no history of shoulder pain were recruited for this study, which used fine-wire electromyography to examine maximal muscle activation of the middle trapezius and rhomboid major muscle fibres in four different positions: with the shoulder in 90° abduction with elbow completely extended and (1) shoulder internal rotation, (2) shoulder neutral rotation, (3) shoulder external rotation, and (4) rowing (shoulder neutral rotation and elbow flexed 90°)...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27477254/is-extracorporeal-shockwave-therapy-combined-with-isokinetic-exercise-more-effective-than-extracorporeal-shockwave-therapy-alone-for-subacromial-impingement-syndrome-a-randomized-clinical-trial
#20
Andrea Santamato, Francesco Panza, Angela Notarnicola, Gennaro Cassatella, Francesca Fortunato, Jula Laura de Sanctis, Giovanni Valeno, Patrick G Kehoe, Davide Seripa, Giancarlo Logroscino, Pietro Fiore, Maurizio Ranieri
UNLABELLED: Study Design Single-blind randomized trial. Background Extracorporeal shockwave therapy (ESWT) has been shown to produce good results in the treatment of subacromial impingement syndrome (SAIS). The efficacy of a combined administration of ESWT and isokinetic exercise (IE) has not yet been studied. Objectives To evaluate the efficacy of focused ESWT combined with IE for the rotator cuff versus focused ESWT alone in the treatment of SAIS. The secondary objective was to assess the isokinetic torque recovery (external rotation at 210°/s, 180°/s, and 120°/s)...
September 2016: Journal of Orthopaedic and Sports Physical Therapy
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