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https://www.readbyqxmd.com/read/29118701/nevus-comedonicus-case-report
#1
Renata Pinto Fernandes Timbó, Maria Kátia Gomes, Eduardo Mastrangelo Marinho Falcão, Marcia Ramos-E-Silva
Nevus comedonicus is a rare cutaneous anomaly, characterized by the clustering of papules with firm, blackened horny buffers. It in general has a zosteriform pattern and affects both genders equally. In some patients, there is formation of cysts, abscesses, and fistulas, aggravating its psychosocial impact. The association with extracutaneous lesions characterizes the nevus comedonicus syndrome. Despite several therapeutic options, the result is unsatisfactory in most cases. We report the case of a man with an exuberant congenital lesion, affecting the left suprascapular region, arm, and forearm...
September 2017: Case Reports in Dermatology
https://www.readbyqxmd.com/read/29102312/ultrasonography-study-of-the-suprascapular-nerve
#2
M Faruch Bilfeld, F Lapègue, N Sans, H Chiavassa Gandois, P Laumonerie, A Larbi
PURPOSE: The aim of the study was to evaluate the assessability of the suprascapular nerve (SSN) by ultrasonography in cadavers and healthy volunteers. MATERIALS AND METHODS: With ultrasonography guidance, needles were placed at origin of the SSN of four cadavers and evaluated by dissection. Two blinded radiologists performed 60 ultrasonography scans in 30 healthy volunteers to study the entire SSN at five anatomical landmarks. RESULTS: Dissection revealed that the needles were correctly located at the nerve's origin...
October 25, 2017: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/29102255/hourglass-like-constriction-of-the-suprascapular-nerve-a-contraindication-for-minimally-invasive-surgery
#3
Adolfo Vigasio, Ignazio Marcoccio
BACKGROUND: Suprascapular nerve (SSN) entrapment is usually ascribed to static or dynamic compression. When no cause of compression is found, SSN entrapment is defined as idiopathic. Focal hourglass-like constriction (H-LC) of the SSN that results in muscle paralysis represents an unusual condition that may be misinterpreted and erroneously diagnosed as SSN entrapment or as neuralgic amyotrophy. METHODS: With the aim of finding clinical and surgical clues that could differentiate the traditional form of idiopathic SSN entrapment from the rare H-LC, a series of 6 cases of SSN palsy caused by H-LC is presented...
October 25, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29095317/large-malignant-granular-cell-tumor-with-suprascapular-nerve-and-brachial-plexus-invasion-a-case-report-and-literature-review
#4
REVIEW
Xiaotian Jia, Chao Chen, Lin Chen, Cong Yu, Tadashi Kondo
RATIONALE: Malignant granular cell tumor is a kind of rare and highly aggressive malignant tumor that commonly occurs in lower extremity, trunk, and peritoneal cavity. Huge malignant granular cell tumor (MGCT) with suprascapular nerve and brachial plexus invasion was extremely rare. PATIENT CONCERNS: We present a special case of a 48-year-old orthopedist who suffered from MGCT. The orthopedist had regarded that he suffered from scapulohumeral periarthritis. DIAGNOSES: The disease was noticed until a painless mass on his right neck was discovered 9 months later...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29026978/enigma-of-scapular-foramen-and-tunnels-an-untold-story
#5
Nidhi Singh, Puja Chauhan, Hitendra Kumar Loh, Mangala Kohli, Rajesh Kumar Suri
PURPOSE: The study was undertaken to make a qualitative and quantitative assessment of unnamed foramen and tunnels in adult human scapulae with aid of plain and contrast radiographs. MATERIALS AND METHODS: A total of 120 dry bones, 60 each of the right and the left side were included in the study. Distribution of these foramina and tunnels was noted for their number, side, location, course and communication. Their morphometry was done using Vernier's caliper. RESULTS: Incidence of scapular foramina was 7...
October 12, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28970979/all-endoscopic-brachial-plexus-complete-neurolysis-for-idiopathic-neurogenic-thoracic-outlet-syndrome-surgical-technique
#6
Thibault Lafosse, Malo Le Hanneur, Laurent Lafosse
Neurogenic thoracic outlet syndrome is caused by a neurologic compression of the brachial plexus before it reaches the arm. Three anatomic areas are common locations for such an entrapment because of their congenital and/or acquired tightness: the interscalene triangle, the costoclavicular space, and the retropectoralis minor space. Because the compression level usually remains unknown, the treatment is still controversial and most teams focus on only one potential site. We propose an all-endoscopic technique of complete brachial plexus neurolysis that can be divided into three parts, one for each entrapment area...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28968280/suprascapular-and-interscalene-nerve-block-for-shoulder-surgery-a-systematic-review-and-meta-analysis
#7
Nasir Hussain, Ghazaleh Goldar, Neli Ragina, Laura Banfield, John G Laffey, Faraj W Abdallah
BACKGROUND: Interscalene block provides optimal shoulder surgery analgesia, but concerns over its associated risks have prompted the search for alternatives. Suprascapular block was recently proposed as an interscalene block alternative, but evidence of its comparative analgesic effect is conflicting. This meta-analysis compares the analgesic effect and safety of suprascapular block versus interscalene block for shoulder surgery. METHODS: Databases were searched for randomized trials comparing interscalene block with suprascapular block for shoulder surgery...
December 2017: Anesthesiology
https://www.readbyqxmd.com/read/28956117/glenoid-morphology-and-the-safe-zone-for-protecting-the-suprascapular-nerve-during-baseplate-fixation-in-reverse-shoulder-arthroplasty
#8
Yuhui Yang, Jianlin Zuo, Tong Liu, Pu Shao, Haihe Wu, Zhongli Gao, Jianlin Xiao
PURPOSE: The purpose of this study was to investigate glenoid morphology and define the safe zone for protecting the suprascapular nerve baseplate screw during baseplate fixation in reverse shoulder arthroplasty (RSA) in a Chinese population. METHODS: Shoulder computed tomography (CT) scans from 56 subjects were retrospectively reviewed. Three-dimensional (3D) reconstruction was performed using Mimics software, and corresponding bony references were used to evaluate glenoid morphology...
September 27, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28935431/evaluation-of-risk-to-the-suprascapular-nerve-during-arthroscopic-slap-repair-is-a-posterior-portal-safer
#9
Mark J Sando, Jason A Grieshober, Hyunchul Kim, James C Dreese, R Frank Henn
PURPOSE: The purpose of this study was to compare the risk of glenoid perforation during SLAP repair for suture anchors placed through an anterolateral portal versus a posterolateral portal of Wilmington. METHODS: Ten bilateral cadaveric shoulders were randomized to suture anchor placement through an anterolateral portal on one shoulder and a posterolateral portal on the contralateral shoulder. Anchors were placed into anterior, posterior, and far posterior positions on the glenoid rim (1 o'clock, 11 o'clock, and 10 o'clock positions for right shoulders)...
September 18, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28898151/postoperative-analgesia-for-shoulder-surgery
#10
Neel Desai
Both arthroscopic and open surgery of the shoulder are associated with significant postoperative pain. Use of opioids can result in adverse systemic effects, so a multi-modal analgesic approach and complementary analgesic techniques should be considered to minimize the postoperative opioid requirement. Single shot interscalene block provides effective pain control of early and limited duration which can be extended with a catheter. Continuous interscalene block should be considered for more invasive shoulder procedures...
September 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28879607/arthroscopic-management-of-suprascapular-neuropathy-of-the-shoulder-improves-pain-and-functional-outcomes-with-minimal-complication-rates
#11
M Memon, J Kay, L Ginsberg, N Simunovic, K Bak, P Lapner, O R Ayeni
PURPOSE: The purpose of this study was to systematically assess the arthroscopic management of suprascapular neuropathy, including the aetiology, surgical decision-making, clinical outcomes, and complications associated with the procedure. METHODS: Three databases [PubMed, Ovid (Medline), and Embase] were searched. Systematic literature screening and data abstraction was performed in duplicate to present a review of studies reporting on arthroscopic management of suprascapular neuropathy...
September 6, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28872414/suprascapular-nerve-and-volleyball-a-potentially-dangerous-sport-match-the-role-of-an-accurate-diagnosis
#12
Daniele Coraci, Silvia Giovannini, Giulia Piccinini, Claudia Loreti, Valter Santilli, Luca Padua
No abstract text is available yet for this article.
September 5, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28872413/restoration-of-active-pick-up-function-in-patients-with-total-brachial-plexus-avulsion-injuries
#13
Feng Li, Shu-Feng Wang, Peng-Cheng Li, Yun-Hao Xue, Ji-Yao Zou, Wen-Jun Li
We designed multiple nerve transfers in one surgery to restore active pick-up function in patients with total brachial plexus avulsion injuries. Forty patients with total brachial plexus avulsion injuries first underwent multiple nerve transfers. These included transfer of the accessory nerve onto the suprascapular nerve to recover shoulder abduction, contralateral C7 nerve onto the lower trunk via the modified prespinal route with direct coaptation to restore lower trunk function and onto the musculocutaneous nerve with interpositional bridging by medial antebrachial cutaneous nerve arising from lower trunk to restore elbow flexion, and the phrenic nerve onto the posterior division of lower trunk to recover elbow and finger extension...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28869071/role-of-transplanted-bone-marrow-cells-in-development-of-rotator-cuff-muscle-fatty-degeneration-in-mice
#14
Lawrence V Klomps, Naseem Zomorodi, H Mike Kim
BACKGROUND: Rotator cuff muscle fatty degeneration after a chronic tendon tear is an irreversible pathologic change associated with poor clinical outcomes of tendon repair, and its exact pathogenesis remains unknown. We sought to investigate the role of transplanted bone marrow cells in the development of fatty degeneration, specifically in adipocyte accumulation, using a mouse model. METHODS: Fourteen mice were divided into 2 bone marrow chimeric animal groups: bone marrow transplantation (BMT) group and reverse BMT group...
August 28, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28861202/comparison-of-arthroscopically-guided-suprascapular-nerve-block-and-blinded-axillary-nerve-block-vs-blinded-suprascapular-nerve-block-in-arthroscopic-rotator-cuff-repair-a-randomized-controlled-trial
#15
Sang Hun Ko, Sung Do Cho, Chae Chil Lee, Jang Kyu Choi, Han Wook Kim, Seon Jae Park, Mun Hee Bae, Jae Ryong Cha
BACKGROUND: The purpose of this study was to compare the results of arthroscopically guided suprascapular nerve block (SSNB) and blinded axillary nerve block with those of blinded SSNB in terms of postoperative pain and satisfaction within the first 48 hours after arthroscopic rotator cuff repair. METHODS: Forty patients who underwent arthroscopic rotator cuff repair for medium-sized full thickness rotator cuff tears were included in this study. Among them, 20 patients were randomly assigned to group 1 and preemptively underwent blinded SSNB and axillary nerve block of 10 mL 0...
September 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28820804/anterior-approach-to-the-suprascapular-nerve
#16
Firoz Vagh, Elizabeth Baker, Christopher Arndt, Mary M Billstrand
No abstract text is available yet for this article.
September 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28795009/evaluation-and-management-of-shoulder-pain-in-skeletally-immature-athletes
#17
REVIEW
Dilip R Patel, Stephen Breisach
Shoulder pain in young athletes generally is a result of poor sports technique and overuse. A number intrinsic causes of shoulder pain have been identified. Pain may also be referred to shoulder area from cervical spine, neck and chest pathology. Overuse stress injury of the proximal humeral physis is important to recognize early in order to prevent later complications. Shoulder impingement syndrome is a general term used to describe multiple underlying lesions and relatively uncommon in young athletes. In adolescent athletes, glenohumeral instability is an important underlying pathomechanical basis for shoulder pain...
July 2017: Translational pediatrics
https://www.readbyqxmd.com/read/28776638/a-novel-combination-of-peripheral-nerve-blocks-for-arthroscopic-shoulder-surgery
#18
D Musso, S Flohr-Madsen, K Meknas, T Wilsgaard, L M Ytrebø, Ø Klaastad
BACKGROUND: Interscalene brachial plexus block is currently the gold standard for intra- and post-operative pain management for patients undergoing arthroscopic shoulder surgery. However, it is associated with block related complications, of which effect on the phrenic nerve have been of most interest. Side effects caused by general anesthesia, when this is required, are also a concern. We hypothesized that the combination of superficial cervical plexus block, suprascapular nerve block, and infraclavicular brachial plexus block would provide a good alternative to interscalene block and general anesthesia...
October 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/28767480/combined-selective-nerve-blockade-and-local-infiltration-analgesia-in-a-total-shoulder-arthroplasty-patient-with-chronic-pain-and-severe-restrictive-lung-disease-a-case-report
#19
Jason K Panchamia, David A Olsen, Joaquin Sanchez-Sotelo, Adam W Amundson
Interscalene brachial plexus block is considered the most complete postoperative analgesia after total shoulder arthroplasty. Interscalene brachial plexus block-induced ipsilateral hemidiaphragmatic paralysis may not be tolerated in patients with preexisting pulmonary disease. Selective distal nerve blocks avoid the risk of phrenic nerve block; however, they may provide incomplete analgesia to the glenohumeral joint. We report a case of combined selective suprascapular and axillary nerve blockade in combination with local infiltration analgesia in a patient with severe lung disease undergoing total shoulder arthroplasty...
August 1, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28711169/the-risk-of-suprascapular-and-axillary-nerve-injury-in-reverse-total-shoulder-arthroplasty-an-anatomic-study
#20
Tim Leschinger, Michael Hackl, Eduard Buess, Sebastian Lappen, Martin Scaal, Lars Peter Müller, Kilian Wegmann
PURPOSE: Implantation of a reverse total shoulder arthroplasty (rTSA) places the axillary and suprascapular nerves at risk. The aim of this anatomic study was to digitally analyse the location of these nerves in relation to bony landmarks in order to predict their path and thereby help to reduce the risk of neurological complications during the procedure. METHODS: A total of 22 human cadaveric shoulder specimens were used in this study. The axillary and suprascapular nerves were dissected, and radiopaque threads were sutured onto the nerves without mobilizing the nerves from their native paths...
June 28, 2017: Injury
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