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https://www.readbyqxmd.com/read/29786825/the-comparison-of-arthroscopic-acromioplasty-with-and-without-acromioclavicular-coplaning
#1
Nuri Aydın, Barış Kocaoğlu, Ender Sarıoğlu, Okan Tok, Osman Güven
BACKGROUND: Coplaning means the removal of medial acromial spurs and inferior aspect of the distal clavicle. The aim of the study was to evaluate the outcomes of arthroscopic acromioplasty with and without coplaning in patients without acromioclavicular (AC) joint arthritis. METHODS: Because of impingement syndrome, arthroscopic subacromial decompression and acromioplasty was performed in Group 1 (9 males/31 female). In addition, coplaning was performed in Group 2 (8 males/21 females) by two different surgeons...
May 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29777953/ultrasound-guided-application-of-percutaneous-electrolysis-as-an-adjunct-to-exercise-and-manual-therapy-for-subacromial-pain-syndrome-a-randomized-clinical-trial
#2
Lorena de-Miguel-Valtierra, Jaime Salom-Moreno, César Fernández-de-Las-Peñas, Joshua A Cleland, José L Arias-Buría
This randomized clinical trial compared the effects of adding US-guided percutaneous electrolysis into a program consisting of manual therapy and exercise on pain, related-disability, function and pressure sensitivity in subacromial pain syndrome. Fifty patients with subacromial pain syndrome were randomized into manual therapy and exercise or percutaneous electrolysis group. All patients received the same manual therapy and exercise program, one session per week for 5 consecutive weeks. Patients assigned to the electrolysis group also received the application of percutaneous electrolysis at each session...
May 16, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29769141/single-coracoclavicular-suture-fixation-with-mersilene-tape-versus-hook-plate-in-the-treatment-of-acute-type-v-acromioclavicular-dislocation-a-retrospective-analysis
#3
Ying-Cheng Huang, Shan-Wei Yang, Chun-Yu Chen, Kai-Cheng Lin, Jenn-Huei Renn
BACKGROUND: Here, we compared the clinical and radiographic outcomes between coracoclavicular (CC) fixation with Mersilene tape and hook plate for acute unstable acromioclavicular (AC) joint dislocation treatment. METHODS: We enrolled 49 patients with unstable acute AC dislocation who, between January 2010 and January 2014, underwent surgery with single CC suture fixation with Mersilene tape (M group, 25 cases) or clavicle hook plate (H group, 24 cases). In M and H groups, the average age was 43...
May 16, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29759589/ultrasound-guided-subacromial-subdeltoid-bursa-corticosteroid-injections-a-study-of-short-and-long-term-outcomes
#4
R Fawcett, A Grainger, P Robinson, M Jafari, E Rowbotham
AIM: To assess shoulder pain and disability in patients undergoing corticosteroid injection into the subacromial-subdeltoid (SA-SD) bursa under ultrasound guidance, evaluating both short and long-term outcomes. MATERIALS AND METHODS: In this prospective, longitudinal, analytical study 376 patients referred for SA-SD bursa injection during a 6 month period were asked to complete a questionnaire assessing shoulder pain and disability in the form of the Shoulder Pain and Disability Index (SPADI)...
May 11, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29759125/common-soft-tissue-musculoskeletal-pain-disorders
#5
REVIEW
Matthew J Hubbard, Bernard A Hildebrand, Monica M Battafarano, Daniel F Battafarano
Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. The authors used a regional approach to organize the material, as providers will encounter these syndromes with complaints of pain referring to an anatomic location. The covered disorders include myofascial pain syndrome, rotator cuff tendinopathy, bicipital tendinopathy, subacromial bursitis, olecranon bursitis, epicondylitis, De Quervain disease, trigger finger, trochanteric bursitis, knee bursitis, pes anserine bursitis, Baker cyst, plantar fasciitis, and Achilles tendinopathy...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29749582/naloxone-induced-non-cardiogenic-pulmonary-edema-a-case-report
#6
Nasheena Jiwa, Himesh Sheth, Richard Silverman
A 22-year-old man was admitted for an elective right-shoulder open subacromial decompression and distal clavicle excision. He received a single intravenous dose of fentanyl 50 μg for anesthesia. His procedure was completed without intra-operative complications; however, he developed post-operative respiratory depression in the setting of narcotic administration. He was given naloxone 0.2 mg intravenously once to reverse this effect, which subsequently led to acute hypoxic respiratory failure secondary to pulmonary edema shortly after administration of naloxone...
May 10, 2018: Drug Safety—Case Reports
https://www.readbyqxmd.com/read/29748823/constant-murley-score-systematic-review-and-standardized-evaluation-in-different-shoulder-pathologies
#7
REVIEW
Kalliopi Vrotsou, Mónica Ávila, Mónica Machón, Maider Mateo-Abad, Yolanda Pardo, Olatz Garin, Carlos Zaror, Nerea González, Antonio Escobar, Ricardo Cuéllar
PURPOSE: The objective of this study was to evaluate the psychometric properties of the Constant-Murley Score (CMS) in various shoulder pathologies, based on a systematic review and expert standardized evaluations. METHODS: A systematic review was performed in MEDLINE and EMBASE databases. Titles and abstracts were reviewed and finally the included articles were grouped according to patients' pathologies. Two expert evaluators independently assessed the CMS properties of reliability, validity, responsiveness to change, interpretability and burden score in each group, using the EMPRO (Evaluating Measures of Patient Reported Outcomes) tool...
May 10, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29743319/clinical-course-of-pain-and-disability-in-patients-with-subacromial-shoulder-pain-a-systematic-review-protocol
#8
Zohreh Jafarian Tangrood, Angela Spontelli Gisselman, Gisela Sole, Daniel Cury Ribeiro
INTRODUCTION: Previous systematic reviews have identified the multiple factors impacting on the prognosis of shoulder pain. However, the typical clinical course of subacromial shoulder pain remains unclear. The aim of this systematic review is to assess the clinical course of pain and disability in patients with subacromial shoulder pain. METHOD AND ANALYSIS: We will systematically search electronic databases (Medline, Embase and AMED (via Ovid), Web of Science, Cochrane Library and Scopus) from the date of inception to 28 February 2018 for randomised controlled trials (RCTs) and observational studies with patients with subacromial shoulder pain...
May 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29713219/the-diagnostic-reproducibility-of-tomosynthesis-for-the-correlation-between-acromiohumeral-distance-and-rotator-cuff-size-or-type
#9
Yoonah Song, Seunghun Lee, Bong Gun Lee, Young Bin Joo, Soon-Young Song
Objective: To correlate the acromiohumeral distance (AHD) using tomosynthesis and rotator cuff (RC) pathology and various anatomical indices and to assess the diagnostic reproducibility of tomosynthesis for the evaluation of subacromial impingement. Materials and Methods: A retrospective review of 63 patients with clinically suspected subacromial impingement was conducted. Two musculoskeletal radiologists independently measured the following quantitative data: the AHD on plain radiographs and the AHD at three compartments (anterior, middle, and posterior) using tomosynthesis, computed tomography (CT) arthrography, or magnetic resonance (MR) arthrography...
May 2018: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/29704746/examining-upper-limb-kinematics-and-dysfunction-of-breast-cancer-survivors-in-functional-dynamic-tasks
#10
Rebecca L Brookham, Alan C Cudlip, Clark R Dickerson
BACKGROUND: Comorbidities within the breast cancer population can reduce quality of life. Current breast cancer survivor upper limb kinematic strategies unfortunately lack robust connection with performing important activities of daily living. METHODS: Accordingly, fifty breast cancer survivors performed 88 dynamic tasks (divided into range of motion-reach, range of motion-rotate, activity of daily living, and work tasks). Humerothoracic and scapulothoracic angles were extracted from motion capture data...
April 13, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29693239/cadaveric-study-of-the-anatomical-reference-points-for-proximal-humeral-plate-positioning
#11
Kittikun Thienthong, Manusak Boonard, Artit Boonrod, Kowit Chaisiwamongkol, Suwitcha Sripadungkul
BACKGROUND: Complications following locking plate fixation in proximal humeral fractures often related to malposition plates and inadequate screw fixation. However, literature did not define the best anatomical reference point for plate positioning. We conducted a study to assess the occurrence of subacromial impingement and screw perforation with two anatomical reference points for proximal humeral plate positioning. METHOD: Sixty shoulders of 30 cadavers were dissected, and proximal humeral locking plate was placed in two different levels in the coronal plane of the upper tip of plate: (1) the proximal portion of bicipital groove group and (2) the most prominent of lesser tuberosity group...
April 24, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29691041/application-of-pre-contoured-anatomic-locking-plate-for-treatment-of-humerus-split-type-greater-tuberosity-fractures-a-prospective-review-of-68-cases-with-an-average-follow-up-of-2-5-years
#12
Chuanzhen Hu, Kaihua Zhou, Fugen Pan, Qilin Zhai, Weifeng Wen, Xiaojian He
OBJECTIVES: Although various implants exist for 3- and 4-part proximal humerus fractures, few implants are appropriate for humerus split type greater tuberosity fractures. The goal of this study was to assess the efficacy of pre-contoured anatomic locking plate for humerus split type greater tuberosity fractures. METHODS: A retrospective review of 68 patients with humerus split type greater tuberosity fractures treated with open reduction and internal fixation using anatomic locking plates between January 2014 and October 2016...
April 18, 2018: Injury
https://www.readbyqxmd.com/read/29683224/evaluating-the-role-of-subacromial-impingement-in-rotator-cuff-tendinopathy-development-and-analysis-of-a-novel-murine-model
#13
Guang-Ting Cong, Amir H Lebaschi, Christopher L Camp, Camila B Carballo, Yusuke Nakagawa, Susumu Wada, Xiang-Hua Deng, Scott A Rodeo
Subacromial impingement of the rotator cuff is understood as a contributing factor in the development of rotator cuff tendinopathy. However, changes that occur in the impinged tendon are poorly understood and warrant further study. To enable further study of rotator cuff tendinopathy, we performed a controlled laboratory study to determine feasibility and baseline characteristics of a new murine model for subacromial impingement. This model involves surgically inserting a microvascular clip into the subacromial space in adult C57Bl/6 mice...
April 23, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29679207/the-swimmer-s-shoulder-multi-directional-instability
#14
REVIEW
Ivan De Martino, Scott A Rodeo
PURPOSE OF REVIEW: Swimmer's shoulder is the term used to describe the problem of shoulder pain in swimmers. Originally described as supraspinatus tendon impingement under the coracoacromial arch, it is now understood that several different pathologies can cause shoulder pain in competitive swimmers, including subacromial impingement syndrome, overuse and subsequent muscle fatigue, scapular dyskinesis, and laxity and instability. RECENT FINDINGS: Swimmers may develop increased shoulder laxity over time due to repetitive use...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29628705/ultrasound-guided-versus-landmark-guided-corticosteroid-injection-in-patients-with-rotator-cuff-syndrome-randomised-controlled-trial
#15
Himanshu Bhayana, Puneet Mishra, Anupama Tandon, Amite Pankaj, Rohit Pandey, Raskesh Malhotra
Objective: Impingement syndrome is the most common differential in a patient presenting to an orthopaedic OPD with shoulder pain. Impingement syndrome is often managed with subacromial corticosteroid injection, which can be instilled using either landmark guided (LMG) approach or with the assistance of ultrasound (US). This study was envisaged to enquire whether ultrasound assistance improves the accuracy, efficacy or safety profile of the injection. Methods: 60 patients of rotator cuff syndrome underwent diagnostic ultrasound...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29613883/long-term-course-of-shoulders-after-ultrasound-therapy-for-calcific-tendinitis-results-of-the-ten-years-follow-up-of-an-rct
#16
Karin Pieber, Martina Grim-Stieger, Franz Kainberger, Martin Funovics, Karl-Ludwig Resch, Thomas Bochdansky, Eleonore Pablik, Gerold Ebenbichler
OBJECTIVE: To follow both the structure and function related long-term course of shoulders that had been treated with therapeutic ultrasound (US) for symptomatic calcific tendinitis. DESIGN: Long-term follow-up of 45 shoulders (37 patients) that had been treated for symptomatic calcific tendinitis with either a series of US or sham US ten years ago. The main outcome variables were presence of calcium deposits and subacromial impingement on standardized X-ray imaging, shoulder symptoms (Binder score) and function (Constant score)...
April 2, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29613881/in-vivo-evaluation-of-subacromial-and-internal-impingement-risk-in-asymptomatic-individuals
#17
Margaret S Coats-Thomas, Daniel F Massimini, Jon J P Warner, Amee L Seitz
OBJECTIVE: The study aim was to evaluate subacromial and internal impingement risk between shoulders (dominant/non-dominant) during dynamic motion using subject-specific anatomy and precise in vivo kinematics. DESIGN: In a prospective cross-sectional study, 9 subjects underwent bilateral MR (N=18 shoulders) and fluoroscopic imaging during external rotation at 90° abduction (ER) and elevation. Subject-specific bone models were created and distances from footprint to (a) acromion and (b) glenoid were measured to evaluate risk...
April 2, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29576637/complications-associated-with-locking-plate-of-proximal-humerus-fractures
#18
REVIEW
Venkat Kavuri, Blake Bowden, Neil Kumar, Doug Cerynik
Proximal humerus fractures constitute a significant percentage of fragility fractures. The growing use of locking plate has helped treat this problem, but at the same time has brought about complications. Past systematic reviews have documented these complications, however a large number of recent studies have been published since, reporting their own complication rates with different techniques. This study reviews the current complications associated with locking plate of proximal humerus fractures as well as methods to reduce them...
March 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29567037/resurfacing-hemiarthroplasty-of-the-shoulder-for-patients-with-juvenile-idiopathic-arthritis
#19
Edward F Ibrahim, Abbas Rashid, Michael Thomas
BACKGROUND: This study reports the outcome of resurfacing hemiarthroplasty (RHA) in a cohort of patients with juvenile idiopathic arthritis (JIA) affecting the shoulder joint METHODS: Fourteen uncemented RHA procedures were performed for 11 consecutive patients who required surgery because of JIA. Mean age at surgery was 36.4 years. Mean clinical follow-up was 10.4 years (range, 5.8-13.9 years). A significant humeral head defect (up to 40% surface area) was found in 5 shoulders and filled with autograft from the distal clavicle or femoral head allograft...
March 20, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29550858/patients-who-are-candidates-for-subacromial-decompression-have-more-pronounced-range-of-motion-deficits-but-do-not-differ-in-self-reported-shoulder-function-strength-or-pain-compared-to-non-candidates
#20
Adam Witten, Mikkel B Clausen, Kristian Thorborg, Mikkel L Attrup, Per Hölmich
PURPOSE: Subacromial impingement syndrome (SIS) is associated with low self-reported shoulder function, impairments in shoulder strength and range of motion (ROM), and pain. It is not known how the symptomatology associated with SIS is reflected in the choice of treatment. This study compares self-reported shoulder function, shoulder strength, ROM, and pain in patients with SIS considered candidates and non-candidates for subacromial decompression (SAD). METHOD: Self-reported shoulder function (Q-DASH and SPADI), maximum isometric muscle strength in shoulder abduction (Abd-strength) and external rotation (ER-strength), active abduction ROM (Abd-ROM) and passive internal rotation ROM (IR-ROM) were measured in a consecutive cohort of patients with SIS referred to an orthopedic outpatient clinic...
March 17, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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