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https://www.readbyqxmd.com/read/28032029/evaluation-and-treatment-of-internal-impingement-of-the-shoulder-in-overhead-athletes
#1
REVIEW
Keith T Corpus, Christopher L Camp, David M Dines, David W Altchek, Joshua S Dines
One of the most common pathologic processes seen in overhead throwing athletes is posterior shoulder pain resulting from internal impingement. "Internal impingement" is a term used to describe a constellation of symptoms which result from the greater tuberosity of the humerus and the articular surface of the rotator cuff abutting the posterosuperior glenoid when the shoulder is in an abducted and externally rotated position. The pathophysiology in symptomatic internal impingement is multifactorial, involving physiologic shoulder remodeling, posterior capsular contracture, and scapular dyskinesis...
December 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27942157/effect-of-the-push-up-plus-guide-and-resistance-device-ppgrd-on-the-serratus-anterior-during-push-up-plus
#2
Won-Gyu Yoo
[Purpose] This study developed a push-up plus guide and resistance device and investigated the effectiveness of the device. [Subject and Methods] A 39-year-old man presented with moderate pain with left scapular dyskinesis. A newly designed assistance device was used as a push-up plus guide and resistance device (PPGRD). The subject performed the push-up plus exercise without and then with the PPGRD for 2 weeks each. [Results] After performing the push-up plus exercise with the PPGRD for 2 weeks, the serratus anterior muscle power was increased, the pain score was decreased, and the absence of scapular dyskinesis was confirmed...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27916706/the-influence-of-test-positions-on-clinical-assessment-for-scapular-dyskinesis
#3
Simin Deng, Kang Chen, Yanhong Ma, Juan Chen, Mi Huang
BACKGROUND: Appropriate evaluation of scapular dyskinesis is essential for therapeutic strategies. Although the current visual-based assessment is rapid and practical, the reliability of this method is unsatisfactory. It is necessary to adequately understand the conditions of assessment to maximize the benefit of therapeutic interventions. OBJECTIVE: To explore the influence of different test positions on clinical assessment for scapular dyskinesis. DESIGN: Observational study...
December 1, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27900708/can-posterior-capsular-stretching-rehabilitation-protocol-change-scapula-kinematics-in-asymptomatic-baseball-pitchers
#4
A Pellegrini, P Tonino, D Salazar, K Hendrix, I Parel, A Cutti, P Paladini, F Ceccarelli, G Porcellini
PURPOSE: Scapular dyskinesis is a recognized cause of shoulder pain in the throwing shoulder of baseball pitchers and athletes who participate in overhead sports. Past studies have assessed scapular kinematics using electromagnetic tracking devices and have shown a correlation between posterior shoulder tightness and forward scapular posture. The purpose of our study is to evaluate the scapular kinematics, before and after a 4-week posterior stretching protocol in asymptomatic pitchers...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27856264/glenohumeral-arthrodesis-for-recurrent-types-ii-and-iii-shoulder-instability
#5
Tanujan Thangarajah, Deborah Higgs, J Ian L Bayley, Simon M Lambert
BACKGROUND: This study reports the clinical outcome after glenohumeral arthrodesis for recurrent type II (atraumatic structural) and type III (muscle patterning nonstructural disorder) shoulder instability. METHODS: A retrospective review was conducted at a single facility. Eight consecutive patients (7 women and 1 man) with recurrent shoulder instability underwent arthrodesis and were monitored for a mean of 57 months (range, 24-123 months). Mean age at the time of surgery was 47 years (range, 21-73 years)...
November 15, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27847165/bartonella-associated-inflammatory-cardiomyopathy-in-a-dog
#6
R A Santilli, S Battaia, M Perego, M Tursi, E Grego, C Marzufero, P Gianella
A 6-year-old, male, mongrel dog was presented for acute onset of dyspnea and cough. At admission, the dog was cachectic and severely depressed. The electrocardiogram showed a sinus rhythm conducted with left bundle truncular branch block and interrupted by frequent multiform ventricular ectopic beats organized in allorhythmias. Thoracic radiographs revealed a marked cardiomegaly with perihilar edema, whereas transthoracic echocardiography revealed a dilated cardiomyopathy with segmental dyskinesis. Furosemide, enalapril, pimobendan, and mexiletine were prescribed, and a Holter was scheduled after resolution of congestive heart failure...
November 12, 2016: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
https://www.readbyqxmd.com/read/27832291/mri-for-the-diagnosis-of-scapular-dyskinesis-a-report-of-two-cases
#7
Wataru Morita, Taiki Nozaki, Atsushi Tasaki
Scapular dyskinesis describes the altered position of the scapula and/or abnormal movements of the scapulothoracic joint. It is caused by bony anatomical variations, bursitis, tumors, and muscular pathological conditions including loss of innervation and fibrosis. Scapular dyskinesis is just as often subclinical as it is symptomatic, and as the periscapular anatomical changes may not result in patient symptoms, a precise diagnosis of the etiology and pathophysiology has been a challenge. Scapular bony prominence is a common etiology of scapular dyskinesis, but does not always result in morbidity...
February 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/27816845/are-chronic-neck-pain-scapular-dyskinesis-and-altered-scapulothoracic-muscle-activity-interrelated-a-case-control-study-with-surface-and-fine-wire-emg
#8
Birgit Castelein, Ann Cools, Thierry Parlevliet, Barbara Cagnie
OBJECTIVES: The function of the scapula is important in normal neck function and might be disturbed in patients with neck pain. The surrounding muscular system is important for the function of the scapula. To date, it is not clear if patients with idiopathic neck pain show altered activity of these scapulothoracic muscles. Therefore, the objective of this study was to investigate differences in deeper and superficial lying scapulothoracic muscle activity between patients with idiopathic neck pain and healthy controls during arm elevation, and to identify the influence of scapular dyskinesis on muscle activity...
December 2016: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/27776006/arthroscopic-assisted-acromioclavicular-and-coracoclavicular-ligaments-reconstruction-for-chronic-acromioclavicular-dislocations-surgical-technique
#9
Achilleas Boutsiadis, Laurent Baverel, Hubert Lenoir, Philippe Delsol, Johannes Barth
Chronic acromioclavicular (AC) instability is a rare posttraumatic shoulder condition that can lead to undesirable symptoms like persistent pain, muscle fatigue, loss of strength, or even scapular dyskinesis. It is well known that in these cases the superior functional results depend on the restoration of the anatomy and stability of the AC joint in both vertical and horizontal planes. Considering the ligaments degeneration and atrophy in chronic AC joint dislocations, we present an arthroscopic-assisted reconstruction of both the coracoclavicular and AC ligaments using autograft augmentation...
December 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/27734220/acute-high-grade-acromioclavicular-joint-injuries-quality-of-life-comparison-between-patients-managed-operatively-with-a-hook-plate-versus-patients-managed-non-operatively
#10
Luis Gerardo Natera Cisneros, Juan Sarasquete Reiriz
INTRODUCTION: Surgical indication for acromioclavicular joint (ACJ) injuries still represents a reason for shoulder and trauma debate. In high-grade injuries, surgery is advocated because some of the non-operatively managed patients may have persistent shoulder pain that could make them unable to return to their previous activity. It has been shown that many of the patients with high-grade ACJ injuries that are managed non-operatively involve the development of scapular dyskinesis, situation that may result in loss of strength and weakness...
October 12, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27693966/scapular-dyskinesis-patterns-functional-disability-and-associated-factors-in-people-with-shoulder-disorders
#11
Tsun-Shun Huang, Chien-Ying Huang, Hsiang-Ling Ou, Jiu-Jenq Lin
BACKGROUND: Patterns of scapular dyskinesis have unique scapular kinematics and associated muscular activation. The characteristics of unique dyskinesis patterns may be associated with functional disability. OBJECTIVES: To investigate whether the shoulder function level and primary dysfunction items were different in unique dyskinesis pattern. The factors associated with shoulder dysfunction in different dyskinesis patterns were identified. DESIGN: Cross-sectional study...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27634074/effects-of-scapular-taping-in-young-adults-with-shoulder-pain-and-scapular-dyskinesis
#12
Leonardo Intelangelo, Diego Bordachar, Alexandre Wesley Carvalho Barbosa
OBJECTIVE: To assess the immediate effects of scapular taping on pain, isometric force, and the level of activation of several scapular girdle muscles in individuals with shoulder pain and scapular dyskinesis. MATERIALS AND METHODS: Ten individuals with shoulder pain during arm elevation and scapular dyskinesis were included and evaluated by using a visual analogue scale (VAS), pressure algometry, dynamometry, and surface electromyography. All assessments were performed before and immediately after the application of scapular taping...
July 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27582990/scapular-dyskinesis-the-surgeon-s-perspective
#13
REVIEW
Simon J Roche, Lennard Funk, Aaron Sciascia, W Ben Kibler
The scapula fulfils many roles to facilitate optimal function of the shoulder. Normal function of the shoulder joint requires a scapula that can be properly aligned in multiple planes of motion of the upper extremity. Scapular dyskinesis, meaning abnormal motion of the scapula during shoulder movement, is a clinical finding commonly encountered by shoulder surgeons. It is best considered an impairment of optimal shoulder function. As such, it may be the underlying cause or the accompanying result of many forms of shoulder pain and dysfunction...
October 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27582987/lipoma-in-the-subscapularis-muscle-causing-scapular-malposition
#14
Yusuke Kawano, Noriaki Nakamichi, Noboru Matsumura
A 70-year-old woman had pain and fatigability of her left shoulder with asymmetric scapular position. The medial border of the scapula was more prominent in the left side compared to the right scapula, and scapular motion was different between sides. Magnetic resonance imaging showed a mass on the ventral surface of the scapula. Tumour resection was performed through the medial approach, and the tissue samples were found to be a lipoma with a pathological examination. Post-operatively, her pain immediately disappeared...
October 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27563471/ventricular-septal-defect-from-takotsubo-syndrome
#15
Daniel Y Lu, Julie Caplow, Neha Quatromoni, Rhondalyn Forde-McLean, Anjali Tiku Owens
Takotsubo Syndrome is a transient condition characterized by left ventricular systolic dysfunction with apical akinesis/dyskinesis and ballooning. Although the prognosis with medical management is excellent in most cases, rare cases of serious complications can occur. We present here a case of a 71-year-old woman presenting with acute decompensated heart failure with initial findings consistent with a myocardial infarction, who was found instead to have an acute ventricular septal defect as a complication of Takotsubo Syndrome...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27530639/the-value-of-preoperative-3-dimensional-over-2-dimensional-valve-analysis-in-predicting-recurrent-ischemic-mitral-regurgitation-after-mitral-annuloplasty
#16
Inez J Wijdh-den Hamer, Wobbe Bouma, Eric K Lai, Melissa M Levack, Eric K Shang, Alison M Pouch, Thomas J Eperjesi, Theodore J Plappert, Paul A Yushkevich, Judy Hung, Massimo A Mariani, Kamal R Khabbaz, Thomas G Gleason, Feroze Mahmood, Michael A Acker, Y Joseph Woo, Albert T Cheung, Matthew J Gillespie, Benjamin M Jackson, Joseph H Gorman, Robert C Gorman
OBJECTIVES: Repair for ischemic mitral regurgitation with undersized annuloplasty is characterized by high recurrence rates. We sought to determine the value of pre-repair 3-dimensional echocardiography over 2-dimensional echocardiography in predicting recurrence at 6 months. METHODS: Intraoperative transesophageal 2-dimensional echocardiography and 3-dimensional echocardiography were performed in 50 patients undergoing undersized annuloplasty for ischemic mitral regurgitation...
September 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27525356/alterations-of-scapular-kinematics-and-associated-muscle-activation-specific-to-symptomatic-dyskinesis-type-after-conscious-control
#17
Hsiang-Ling Ou, Tsun-Shun Huang, Yu-Ting Chen, Wen-Yin Chen, Yu-Li Chang, Tung-Wu Lu, Ting-Han Chen, Jiu-Jenq Lin
BACKGROUND: Scapular orientation and movements can affect the function of the shoulder. However, evidence is limited on whether symptomatic subjects can actively maintain the scapula in a neutral position through conscious control. OBJECTIVE: To investigate whether symptomatic subjects with scapular dyskinesis can achieve optimal scapular movements and associated muscle activities through conscious control. DESIGN: A cross-sectional study...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27525180/rehabilitation-of-subacromial-pain-syndrome-emphasizing-scapular-dyskinesis-in-amateur-athletes-a-case-series
#18
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/27469585/subacromial-anaesthetics-increase-asymmetry-of-scapular-kinematics-in-patients-with-subacromial-pain-syndrome
#19
Arjen Kolk, Jan Ferdinand Henseler, Pieter Bas de Witte, Ewoud R A van Arkel, Cornelis P J Visser, Jochem Nagels, Rob G H H Nelissen, Jurriaan H de Groot
BACKGROUND: Subacromial pain syndrome (SAPS) and scapular dyskinesis are closely associated, but the role of pain is unknown. We hypothesized that pain results in asymmetrical scapular kinematics, and we expected more symmetrical kinematics after infiltration of subacromial anaesthetics. OBJECTIVE: To investigate the effect of subacromial anaesthetics on scapular kinematics in patients with SAPS. DESIGN: Observational cohort study. METHODS: We evaluated shoulder kinematics in 34 patients clinically and radiologically (magnetic resonance arthrography) identified with unilateral SAPS using three-dimensional electromagnetic motion analysis (Flock of Birds)...
July 17, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27434612/motion-analysis-of-the-shoulder-in-adults-kinematics-and-electromyography-for-the-clinical-practice
#20
Ilaria Parel, Ellen Jaspers, Liesbet DE Baets, Amedeo Amoresano, Andrea G Cutti
In this paper, the principal aspects of kinematic and electromyographic (EMG) analysis of the shoulder and their potential for the every-day clinical practice are described. The text reports a brief description of standard recommendations for movement assessment, an overview of the main quantitative motion analysis protocols and a description of the most commonly investigated scapulothoracic muscles. To assess the possibility of using these protocols for clinical applications, reliability and repeatability of kinematic and EMG measures were investigated and reference data for scapulohumeral joint kinematics were provided...
August 2016: European Journal of Physical and Rehabilitation Medicine
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