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https://www.readbyqxmd.com/read/28194380/magnetic-resonance-imaging-without-contrast-as-a-diagnostic-method-for-partial-injury-of-the-long-head-of-the-biceps-tendon
#1
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
OBJECTIVE: To evaluate the use of magnetic resonance imaging (MRI) without contrast as a diagnostic method of partial lesions of the long head of the biceps, using arthroscopic surgery as the gold standard. METHODS: We evaluated data from MRI and arthroscopic surgical findings of patients operated due to rotator cuff and SLAP injuries. MRI without contrast of at least 1.5 T, with a radiologist report, was used as a criterion for the detection of long head of the biceps injury...
January 2017: Revista Brasileira de Ortopedia
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
#2
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/28131680/the-chondral-print-sign-what-does-it-really-mean
#3
Peter Domos, Devdatta S Neogi, Umile Giuseppe Longo, Philip M Ahrens
BACKGROUND: The chondral print (CP) sign is a chondral change on the humeral head underneath the long head of the biceps (LHB) tendon. Several suggested causative links have been described, but the pathologic mechanism remains unclear. METHODS: We designed this prospective cohort association study of 102 consecutive shoulder arthroscopies to investigate proposed associations of CP with LHB, rotator cuff, labral pathology, and other chondral lesions. Data collection was by a specifically designed pro forma, and statistical analysis was performed...
January 25, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28122541/physical-examination-tests-of-the-shoulder-a-systematic-review-and-meta-analysis-of-diagnostic-test-performance
#4
Sigmund Ø Gismervik, Jon O Drogset, Fredrik Granviken, Magne Rø, Gunnar Leivseth
BACKGROUND: Physical examination tests of the shoulder (PETS) are clinical examination maneuvers designed to aid the assessment of shoulder complaints. Despite more than 180 PETS described in the literature, evidence of their validity and usefulness in diagnosing the shoulder is questioned. METHODS: This meta-analysis aims to use diagnostic odds ratio (DOR) to evaluate how much PETS shift overall probability and to rank the test performance of single PETS in order to aid the clinician's choice of which tests to use...
January 25, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28098497/magnetic-resonance-arthrography-results-that-indicate-surgical-treatment-for-partial-articular-sided-supraspinatus-tendon-avulsion-a-retrospective-study-in-a-tertiary-center
#5
Seok Hahn, Young Han Lee, Yong-Min Chun, Eun Hae Park, Jin-Suck Suh
Background Specific findings on magnetic resonance arthrography (MRA) that indicate the need for surgery in patients with partial articular-sided supraspinatus tendon avulsion (PASTA) are not well understood. Purpose To determine which MRA findings are characteristic of patients who undergo surgery for PASTA. Material and Methods From July 2011 to February 2014, MRA findings for patients treated for PASTA were retrospectively reviewed. The patients were divided into two groups: conservative treatment and surgical repair...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28032029/evaluation-and-treatment-of-internal-impingement-of-the-shoulder-in-overhead-athletes
#6
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/27942510/is-clinical-evaluation-alone-sufficient-for-the-diagnosis-of-a-bankart-lesion-without-the-use-of-magnetic-resonance-imaging
#7
Bryan Loh, Jason Beng Teck Lim, Andrew Hwee Chye Tan
BACKGROUND: Imaging modalities such as magnetic resonance arthrogram (MRA) offer great utility in diagnosing Bankart lesions but they are associated with a high degree of intra and interobserver variability. This study aims to evaluate the diagnostic accuracy of clinical evaluation and imaging modalities in Bankart lesions such as magnetic resonance imaging (MRI) and MRA of the shoulder. METHODS: Between February 2004 to January 2015, a retrospectively review of the surgical records at a tertiary hospital identified a total of 250 patients treated with a shoulder arthroscopy for Bankart repair...
November 2016: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27904970/reliability-of-magnetic-resonance-imaging-versus-arthroscopy-for-the-diagnosis-and-classification-of-superior-glenoid-labrum-anterior-to-posterior-lesions
#8
Fatih Yıldız, Kerem Bilsel, Anıl Pulatkan, Gökçer Uzer, Ayşe Aralaşmak, Musa Atay
PURPOSE: The physical examination of the shoulder is usually not reliable for the true diagnosis of superior glenoid labrum anterior to posterior (SLAP) lesions. Magnetic resonance imaging (MRI) has been routinely used for the diagnosis. This prospective study investigates the radiological diagnosis of the SLAP lesions and compares accuracy of arthroscopic and MRI classifications. METHODS: One hundred thirty-two patients with positive physical examination signs using O'Brien, Yergason, resistance supination external rotation and Krank tests and MRI findings are included in the study...
February 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27872991/shoulder-manual-muscle-resistance-test-cannot-fully-detect-muscle-weakness
#9
Takayuki Nagatomi, Tatsuo Mae, Teruyoshi Nagafuchi, Shin-Ichi Yamada, Koutatsu Nagai, Minoru Yoneda
PURPOSE: The shoulder manual resistance test is one of the common clinical assessments for patients with muscle weakness. However, there have been no studies investigating the threshold for muscle weakness. The purpose of this study was to clarify the threshold for muscle weakness in the shoulder manual muscle resistance test. METHODS: Fifty-three patients (37.9 ± 20.6 years old) with either rotator cuff tear (21 patients), superior labrum anterior-to-posterior (SLAP) lesion (7 patients), or Bankart lesion (25 patients) of one shoulder were administered three manual muscle resistance tests (abduction strength, external rotation, and belly press tests)...
November 21, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27829728/mr-arthrography-evaluation-in-patients-with-traumatic-anterior-shoulder-instability
#10
Luca Saba, Massimo De Filippo
INTRODUCTION: To evaluate retrospectively the diagnostic accuracy of MR arthrography, compared with arthroscopy, in research of the glenoid labrum tear in patients with a first episode of traumatic anterior shoulder instability (TUBS). MATERIAL AND METHODS: We retrospectively reviewed the MR arthrography shoulder images of 118 patients with a first episode of TUBS, between June 2014 and May 2016. RESULTS: The overall accuracy of MR arthrography compared with arthroscopy of the glenoid labrum lesions was 94%, sensitivity 93%, and specificity 96%...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27826700/a-systematic-review-and-meta-analysis-of-diagnostic-test-of-mra-versus-mri-for-detection-superior-labrum-anterior-to-posterior-lesions-type-ii-vii
#11
REVIEW
Alisara Arirachakaran, Manusak Boonard, Kornkit Chaijenkij, Kwanchai Pituckanotai, Akom Prommahachai, Jatupon Kongtharvonskul
OBJECTIVE: To determine the diagnostic performance of magnetic resonance arthrography (MRA) and magnetic resonance imaging (MRI) in superior labrum anterior to posterior lesions (type II-VII) of the shoulder. MATERIAL AND METHODS: PubMed and Scopus search engines, an electronic search of articles was performed from inception to February 19, 2016. Diagnostic performance of index tests was compared by the summary area under receiver operator characteristic curve (AUROC)...
February 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/27785555/clinical-and-radiologic-outcomes-of-arthroscopic-suture-bridge-repair-for-the-greater-tuberosity-fractures-of-the-proximal-humerus
#12
Jong-Hun Ji, Jae-Jung Jeong, Young-Yul Kim, Se-Won Lee, Do-Yeol Kim, Sang-Eun Park
PURPOSE: To report the clinical and radiological outcomes of arthroscopic suture bridge repair for the GT fractures of the shoulder joint. METHODS: From March 2008 to July 2013, we performed arthroscopic suture bridge repair of the GT fractures displaced more than 5 mm superiorly or posteriorly, but less than 2 cm in 40 cases [20 men, 20 women; mean age, 56 (27-80) years] with the average 32 (24-48) months follow-up. At the final follow-up, clinical (ASES, UCLA, SST, KSS score and range of motions) and radiological outcomes using post-operative MRI or CT scan were evaluated...
January 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27765830/superior-labral-anterior-posterior-slap-tears-in-the-military
#13
William Rossy, George Sanchez, Anthony Sanchez, Matthew T Provencher
CONTEXT: Given the notable physical demands placed on active members of the military, comprehension of recent trends in management and outcomes of superior labral anterior-posterior (SLAP) tears in this patient population is critical for successful treatment. EVIDENCE ACQUISITION: Electronic databases, including PubMed, MEDLINE, and Embase, were reviewed for the years 1985 through 2016. STUDY DESIGN: Database review. LEVEL OF EVIDENCE: Level 5...
November 2016: Sports Health
https://www.readbyqxmd.com/read/27469476/-surgical-treatment-of-posterosuperior-impingement-psi
#14
M Beirer, G H Sandmann, A B Imhoff, S Buchmann
OBJECTIVE: To restore the physiologic anterior and posterior capsular volume to achieve an anatomic central contact point of the glenohumeral articulation and treatment of concomitant glenohumeral injuries due to posterosuperior impingement (PSI). INDICATIONS: Plateauing of clinical improvement despite adequate nonsurgical treatment (for at least 6-12 months). CONTRAINDICATIONS: General contraindications for elective arthroscopic surgery...
December 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27435988/correlation-between-physical-examination-and-intraoperative-findings-in-shoulder-disease-treated-by-arthroscopy-statistical-analysis-of-150-patients
#15
P García Parra, M Anaya Rojas, B Jiménez Bravo, M O González Oria, M Lisbona Muñoz, J J Gil Álvarez, P Cano Luis
INTRODUCTION: Only a few clinical exploratory manoeuvres are truly discriminatory and useful in shoulder disease. The aim of this study is to correlate the physical examination results of the shoulder with the true diagnosis found by arthroscopy. METHODS: A retrospective case series of 150 patients with the most common surgical conditions of the shoulder. Data were collected on the suspicion of each pathology, the physical examination of the patient, and the actual discovery of the disease during arthroscopic surgery...
September 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27385837/identification-and-management-of-chronic-shoulder-pain-in-the-presence-of-an-mra-confirmed-humeral-avulsion-of-the-inferior-glenohumeral-ligament-hagl-lesion
#16
Arif Karmali, Jennifer McLeod
OBJECTIVE: To present the assessment and conservative management of chronic shoulder pain in the presence of a humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion in an active individual. CLINICAL FEATURES: A 47 year-old female office-worker with constant, deep, right shoulder pain with occasional clicking and catching claimed to have "tore something" in her right shoulder five years ago while performing reverse bicep curls. A physical exam led to differential diagnoses of a Superior Labrum Anterior to Posterior (SLAP) lesion, Bankart lesion, and bicipital tendinopathy...
June 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27342986/clinical-outcomes-of-non-operative-treatment-for-patients-presenting-slap-lesions-in-diagnostic-provocative-tests-and-mr-arthrography
#17
Sang-Jin Shin, Juyeob Lee, Yoon-Sang Jeon, Young-Won Ko, Rag-Gyu Kim
PURPOSE: In the present prospective study, the functional outcomes of non-operative treatment were evaluated in patients aged between 30 and 45 years presenting SLAP lesion in diagnostic provocative tests and magnetic resonance (MR) arthrography. METHODS: Forty-six patients with a symptomatic SLAP lesion who participated in recreational level of sports were prospectively enroled. SLAP lesion was diagnosed using combinations of several clinical tests and MR arthrography findings...
June 24, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27284508/simplified-knotless-mattress-repair-of-type-ii-slap-lesions
#18
Marcus Robert Chia, Cameron Hatrick
Arthroscopic repair of lesions of the superior labrum and biceps anchor has been shown to provide good to excellent results. We describe a simplified arthroscopic surgical technique using a single knotless anchor with a mattress suture configuration. This technique provides an effective and reproducible method to reattach and re-create the normal appearance of the superior labrum and biceps anchor in a time-efficient manner without the need for knot tying.
December 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27247742/anterior-shoulder-instability-with-concomitant-superior-labrum-from-anterior-to-posterior-slap-lesion-compared-to-anterior-instability-without-slap-lesion
#19
Claire Marie C Durban, Je Kyun Kim, Sae Hoon Kim, Joo Han Oh
BACKGROUND: The aims of this study were to investigate the clinical characteristics of patients with combined anterior instability and superior labrum from anterior to posterior (SLAP) lesions, and to analyze the effect of concomitant SLAP repair on surgical outcomes. METHODS: We retrospectively reviewed patients who underwent arthroscopic stabilization for anterior shoulder instability between January 2004 and March 2013. A total of 120 patients were available for at least 1-year follow-up...
June 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27163090/slap-repair-with-arthroscopic-decompression-of-spinoglenoid-cyst
#20
Hiroshi Hashiguchi, Satoshi Iwashita, Atsushi Ohkubo, Shinro Takai
INTRODUCTION: A spinoglenoid cyst with suprascapular nerve disorders is highly associated with superior labrum anterior posterior (SLAP) lesion. Conservative or surgical treatment is applied to relieve pain and neurological symptoms. The purpose of this study was to evaluate clinical outcomes of patients treated by arthroscopic surgery for SLAP lesion with a spinoglenoid cyst. METHODS: The subjects of this study were six patients with SLAP lesion with a spinoglenoid cyst who underwent arthroscopic surgery...
2016: SICOT-J
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