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Shoulder Impingement Syndrome

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https://www.readbyqxmd.com/read/28534226/the-diagnostic-value-of-a-modified-neer-test-in-identifying-subacromial-impingement-syndrome
#1
Yu Guosheng, Ren Chongxi, Cui Guoqing, Xu Junling, Ji Hailong
BACKGROUND: Subacromial impingement syndrome (SAIS) is characterized by pain experienced through an arc of elevation as the shoulder abducts and diagnosed commonly by Neer test (NT). However, the diagnostic accuracy of NT for SAIS is still limited. Here, a modified Neer test (MNT) was introduced to improve the accuracy of the clinical examination in diagnosing SAIS and differentiating it from frozen shoulder. The aim of this study was to investigate the diagnostic values of MNT in diagnosing SAIS and differentiating it from frozen shoulder...
May 22, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28532884/the-role-of-scapular-kinematics-in-patients-with-different-shoulder-musculoskeletal-disorders-a-systematic-review-approach
#2
REVIEW
Roshanak Keshavarz, Siamak Bashardoust Tajali, Seyed Mohsen Mir, H Ashrafi
This study aimed to identify the role of the scapula in shoulder musculoskeletal disorders (SMDs) and provided a systematic review of available studies in the field of scapular three-dimensional kinematics. We systematically searched 5 international databases, including Scopus, EMBASE, PubMed, CINAHL, PEDro, and Cochrane Library from June to September 2015. Twenty studies met the inclusion criteria and were retrieved in full paper. The selected studies were critically appraised independently by two researchers...
April 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28508239/double-crush-syndrome-caused-by-cervical-spondylosis-and-vertebral-artery-loop
#3
Young Joon Rho, Woo Jin Choe
PURPOSE: The purpose of this article is to report a successful treatment experience in a rare case of simultaneous cervical nerve root compression by spondylotic cervical foraminal stenosis and a vertebral artery loop. METHODS: 51-year-old man presented with a 4-year history of left-sided cervical pain radiating to the left shoulder with progressive exacerbation of weakness on left shoulder girdle muscles for 7 months. The patient had no history of trauma. The patient's CT and MRI revealed impingement of the left C6 cervical nerve root by a tortuous vertebral artery loop and also by narrowed left C5-6 cervical foramen that had undergone spondylotic changes...
May 15, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28508008/the-coracoacromial-ligament-anatomy-function-and-clinical-significance
#4
Adam Rothenberg, Gregory Gasbarro, Jesse Chlebeck, Albert Lin
The coracoacromial ligament (CAL) was first described as a pain generator by Dr Charles Neer in the early 1970s. Since that time, considerable controversy regarding CAL management during acromioplasty has persisted. This review aims to better understand the role of the CAL in shoulder physiology and pathology. Sixty-six articles from 1958 to 2016 were identified using an electronic search of PubMed, Cochrane Library, AccessMedicine, and MD Consult for case series as well as cohort and prospective studies. The authors used "coracoacromial ligament" and "coracoacromial veil" as medical subject headings (MeSH)...
April 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28490661/surgery-for-subacromial-impingement-syndrome-in-relation-to-occupational-exposures-lifestyle-factors-and-diabetes-mellitus-a-nationwide-nested-case-control-study
#5
Annett Dalbøge, Poul Frost, Johan Hviid Andersen, Susanne Wulff Svendsen
OBJECTIVES: To estimate the risk of surgery for subacromial impingement syndrome (SIS) in relation to occupational exposures, lifestyle factors and diabetes mellitus. METHODS: We conducted a case-control study nested in a register-based cohort study of the Danish working population. For each of 3000 first-time cases of surgery for SIS, two age-matched and sex-matched controls were drawn. Cases and controls received a questionnaire on job history and other factors...
May 10, 2017: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28449618/telerehabilitation-after-arthroscopic-subacromial-decompression-is-effective-and-not-inferior-to-standard-practice-preliminary-results
#6
Jose Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López, Noelia Guerrero Moyano, María-José Estebanez-Pérez
Background Telerehabilitation promises to improve quality, increase patient access and reduce costs in health care. Physiotherapy with exercises is generally recommended to restore function after surgery in patients with chronic subacromial syndrome. Relatively few studies have investigated the feasibility of telerehabilitation interventions in musculoskeletal and orthopaedic disorders. The aim of this study was to evaluate the feasibility and effectiveness of a customizable telerehabilitation intervention and compare with traditional care...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28446376/comparison-of-virtual-reality-exergaming-and-home-exercise-programs-in-patients-with-subacromial-impingement-syndrome-and-scapular-dyskinesis-short-term-effect
#7
Nihan Ozunlu Pekyavas, Nevin Ergun
OBJECTIVE: The aim of this study was to compare the short term effects of home exercise program and virtual reality exergaming in patients with subacromial impingement syndrome (SAIS). METHODS: A total of 30 patients with SAIS were randomized into two groups which are Home Exercise Program (EX Group) (mean age: 40.6 ± 11.7 years) and Virtual Reality Exergaming Program (WII Group) (mean age: 40.33 ± 13.2 years). Subjects were assessed at the first session, at the end of the treatment (6 weeks) and at 1 month follow-up...
April 24, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28409511/multimodal-assessment-of-sensorimotor-shoulder-function-in-patients-with-untreated-anterior-shoulder-instability-and-asymptomatic-handball-players
#8
Guillaume Mornieux, Anja Hirschmüller, Albert Gollhofer, Norbert P Südkamp, Dirk Maier
BACKGROUND: Functional evaluation of sensorimotor function of the shoulder joint is important for guidance of sports-specific training, prevention and rehabilitation of shoulder instability. Such assessment should be multimodal and comprise all qualities of sensorimotor shoulder function. This study evaluates feasibility of such multimodal assessment of glenohumeral sensorimotor function in patients with shoulder instability and handball players. METHODS: Nine patients with untreated anterior instability of their dominant shoulder and 15 asymptomatic recreational handball players performed proprioceptive joint position sense and dynamic stabilisation evaluations on an isokinetic device, as well as a functional throwing performance task...
April 13, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28405223/electromyographic-activity-of-the-shoulder-muscles-during-rehabilitation-exercises-in-subjects-with-and-without-subacromial-pain-syndrome-a-systematic-review
#9
REVIEW
Rita Kinsella, Tania Pizzari
BACKGROUND: Subacromial pain syndrome (SPS) is a common cause of shoulder pain and muscle activity deficits are postulated to contribute to the development and progression of the disorder. The purpose of this systematic review was to definitively determine whether evidence exists of differences in electromyography (EMG) characteristics between subjects with and without SPS. METHODS: Six key databases were searched: MEDLINE, EMBASE, CINAHL, SPORTdiscus, PEDro and The Cochrane Library (inception to May 2016)...
April 2017: Shoulder & Elbow
https://www.readbyqxmd.com/read/28372305/subacromial-lipoma-causing-shoulder-impingement-syndrome
#10
Hamza Sucuoglu, Kenan Akgun
Subacromial lipoma represents a rare cause of subacromial impingement syndrome (SIS). A 49-year-old male patient presented to clinic with progressive right shoulder pain and limited movement, ongoing for approximately 1 month. Magnetic resonance imaging (MRI) revealed a lesion, compatible with lipoma, extending through subacromial space and pressing on supraspinatus muscle. After histopathological verification of lipoma, mass was excised. Postoperatively, patient completed 1 month physical therapy and rehabilitation program...
March 24, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28330586/structured-wii-protocol-for-rehabilitation-of-shoulder-impingement-syndrome-a-pilot-study
#11
John-Ross Rizzo, Peter Thai, Edward J Li, Terence Tung, Todd E Hudson, Joseph Herrera, Preeti Raghavan
OBJECTIVE: To determine the feasibility and efficacy of using a structured Nintendo Wii protocol to improve range of motion, strength, and quality of life in patients with shoulder impingement syndrome. METHODS: A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n=8) or conventional therapy (n=6). Pain-free shoulder range of motion, strength, shoulder pain and disability, and quality of life were assessed pre- and post-treatment...
March 15, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28298060/a-cadaveric-model-evaluating-the-influence-of-bony-anatomy-and-the-effectiveness-of-partial-scapulectomy-on-decompression-of-the-scapulothoracic-space-in-snapping-scapula-syndrome
#12
Dimitri S Tahal, J Christoph Katthagen, Daniel Cole Marchetti, Jacob D Mikula, Scott R Montgomery, Alex Brady, Grant J Dornan, Peter J Millett
BACKGROUND: Snapping scapula syndrome (SSS) is caused by bony and/or soft tissue impingement in the scapulothoracic articulation. Surgical resection of the superomedial angle (SMA) plus bursectomy can provide relief in most cases; however, the amount needed to achieve adequate scapulothoracic space decompression (SSD) is unknown. PURPOSE: The aim of this study was to evaluate the effectiveness of partial scapulectomy and the influence of bony anatomy on SSD. It was hypothesized that the anterior offset and costomedial angle would correlate with the amount of bony resection needed to achieve adequate SSD...
May 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28273959/morphometric-evaluation-of-adult-acromion-process-in-north-indian-population
#13
Susmita Saha, Neelam Vasudeva
INTRODUCTION: Dimensions of acromion process are important to show linkage to the shoulder girdle pathologies. Also morphometric analysis of acromion process would be helpful for surgeons while performing surgical procedures on the shoulder joint. AIM: The purpose of this present study was to observe the detailed morphometric evaluation of adult acromion processes in North Indian population because different morphometric dimensions play an important role in various disorders of the shoulder, particularly sub acromial impingement syndrome...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28267909/-functional-evaluation-of-the-supraspinatus-tendon-repair-comparing-mini-open-and-open-techniques
#14
C R Mejía-Salazar, M Sierra-Pérez, M Ruiz-Suárez
OBJECTIVE: To compare two surgical techniques to address the painful shoulder syndrome with partial or total supraspinous tendon tear. METHODS: Patients with a diagnosis of complete supraspinous tendon tear who required surgical repair and subacromial decompression. One group was treated with acromioplasty and tendon plasty using an open approach (G1), and the second one underwent arthroscopy with tendon plasty using a minimally-invasive approach (G2). The surgical approach was not decided at random, but was based on the surgeons preference...
July 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28259517/short-term-effects-of-thoracic-spine-manipulation-on-shoulder-impingement-syndrome-a-randomized-controlled-trial
#15
Melina N Haik, Francisco Alburquerque-Sendín, Paula R Camargo
OBJECTIVE: To investigate the short-term effects of thoracic spine manipulation (TSM) on pain, function, scapular kinematics and scapular muscle activity in individuals with shoulder impingement syndrome (SIS). DESIGN: Blinded assessor and patient, randomized controlled trial. SETTING: Laboratory. PARTICIPANTS: Sixty-one patients with SIS. INTERVENTION: Participants were randomly allocated to TSM (n=30) or sham-TSM group (n=31) and attended 2 intervention sessions over a 1-week period...
March 1, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28255657/more-histologic-and-ultrastructural-degenerative-signs-in-the-subscapularis-tendon-and-the-joint-capsule-in-male-patients-with-shoulder-impingement
#16
Stefanos Farfaras, Lars Erik Ejerhed, Erling K Hallström, Kjell Hultenby, Khaled Meknas, Tomas Movin, Nikos Papadogiannakis, Jüri-Toomas Kartus
PURPOSE: The purpose of the present study was to analyze biopsy samples from the subscapularis tendon and from the joint capsule from male patients with shoulder impingement syndrome (SAIS) and compare them with samples from male patients with post-traumatic recurrent shoulder instability. The hypothesis of the study was that patients with SAIS would have more histologic and ultrastructural degenerative changes in their subscapularis tendon and joint capsule than patients with post-traumatic recurrent shoulder instability...
March 2, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28239741/-impingement-syndromes-of-the-shoulder
#17
M Beirer, A B Imhoff, S Braun
In addition to tears of the rotator cuff, isolated impingement syndrome of the shoulder is the most common diagnosis in shoulder disorders. This is of high relevance in orthopedic sports medicine. In fact, impingement of the shoulder is not the diagnosis but rather a symptom of a functional or even a structural pathology. Detailed knowledge about the different types of impingement and the underlying causes is essential to provide adequate treatment. Primarily, impingement of the shoulder should be treated nonoperatively...
February 26, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28238054/os-acromiale-frequency-and-a-review-of-726-shoulder-mri
#18
C Rovesta, M C Marongiu, A Corradini, P Torricelli, G Ligabue
Os acromiale consist in a lack of fusion between the different ossification spots of the acromial side of scapula from the age of 23-25 years. A relation between os acromiale and some shoulder pathology like impingement syndrome, cuff tear and subacromial bursitis has been described. The etiology is not already known. The aim of this study was to evaluate the frequency of os acromiale in our population, the link between os acromiale and sex, side and shoulder pathology. 1042 shoulder MRI were evaluated to find out os acromiale and the linked cuff pathology...
February 25, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28217425/short-term-effects-of-instrument-assisted-soft-tissue-mobilization-on-pain-free-range-of-motion-in-a-weightlifter-with-subacromial-pain-syndrome
#19
Joseph Paul Coviello, Rumit Singh Kakar, Timothy James Reynolds
BACKGROUND AND PURPOSE: While there is limited evidence supporting the use of soft tissue mobilization techniques for Subacromial Pain Syndrome (SAPS), synonymous with subacromial impingement syndrome, previous studies have reported successful outcomes using soft tissue mobilization as a treatment technique. The purpose of this case report is to document the results of Instrument-Assisted Soft Tissue Mobilization (IASTM) for the treatment of SAPS. CASE DESCRIPTION: Diagnosis was reached based on the subject's history, tenderness to palpation, and four out of five positive tests in the diagnostic cluster...
February 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28122541/physical-examination-tests-of-the-shoulder-a-systematic-review-and-meta-analysis-of-diagnostic-test-performance
#20
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
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