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https://www.readbyqxmd.com/read/28751093/two-stage-reimplantation-for-the-treatment-of-deep-infection-after-shoulder-arthroplasty
#1
Andrew T Assenmacher, Eduard Alentorn-Geli, Taylor Dennison, Yaser M K Baghdadi, Robert H Cofield, Joaquín Sánchez-Sotelo, John W Sperling
BACKGROUND: Two-stage reimplantation is the most common treatment modality considered for periprosthetic shoulder infection (PSI). Most studies to date have reported on a relatively small number of shoulders. The purpose of this study was to determine the outcome of 2-stage reimplantation for PSI in terms of both eradication of infection and restoration of function. METHODS: Between 1980 and 2010, 40 shoulders (39 patients) underwent a 2-stage reimplantation for PSI; 35 shoulders (34 patients) met inclusion criteria (10 hemiarthroplasties, 24 anatomic total shoulder arthroplasties, 1 reverse total shoulder arthroplasty)...
July 24, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28705650/shoulder-function-in-patients-with-deltoid-paralysis-and-intact-rotator-cuff
#2
Jean-David Werthel, Jayme Bertelli, Bassem T Elhassan
INTRODUCTION/HYPOTHESIS: The purpose of this study is to determine the mid/long term shoulder function in patients with complete deltoid paralysis and intact rotator cuff. 27 patients with at least 2-years FU were included. MATERIALS AND METHODS: Outcome measures included pain, range of motion(including the swallowtail test, STT), deltoid extension lag test, DELT) and Bertelli, subjective fatigability using the injured shoulder and postoperative modified Neer ratings...
July 10, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28560796/postoperative-evaluation-of-reduction-loss-in-proximal-humeral-fractures-a-comparison-of-plain-radiographs-and-computed-tomography
#3
Xiao-Yang Jia, Yan-Xi Chen, Min-Fei Qiang, Kun Zhang, Hao-Bo Li, Yu-Chen Jiang, Yi-Jie Zhang
OBJECTIVE: To compare postoperative CT images with plain radiographs for measuring prognostic factors of reduction loss of fractures of the proximal part of the humerus. METHODS: A total of 65 patients who sustained fractures of the proximal humerus treated with locking plates from June 2012 to October 2015 were retrospectively analyzed. There were 24 men and 41 women, with a mean age of 60.0 years (range, 22-76 years). According to the Neer classification system of proximal humeral fracture, there were 26 two-part, 27 three-part and 12 four-part fractures of the proximal part of the humerus, and all fractures were treated with open reduction and internal fixation (ORIF) using locked plating...
May 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28559748/a-preliminary-randomized-clinical-trial-on-the-effect-of-cervicothoracic-manipulation-plus-supervised-exercises-vs-a-home-exercise-program-for-the-treatment-of-shoulder-impingement
#4
Sergio Vinuesa-Montoya, María Encarnación Aguilar-Ferrándiz, Guillermo A Matarán-Peñarrocha, Manuel Fernández-Sánchez, Elena María Fernández-Espinar, Adelaida María Castro-Sánchez
OBJECTIVE: The purpose of this study was to investigate changes in pain, disability, and range of movement after cervicothoracic manipulation plus exercise therapy in individuals with unilateral shoulder impingement syndrome. METHODS: Forty-one patients (30 men, 11 women; aged 47 ± 9) diagnosed with unilateral shoulder impingement syndrome attended 10 sessions for 5 weeks (2 sessions/wk). Eligible patients were randomly allocated to 2 study groups: cervicothoracic manipulation plus exercise therapy (n = 21) or home exercise program (n = 20)...
June 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/28534226/the-diagnostic-value-of-a-modified-neer-test-in-identifying-subacromial-impingement-syndrome
#5
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/28446376/comparison-of-virtual-reality-exergaming-and-home-exercise-programs-in-patients-with-subacromial-impingement-syndrome-and-scapular-dyskinesis-short-term-effect
#6
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/28188359/in-vivo-analysis-of-coracoid-and-subacromial-shoulder-impingement-mechanism-during-clinical-examination
#7
Tim Leschinger, Christopher Wallraff, Dirk Müller, Matthias Hackenbroch, Henning Bovenschulte, Jan Siewe
BACKGROUND: Understanding the mechanisms of shoulder impingement created by clinical tests is crucial to accurately evaluate the condition. The objective of this study was to relate mechanisms of subacromial and coracoid impingement occurring in positions of the shoulder during clinical examination, in quantitative and qualitative terms. METHODS: A 1.0T open magnetic resonance imaging system was used in 18 female and 19 male subjects, to determine the distances between the humeral head and the acromion or coracoid, and contact with the rotator cuff (RC)...
February 11, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28114982/displaced-neer-type-iib-distal-third-clavicle-fractures-long-term-clinical-outcome-after-plate-fixation-and-additional-screw-augmentation-for-coracoclavicular-instability
#8
Thomas M Tiefenboeck, Sandra Boesmueller, Harald Binder, Adam Bukaty, Michael M Tiefenboeck, Julian Joestl, Marcus Hofbauer, Roman C Ostermann
BACKGROUND: Unstable Neer Type IIB fractures require meticulous surgical treatment. Thus, the aim of this study was to present long-term outcomes after plate fixation and minimally invasive coracoclavicular (CC) stabilization using screw fixation. METHODS: A consecutive series of patients with unstable Neer Type IIB displaced clavicle fractures, treated by open reduction and internal fixation (ORIF) with a plate and additional screw fixation for coracoclavicular ligament instability, was reviewed in order to determine long-term clinical and radiological outcome...
January 23, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27806703/neuropathic-pain-in-patients-with-rotator-cuff-tears
#9
Tatsuki Karasugi, Junji Ide, Toshio Kitamura, Nobukazu Okamoto, Takuya Tokunaga, Hiroshi Mizuta
BACKGROUND: Recent studies have confirmed the existence of neuropathic pain (NeP) components in patients with musculoskeletal disorders. However, the presence of NeP in patients with rotator cuff tears has not been investigated thus far. Therefore, we studied the prevalence of NeP and the prognostic factors for NeP in patients with rotator cuff tears. METHODS: Data were collected from 110 patients with rotator cuff tears, diagnosed by physical examination and magnetic resonance imaging, who attended an outpatient clinic between August 2013 and August 2014...
November 2, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27802889/is-central-skeleton-bone-quality-a-predictor-of-the-severity-of-proximal-humeral-fractures
#10
Seung Yeol Lee, Soon-Sun Kwon, Tae Hoon Kim, Sang-Jin Shin
INTRODUCTION: The objectives of this study were to evaluate the correlation between bone attenuation around the shoulder joint assessed on conventional computed tomography (CT) and bone mineral density (BMD) based on dual-energy X-ray absorptiometry (DEXA) of the central skeleton and the correlation between the bone quality around the shoulder joint and the severity of the fracture pattern of the proximal humerus. MATERIALS AND METHODS: A total of 200 patients with proximal humeral fracture who underwent preoperative 3-dimensional shoulder CT as well as DEXA within 3 months of the CT examination were included...
December 2016: Injury
https://www.readbyqxmd.com/read/27756739/defining-the-fracture-population-in-a-pragmatic-multicentre-randomised-controlled-trial-profher-and-the-neer-classification-of-proximal-humeral-fractures
#11
H H G Handoll, S D Brealey, L Jefferson, A Keding, A J Brooksbank, A J Johnstone, J J Candal-Couto, A Rangan
OBJECTIVES: Accurate characterisation of fractures is essential in fracture management trials. However, this is often hampered by poor inter-observer agreement. This article describes the practicalities of defining the fracture population, based on the Neer classification, within a pragmatic multicentre randomised controlled trial in which surgical treatment was compared with non-surgical treatment in adults with displaced fractures of the proximal humerus involving the surgical neck...
October 2016: Bone & Joint Research
https://www.readbyqxmd.com/read/27720413/neer-award-2015-analysis-of-cytokine-profiles-in-the-diagnosis-of-periprosthetic-joint-infections-of-the-shoulder
#12
Salvatore J Frangiamore, Anas Saleh, Matthew J Grosso, Mario Farias Kovac, Xiaochun Zhang, Thomas M Daly, Thomas W Bauer, Kathleen A Derwin, Joseph P Iannotti, Eric T Ricchetti
BACKGROUND: Periprosthetic joint infection (PJI) after shoulder arthroplasty can present a diagnostic and therapeutic challenge. This study evaluated the diagnostic utility of broader synovial fluid cytokine analysis for identifying PJI in patients undergoing revision shoulder arthroplasty. METHODS: Synovial fluid levels of 9 cytokines (interleukin [IL] 6, granulocyte-macrophage colony-stimulating factor, IL-1β, IL-12, IL-2, IL-8, interferon-γ, IL-10, and tumor necrosis factor-α) were measured in 75 cases of revision shoulder arthroplasty with a multiplex immunoassay...
February 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27703413/the-quality-of-open-access-video-based-orthopaedic-instructional-content-for-the-shoulder-physical-exam-is-inconsistent
#13
Ekaterina Urch, Samuel A Taylor, Elizabeth Cody, Peter D Fabricant, Jayme C Burket, Stephen J O'Brien, David M Dines, Joshua S Dines
BACKGROUND: The internet has an increasing role in both patient and physician education. While several recent studies critically appraised the quality and accuracy of web-based written information available to patients, no studies have evaluated such parameters for open-access video content designed for provider use. QUESTIONS/PURPOSES: The primary goal of the study was to determine the accuracy of internet-based instructional videos featuring the shoulder physical examination...
October 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/27676753/an-unexpected-shoulder-competence-the-measurement-of-the-extra-corporeal-space
#14
Piccinini Giulia, Vincenzo Maria Saraceni, Federico Zangrando, Teresa Paolucci, Alessandro Sgalippa
OBJECTIVE: The shoulder competence in reaching movement has been known from the time. With this work we wanted to investigate the possible existence of an additional competence of the shoulder with respect to the ability to measure the extracorporeal space, using a new tool known as shoulder proprioceptive rehabilitation tool (SRPT) MATERIAL/PATIENTS AND METHODS: Observational case-control study on 50 subjects, 25 healthy subjects (HS) and 25 subjects with impingement syndrome (ISS) (2-3 for Neer classification)...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27617794/ultrasound-guided-subacromial-subdeltoid-bursa-steroid-injections-retrospective-comparison-of-two-approaches-and-the-assessment-of-impingement-tests-to-predict-efficacy
#15
H Chen
Objective: Compare the efficacy of two approaches to ultrasound-guided subacromial-subdeltoid bursa injections and to assess whether shoulder impingement tests acts as a predictive factor for efficacy of the injection. Design: Retrospective chart review and telephone survey of 40 patients who received ultrasound-guided subacromial-subdeltoid injections using 4cc 1% lidocaine and 80 mg methylprednisolone from January 2011 to December 2011. Outcome measures included: number of positive shoulder impingement tests (Neer, Hawkin, Yocum), pain level (10-Point VAS) and duration of pain relief (< 4 weeks, 4-12 weeks, > 12 weeks)...
October 16, 2015: West Indian Medical Journal
https://www.readbyqxmd.com/read/27505960/-clinical-research-on-the-efficiency-of-physical-examinations-used-for-diagnosis-of-subacromial-impingement-syndrome
#16
Cheng-wei Chen, Zhe-er Pan, Chao Zhang, Cai-long Liu, Lei Chen
OBJECTIVE: To evaluate the reliability and diagnosis accuracy of 5 special tests used for the diagnosis of subacromial impingement syndrome (SAIS). METHODS: A prospective blinded cohort study was taken,in which 105 patients with shoulder pain were reviewed. All the patients took 5 special syndrome tests including Neer syndrome, Hawkins-Kennedy syndrome, painful arc empty can test and external rotation resistance test, also underwent arthroscopic surgical examination...
May 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27475168/assessing-auditory-evoked-potentials-of-wild-harbor-porpoises-phocoena-phocoena
#17
Andreas Ruser, Michael Dähne, Abbo van Neer, Klaus Lucke, Janne Sundermeyer, Ursula Siebert, Dorian S Houser, James J Finneran, Eligius Everaarts, Jolanda Meerbeek, Rune Dietz, Signe Sveegaard, Jonas Teilmann
Testing the hearing abilities of marine mammals under water is a challenging task. Sample sizes are usually low, thus limiting the ability to generalize findings of susceptibility towards noise influences. A method to measure harbor porpoise hearing thresholds in situ in outdoor conditions using auditory steady state responses of the brainstem was developed and tested. The method was used on 15 live-stranded animals from the North Sea during rehabilitation, shortly before release into the wild, and on 12 wild animals incidentally caught in pound nets in Denmark (inner Danish waters)...
July 2016: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/27135449/displaced-proximal-humerus-fractures-in-older-patients-shoulder-surgeons-versus-traumatologists
#18
Suneel B Bhat, Eric S Secrist, Luke S Austin, Charles L Getz, James C Krieg, Samir Mehta, Surena Namdari
Proximal humerus fractures are relatively common, with treatment dependent on fracture-specific, patient-specific, and surgeon-specific factors. This study sought to identify preferences among shoulder specialists and orthopedic traumatologists in the treatment of proximal humerus fractures. An anonymous Internet survey of fellowship-trained shoulder surgeons and traumatologists was conducted with radiographs and select computed tomography images of 15 unique displaced proximal humerus fractures. Participants were asked to classify each case according to Neer criteria and choose management from a list of options...
May 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/26830984/the-hug-up-test-a-new-sensitive-diagnostic-test-for-supraspinatus-tears
#19
Yu-Lei Liu, Ying-Fang Ao, Hui Yan, Guo-Qing Cui
BACKGROUND: The supraspinatus tendon is the most commonly affected tendon in rotator cuff tears. Early detection of a supraspinatus tear using an accurate physical examination is, therefore, important. However, the currently used physical tests for detecting supraspinatus tears are poor diagnostic indicators and involve a wide range of sensitivity and specificity values. Therefore, the aim of this study was to establish a new physical test for the diagnosis of supraspinatus tears and evaluate its accuracy in comparison with conventional tests...
January 20, 2016: Chinese Medical Journal
https://www.readbyqxmd.com/read/26658572/the-benefit-of-arthroscopically-assisted-therapy-for-concomitant-glenohumeral-injuries-in-patients-with-unstable-lateral-clavicle-fractures
#20
Tim Schwarting, Philipp Lechler, Benjamin Bockmann, Florian Debus, Ewgeni Ziring, Michael Frink
PURPOSE: The prevalence of concomitant glenohumeral injuries in unstable lateral clavicle fracture (Neer type IIb) was evaluated, and outcomes after arthroscopically assisted fixation using suture button devices were assessed. METHODS: Between 2010 and 2014, 20 patients were enrolled prospectively. Concomitant intra-articular lesions were identified and treated arthroscopically. Radiograph-based measurement of the coracoclavicular distance and clinical assessments were undertaken...
December 12, 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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