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Neer's test

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
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
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
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
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
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
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
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
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
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
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
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
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
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
Hendrik J Vos, Paul L M J van Neer, Mariana Melo Mota, Martin D Verweij, Antonius F W van der Steen, Arno W F Volker
Spatial resolution in medical ultrasound images is a key component in image quality and an important factor for clinical diagnosis. In early systems, the lateral resolution was optimal in the focus but rapidly decreased outside the focal region. Improvements have been found in, e.g., dynamic-receive beamforming, in which the entire image is focused in receive, but this requires complex processing of element data and is not applicable for mechanical scanning of single-element images. This paper exploits the concept of two-stage beamforming based on virtual source-receivers, which reduces the front-end computational load while maintaining a similar data rate and frame rate compared to dynamic-receive beamforming...
January 2016: IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control
Ilker Ilhanli, Necip Guder, Murat Gul
BACKGROUND: Despite the insufficient evidence, due to potential contribution to the improvement, platelet-rich plasma (PRP) is emerging as a promising method. OBJECTIVES: The aim of this study was to assess the effectiveness of PRP injection in partial supraspinatus tears by comparing with physical therapy (PT). PATIENTS AND METHODS: Seventy patients with chronic partial supraspinatus tears in magnetic resonance imaging were randomized into two groups; PRP (n = 35) and PT (n = 35)...
September 2015: Iranian Red Crescent Medical Journal
S M Leinders, W J Westerveld, J Pozo, P L M J van Neer, B Snyder, P O'Brien, H P Urbach, N de Jong, M D Verweij
With the increasing use of ultrasonography, especially in medical imaging, novel fabrication techniques together with novel sensor designs are needed to meet the requirements for future applications like three-dimensional intercardiac and intravascular imaging. These applications require arrays of many small elements to selectively record the sound waves coming from a certain direction. Here we present proof of concept of an optical micro-machined ultrasound sensor (OMUS) fabricated with a semi-industrial CMOS fabrication line...
2015: Scientific Reports
James Dunning, Firas Mourad, Giuseppe Giovannico, Filippo Maselli, Thomas Perreault, César Fernández-de-Las-Peñas
OBJECTIVE: The purpose of this preliminary study was to investigate changes in shoulder pain, disability, and perceived level of recovery after 2 sessions of upper thoracic and upper rib high-velocity low-amplitude (HVLA) thrust manipulation in patients with shoulder pain secondary to second and third rib syndrome. METHODS: This exploratory study evaluated 10 consecutive individuals with shoulder pain, with or without brachial pain, and a negative Neer impingement test, who completed the Shoulder Pain and Disability Index (SPADI), the numeric pain rating scale (NPRS), and the global rating of change...
July 2015: Journal of Manipulative and Physiological Therapeutics
Vahit Yildiz, Ali Aydin, Fatih Kalali, Murat Topal, Mehmet Kose, Pelin Aydin
OBJECTIVE: In this study, we aimed to investigate the prevalence of SLAP lesions in patients with chronic impingement syndrome. We also examined the sensitivity of O'Brien's test. MATERIALS AND METHODS: The study included 48 patients with a preliminary chronic impingement syndrome diagnosis to whom arthroscopic decompression had been planned. All patients underwent preoperative Neer's, Hawkins' and O'Brien's tests. We performed shoulder arthroscopy on all patients and evaluated chronic impingement syndrome and SLAP lesions...
December 2012: Eurasian Journal of Medicine
Sang-Eun Park, Karnav Panchal, Jae-Jung Jeong, Young-Yul Kim, Jong-Ho Kim, Ju-Yeob Lee, Jong-Hun Ji
BACKGROUND: Intratendinous tears of the rotator cuff are rare, and little has been written about them. PURPOSE: To investigate the prevalence and clinical and radiological outcomes of arthroscopically confirmed intratendinous tears treated with transtendon suture bridge repair. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Included in the study were 33 patients (16 male, 17 female; mean age, 53.4 years) with arthroscopically confirmed intratendinous tears treated with transtendon suture bridge repair from March 2006 to July 2012...
February 2015: American Journal of Sports Medicine
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