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Shoulder dislocation rehabilitation

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https://www.readbyqxmd.com/read/28702449/six-week-physical-rehabilitation-protocol-for-anterior-shoulder-dislocation-in-athletes
#1
Ahmed Gaballah, Mohamed Zeyada, Adham Elgeidi, Eadric Bressel
Anterior shoulder dislocations are common in young athletes. The mechanism for the first or primary shoulder dislocation may involve a collision or a fall typically with the arm in an abducted and externally rotated position. The aim of this study was to design a physical rehabilitation program using the elastic band and resistive exercise to improve joint strength and range of motion in individuals diagnosed with a first-time shoulder dislocation. Twelve physically active males with a first-time acute shoulder dislocation were asked to volunteer...
June 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/28657778/successful-return-to-sport-after-arthroscopic-shoulder-stabilization-versus-nonoperative-management-in-contact-athletes-with-anterior-shoulder-instability-a-prospective-multicenter-study
#2
Jonathan F Dickens, John-Paul Rue, Kenneth L Cameron, John M Tokish, Karen Y Peck, C Dain Allred, Steven J Svoboda, Robert Sullivan, Kelly G Kilcoyne, Brett D Owens
BACKGROUND: The debate continues regarding the optimal treatment of intercollegiate contact athletes with in-season anterior shoulder instability. PURPOSE: To examine return to sport and recurrent instability in the season after the index in-season anterior instability event. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Forty-five contact intercollegiate athletes treated nonoperatively or with arthroscopic stabilization were prospectively followed in a multicenter observational study to evaluate return to play (RTP) and recurrent instability in the season after an initial in-season anterior glenohumeral instability event...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28560466/real-life-effectiveness-of-spa-therapy-in-rheumatic-and-musculoskeletal-diseases-a-retrospective-study-of-819-patients
#3
Mine Karagülle, Sinan Kardeş, Müfit Zeki Karagülle
The objective of this study is to determine the use and efficacy of spa therapy in patients with a wide spectrum of rheumatic and musculoskeletal diseases under real-life clinical practice circumstances. In this retrospective observational study at the Medical Ecology and Hydroclimatology Department of Istanbul Faculty of Medicine, the records of all adult patients with rheumatic and musculoskeletal diseases who were prescribed a spa therapy in various health resorts in Turkey between 2002 and 2012 were analyzed...
May 30, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28245853/a-neuromuscular-exercise-programme-versus-standard-care-for-patients-with-traumatic-anterior-shoulder-instability-study-protocol-for-a-randomised-controlled-trial-the-sinex-study
#4
Henrik Eshoj, Sten Rasmussen, Lars Henrik Frich, Inge Hvass, Robin Christensen, Steen Lund Jensen, Jens Søndergaard, Karen Søgaard, Birgit Juul-Kristensen
BACKGROUND: Anterior shoulder dislocation is a common injury and may have considerable impact on shoulder-related quality of life (QoL). If not warranted for initial stabilising surgery, patients are mostly left with little to no post-traumatic rehabilitation. This may be due to lack of evidence-based exercise programmes. In similar, high-impact injuries (e.g. anterior cruciate ligament tears in the knee) neuromuscular exercise has shown large success in improving physical function and QoL...
February 28, 2017: Trials
https://www.readbyqxmd.com/read/28005111/instability-after-reverse-total-shoulder-arthroplasty-which-patients-dislocate
#5
Eric M Padegimas, Benjamin M Zmistowski, Camilo Restrepo, Joseph A Abboud, Mark D Lazarus, Matthew L Ramsey, Gerald R Williams, Surena Namdari
Given the increasing use of reverse total shoulder arthroplasty (RTSA), it is important to study the complications associated with this procedure. We conducted a study of the incidence, predisposing factors, and treatment of RTSA dislocations. Using our institutional database, we retrospectively searched for RTSAs performed between September 27, 2010 and December 31, 2013 and identified postoperative dislocations. Four hundred eighty-seven patients underwent 510 RTSAs (393 primary, 117 revision). Fourteen patients had 15 dislocations (5 in primary RTSAs, 10 in revision RTSAs)...
November 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27872125/results-of-arthroscopic-bankart-repair-for-anterior-inferior-shoulder-instability-at-13-year-follow-up
#6
Mohamed Aboalata, Johannes E Plath, Gernot Seppel, Julia Juretzko, Stephan Vogt, Andreas B Imhoff
BACKGROUND: Anterior-inferior shoulder instability is a common injury in young patients, particularly those practicing overhead-throwing sports. Long-term results after open procedures are well studied and evaluated. However, the long-term results after arthroscopic repair and risk factors of recurrence require further assessment. HYPOTHESIS: Arthroscopic Bankart repair results are comparable with those of open repair as described in the literature. STUDY DESIGN: Case series; Level of evidence, 4...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27703932/acromioclavicular-joint-dislocation-with-ipsilateral-mid-third-clavicle-mid-shaft-humerus-and-coracoid-process-fracture-a-case-report
#7
Naveen Sharma, Avinash Mandloi, Ashish Agrawal, Shailendra Singh
INTRODUCTION: The clavicle, humerus and acromioclavicular (AC) joint separately are very commonly involved in traumatic injuries around the shoulder. Acromioclavicular joint dislocation with distal clavicle fracture is a well recognized entity in clinical practice. AC joint dislocation with mid shaft clavicle fracture is uncommon and only few cases have been reported in literature. However, to the best of our knowledge, this is the first case report to describe an acromioclavicular dislocation with ipsilateral mid shaft clavicle, mid shaft humerus and coracoid process fracture...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27660661/accelerated-rehabilitation-after-arthroscopic-bankart-repair-in-professional-footballers
#8
Jo Gibson, Jim Kerss, Chris Morgan, Peter Brownson
BACKGROUND: Advances in arthroscopic surgery have resulted in biomechanically stronger repairs that might allow for accelerated rehabilitation protocols and hence faster return to play. Evidence for such regimes in the shoulder, particularly in elite athletes, is lacking. METHODS: This prospective single surgeon (PB) series included 34 professional footballers undergoing an accelerated rehabilitation programme following arthroscopic soft tissue stabilization subsequent to traumatic anterior shoulder dislocation...
October 2016: Shoulder & Elbow
https://www.readbyqxmd.com/read/27590201/anatomical-principles-for-minimally-invasive-reconstruction-of-the-acromioclavicular-joint-with-anchors
#9
Chuanzhi Xiong, Yaojia Lu, Qiang Wang, Gang Chen, Hansheng Hu, Zhihua Lu
PURPOSE: The aim of this study was to evaluate the outcome of a minimally invasive surgical technique for the treatment of patients with acromioclavicular joint dislocation. METHODS: Sixteen patients with complete acromioclavicular joint dislocation were enrolled in this study. All patients were asked to follow the less active rehabilitation protocol post-operatively. Computed tomography with 3-D reconstruction of the injured shoulder was performed on each patient post operatively for the assessment of the accuracy of the suture anchor placement in the coracoid process and the reduction of the acromioclavicular joint...
September 2, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27049189/reverse-shoulder-arthroplasty-for-trauma-when-where-and-how
#10
Benjamin W Szerlip, Brent J Morris, T Bradley Edwards
Reverse shoulder arthroplasty has become increasingly popular for the treatment of complex shoulder injuries, including proximal humerus fractures and fixed glenohumeral dislocation, in the elderly population. The early to midterm results of reverse shoulder arthroplasty for the treatment of proximal humerus fractures are promising compared with the results of unconstrained humeral head replacement, and patients may have more predictable improvement with less dependence on bone healing and rehabilitation. However, long-term follow-up is needed, and surgeons must be familiar with various complications that are specific to reverse shoulder arthroplasty...
2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/26990719/influence-of-field-position-on-rugby-league-players-requiring-shoulder-reconstruction
#11
D J Bokor, A Sundaram, P L Graham
A consecutive series of patients sustaining their index anterior instability while playing Rugby League and requiring shoulder reconstruction was retrospectively reviewed and evaluated. The details of their on-field position and hand dominance at time of injury, the side of injury, and mechanism of injury were collated and statistically analyzed. A total of 173 Bankart repairs were performed on 132 patients, and 102 players had one injury while 30 had 2 or more injuries. Players are more likely to injure their non-dominant side (P=0...
June 2016: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/26904192/bilateral-posterior-shoulder-dislocation-after-electrical-shock-a-case-report
#12
Ismail Emre Ketenci, Tahir Mutlu Duymus, Ayhan Ulusoy, Hakan Serhat Yanik, Serhat Mutlu, Mehmet Oguz Durakbasa
INTRODUCTION: Posterior dislocation of the shoulder is a rare and commonly missed injury. Unilateral dislocations occur mostly due to trauma. Bilateral posterior shoulder dislocations are even more rare and result mainly from epileptic seizures. Electrical injury is a rare cause of posterior shoulder dislocation. Injury mechanism in electrical injury is similar to epileptic seizures, where the shoulder is forced to internal rotation, flexion and adduction. PRESENTATION OF CASE: This report presents a case of bilateral posterior shoulder dislocation after electrical shock...
December 2015: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/26833189/the-treatment-of-complex-proximal-humeral-fractures-analysis-of-the-results-of-55-cases-treated-with-philos-plate
#13
D Fattoretto, A Borgo, C Iacobellis
Complex proximal humerus fractures are often difficult to treat. Their frequency is high, especially in the elderly, and their treatment is still controversial. The aim of this study was to analyze the clinical and radiological results achieved by patients with complex proximal humerus fractures, treated with PHILOS plate only. A cohort of 55 patients was selected. The mean age was 63.4 (range 33-89), while the mean follow-up time was 21.5 months (range 6-75). Clinical outcome was evaluated with the "Constant-Murley shoulder score...
August 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/26786164/treatment-of-glenohumeral-instability-in-rugby-players
#14
Lennard Funk
Rugby is a high-impact collision sport, with impact forces. Shoulder injuries are common and result in the longest time off sport for any joint injury in rugby. The most common injuries are to the glenohumeral joint with varying degrees of instability. The degree of instability can guide management. The three main types of instability presentations are: (1) frank dislocation, (2) subluxations and (3) subclinical instability with pain and clicking. Understanding the exact mechanism of injury can guide diagnosis with classical patterns of structural injuries...
February 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26584732/operative-treatment-of-acute-acromioclavicular-dislocations-rockwood-iii-and-v-comparative-study-between-k-wires-combined-with-fibertape-%C3%A2-vs-tightrope-system-%C3%A2
#15
MULTICENTER STUDY
G Vrgoč, M Japjec, P Jurina, G Gulan, S Janković, B Šebečić, M Starešinić
INTRODUCTION: Acromioclavicular (AC) joint dislocations usually occur in a young active population as a result of a fall on the shoulder. Rockwood divided these dislocations into six types. Optimal treatment is still a matter of discussion. Many operative techniques have been developed, but the main choice is between open and minimally-invasive arthroscopic procedures. The aim of this study was to compare two different surgical methods on two groups of patients to find out which method is superior in terms of benefit to the patient...
November 2015: Injury
https://www.readbyqxmd.com/read/26560014/interventions-for-treating-proximal-humeral-fractures-in-adults
#16
REVIEW
Helen H G Handoll, Stig Brorson
BACKGROUND: Fracture of the proximal humerus, often termed shoulder fracture, is a common injury in older people. The management of these fractures varies widely. This is an update of a Cochrane Review first published in 2001 and last updated in 2012. OBJECTIVES: To assess the effects (benefits and harms) of treatment and rehabilitation interventions for proximal humeral fractures in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and other databases, conference proceedings and bibliographies of trial reports...
November 11, 2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26535196/acromioclavicular-dislocation-treatment-and-rehabilitation-current-perspectives-and-trends-among-brazilian-orthopedists
#17
Gustavo Gonçalves Arliani, Artur Yudi Utino, Eduardo Misao Nishimura, Bernardo Barcellos Terra, Paulo Santoro Belangero, Diego Costa Astur
OBJECTIVE: To evaluate the approaches and procedures used by Brazilian orthopedic surgeons in treatment and rehabilitation of acromioclavicular dislocation of the shoulder. METHODS: A questionnaire comprising eight closed questions that addressed topics relating to treatment and rehabilitation of acromioclavicular dislocation was applied to Brazilian orthopedic surgeons over the three days of the 45th Brazilian Congress of Orthopedics and Traumatology, in 2013. RESULTS: A total of 122 surgeons completely filled out the questionnaire and formed part of the sample analyzed...
September 2015: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/26448849/cognitive-appraisals-and-lived-experiences-during-injury-rehabilitation-a-narrative-account-within-personal-and-situational-backdrop
#18
Jolly Roy, Abdul Halim Mokhtar, Samihah Abdul Karim, Santhosh Ayathupady Mohanan
BACKGROUND: The article highlights an athlete's cognitive appraisals form the onset to return to play. The narrative provides how an athlete constructs a sense of self within personal and situational factors and describes the subjective experiences during rehabilitation. OBJECTIVES: The study examined the cognitive appraisal and psychological response within the backdrop of personal and situational factors in an injured athlete. PATIENTS AND METHODS: The study is contextualized within the injury rehabilitation experiences of a cycling national athlete aged about 18 years old who was presented with the complaint of right shoulder pain, following a right shoulder dislocation...
September 2015: Asian Journal of Sports Medicine
https://www.readbyqxmd.com/read/26419378/arthroscopic-assisted-plate-fixation-for-displaced-large-sized-comminuted-greater-tuberosity-fractures-of-proximal-humerus-a-novel-surgical-technique
#19
Sang-Eun Park, Jae-Jung Jeong, Karnav Panchal, Jong-Yun Lee, Hyung-Ki Min, Jong-Hun Ji
PURPOSE: The purpose of the present study was to describe the use of a novel hybrid surgical technique-arthroscopic-assisted plate fixation-and evaluate its clinical and anatomical outcomes in the management of large, displaced greater tuberosity (GT) fractures with comminution. METHODS: From 2009 to 2011, this novel technique was performed in 11 patients [2 men and 9 women; median age, 64 years (range 41-83 years)] with large, comminuted GT fractures, with fragment displacements of >5 mm...
December 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26403452/bilateral-anterior-shoulder-dislocation-with-bilateral-fractures-of-the-greater-tuberosity-a-case-report
#20
F Dlimi, M Mahfoud, A Lahlou, A El Bardouni, M S Berrada, M El Yaacoubi
Bilateral anterior dislocation of the shoulders with fractures of both greater tuberosities is very rare. A 76-year-old woman sustained a bilateral anterior dislocation of her shoulders with fractures of the greater tuberosity on both sides after a fall on stairs. Her arms were abducted and externally rotated. Radiological examination revealed the bilateral anterior dislocation and also the bilateral fractures of the greater tuberosity. Prompt closed reduction followed by a 3 weeks immobilization and subsequent rehabilitation allows a good outcome...
December 2012: Journal of Clinical Orthopaedics and Trauma
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