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https://www.readbyqxmd.com/read/28319431/evaluation-of-the-risk-factors-for-a-rotator-cuff-retear-after-repair-surgery
#1
Yeong Seok Lee, Jeung Yeol Jeong, Chan-Deok Park, Seung Gyoon Kang, Jae Chul Yoo
BACKGROUND: A retear is a significant clinical problem after rotator cuff repair. However, no study has evaluated the retear rate with regard to the extent of footprint coverage. PURPOSE: To evaluate the preoperative and intraoperative factors for a retear after rotator cuff repair, and to confirm the relationship with the extent of footprint coverage. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Data were retrospectively collected from 693 patients who underwent arthroscopic rotator cuff repair between January 2006 and December 2014...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28270752/neuronal-correlates-of-functional-coupling-between-reach-and-grasp-related-components-of-muscle-activity
#2
Shashwati Geed, Martha L McCurdy, Peter L E van Kan
Coordinated reach-to-grasp movements require precise spatiotemporal synchrony between proximal forelimb muscles (shoulder, elbow) that transport the hand toward a target during reach, and distal muscles (wrist, digit) that simultaneously preshape and orient the hand for grasp. The precise mechanisms through which the redundant neuromuscular circuitry coordinates reach with grasp, however, remain unclear. Recently, Geed and Van Kan (2016) demonstrated, using exploratory factor analysis (EFA), that limited numbers of global, template-like transport/preshape- and grasp-related muscle components underlie the complexity and variability of intramuscular electromyograms (EMGs) of up to 21 distal and proximal muscles recorded while monkeys performed reach-to-grasp tasks...
2017: Frontiers in Neural Circuits
https://www.readbyqxmd.com/read/28269656/automated-classification-of-pathological-gait-after-stroke-using-ubiquitous-sensing-technology
#3
Elham Dolatabadi, Babak Taati, Alex Mihailidis
This study uses machine learning methods to distinguish between healthy and pathological gait. Examples of multi-dimensional pathological and normal gait sequences were collected from post-stroke and healthy individuals in a real clinical setting and with two Kinect sensors. The trajectories of rotational angle and global velocity of selected body joints (hips, spine, shoulders, neck, knees and ankles) over time formed the gait sequences. The combination of k nearest neighbor (kNN) and dynamic time warping (DTW) was used for classification...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28257619/complaints-of-upper-extremity-numbness-and-tingling-relieved-with-dry-needling-of-the-teres-minor-and-infraspinatus-a-case-report
#4
Elizabeth Lane, Derek Clewley, Shane Koppenhaver
Study Design Case report. Background Abnormal sensation, such as numbness or tingling, is traditionally thought to originate from neural compression. There is limited evidence to support reports of abnormal sensation arising from a trigger point. Case Description The patient was a 60-year-old female with primary complaints of right shoulder pain and secondary complaints of neck pain and right upper extremity numbness. Cervical spine neurological examination was unremarkable, and manual examination did not reproduce the patient's arm numbness or tingling symptoms...
March 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28229229/management-of-unstable-distal-third-clavicle-fractures-clinical-and-radiological-outcomes-of-the-arthroscopy-assisted-conoid-ligament-reconstruction-and-fracture-cerclage-with-sutures
#5
Luis Natera Cisneros, Juan Sarasquete Reiriz
INTRODUCTION: Surgical treatment is indicated for the management of Neer type IIB fractures of the distal third of the clavicle. The aim of this study was to assess the clinical and radiological outcomes, in cases of unstable distal third clavicle fractures managed by means of an arthroscopy-assisted conoid ligament reconstruction and fracture cerclage with sutures. METHODS: Nine patients with unstable distal third clavicle fractures (Neer type IIB) managed arthroscopically by means of a conoid ligament reconstruction and fracture cerclage with sutures, between 2008 and 2012, were included...
February 22, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28227914/automated-classification-of-pathological-gait-after-stroke-using-ubiquitous-sensing-technology
#6
Elham Dolatabadi, Babak Taati, Alex Mihailidis, Elham Dolatabadi, Babak Taati, Alex Mihailidis, Babak Taati, Alex Mihailidis, Elham Dolatabadi
This study uses machine learning methods to distinguish between healthy and pathological gait. Examples of multi-dimensional pathological and normal gait sequences were collected from post-stroke and healthy individuals in a real clinical setting and with two Kinect sensors. The trajectories of rotational angle and global velocity of selected body joints (hips, spine, shoulders, neck, knees and ankles) over time formed the gait sequences. The combination of k nearest neighbor (kNN) and dynamic time warping (DTW) was used for classification...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28158958/the-responsiveness-and-interpretability-of-the-shoulder-pain-and-disability-index
#7
Marloes Thoomes-de Graaf, Wendy Scholten-Peeters, Edwin Duijn, Yasmaine Karel, Henrica C W de Vet, Bart Koes, Arianne Verhagen
Study Design Clinical measurement study; prospective cohort design. Background Shoulder pain is a common disorder and treatment is most often focused on a reduction of pain and functional disabilities. Several reviews have encouraged the use of the Shoulder Pain and Disability Index (SPADI) to objectify functional disabilities. It is important to assess the responsiveness and interpretability of the SPADI when it is used by patients seeking help by a physical therapist for their shoulder pain in primary care setting...
February 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28139384/comorbidity-effects-on-shoulder-arthroplasty-costs-analysis-of-a-nationwide-private-payer-insurance-data-set
#8
Samuel Rosas, Karim G Sabeh, Leonard T Buller, Tsun Yee Law, Steven P Kalandiak, Jonathan C Levy
BACKGROUND: The purpose of this study was to evaluate the effect of common medical comorbidities on the reimbursements of different shoulder arthroplasty procedures. METHODS: We conducted a retrospective query of a single private payer insurance claims database using PearlDiver (Warsaw, IN, USA) from 2010 to 2014. Our search included the Current Procedural Terminology codes and International Classification of Diseases, Ninth Revision codes for total shoulder arthroplasty (TSA), hemiarthroplasty, and reverse shoulder arthroplasty (RSA)...
January 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28115871/pain-extent-and-function-in-youth-with-physical-disabilities
#9
Jordi Miró, Rocío de la Vega, Catarina Tomé-Pires, Elisabet Sánchez-Rodríguez, Elena Castarlenas, Mark P Jensen, Joyce M Engel
BACKGROUND: The aim of this study was to increase our understanding of the role that spatial qualities of pain (location and extent) play in functioning, among youths with disabilities and chronic pain. METHODS: One-hundred and fifteen youths (mean age 14.4 years; SD ±3.3 years) with physical disabilities and chronic pain were interviewed and were asked to provide information about pain locations and their average pain intensity in the past week, and to complete measures of pain interference, psychological function and disability...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28110806/can-surgical-trainees-achieve-arthroscopic-competence-at-the-end-of-training-programs-a-cross-sectional-study-highlighting-the-impact-of-working-time-directives
#10
Robert M Middleton, Austin Vo, Jamie Ferguson, Andrew Judge, Abtin Alvand, Andrew J Price, Jonathan L Rees
PURPOSE: To provide training guidance on procedure numbers by assessing how the number of previously performed arthroscopic procedures relate to both competent and expert performance in simulated arthroscopic shoulder tasks. METHODS: A cross-sectional study that assessed simulated shoulder arthroscopic performance was undertaken. A total of 45 participants of varying experience performed 2 validated tasks: a simple diagnostic task and a more complex Bankart labral repair task...
January 16, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28106306/acupuncture-and-electro-acupuncture-for-people-diagnosed-with-subacromial-pain-syndrome-a-multicentre-randomized-trial
#11
J Lewis, J Sim, P Barlas
BACKGROUND: Musculoskeletal disorders have been identified globally as the second most common healthcare problem for 'years lived with disability', and of these shoulder conditions are amongst the most common, frequently associated with substantial pain and morbidity. Exercise and acupuncture are often provided as initial treatments for musculoskeletal shoulder conditions but their clinical effectiveness is uncertain. This study compared group exercise with group exercise plus either acupuncture or electro-acupuncture in patients with subacromial pain syndrome...
January 20, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/28101634/is-the-arthroscopic-suture-bridge-technique-suitable-for-full-thickness-rotator-cuff-tears-of-any-size
#12
Sung Hyun Lee, Jeong Woo Kim, Tae Kyun Kim, Seok Hyun Kweon, Hong Je Kang, Se Jin Kim, Jin Sung Park
PURPOSE: The purpose of this study was to compare functional outcomes and tendon integrity between the suture bridge and modified tension band techniques for arthroscopic rotator cuff repair. METHODS: A consecutive series of 128 patients who underwent the modified tension band (MTB group; 69 patients) and suture bridge (SB group; 59 patients) techniques were enrolled. The pain visual analogue scale (VAS), Constant, and American Shoulder and Elbow Surgeons (ASES) scores were determined preoperatively and at the final follow-up...
January 18, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28093018/algorithm-for-bionic-hand-reconstruction-in-patients-with-global-brachial-plexopathies
#13
Laura A Hruby, Agnes Sturma, Johannes A Mayer, Anna Pittermann, Stefan Salminger, Oskar C Aszmann
OBJECTIVE Global brachial plexus lesions with multiple root avulsions are among the most severe nerve injuries, leading to lifelong disability. Fortunately, in most cases primary and secondary reconstructions provide a stable shoulder and restore sufficient arm function. Restoration of biological hand function, however, remains a reconstructive goal that is difficult to reach. The recently introduced concept of bionic reconstruction overcomes biological limitations of classic reconstructive surgery to restore hand function by combining selective nerve and muscle transfers with elective amputation of the functionless hand and its replacement with a prosthetic device...
January 17, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28089972/a-preliminary-core-domain-set-for-clinical-trials-of-shoulder-disorders-a-report-from-the-omeract-2016-shoulder-core-outcome-set-special-interest-group
#14
Rachelle Buchbinder, Matthew J Page, Hsiaomin Huang, Arianne P Verhagen, Dorcas Beaton, Christian Kopkow, Mario Lenza, Nitin B Jain, Bethan Richards, Pamela Richards, Marieke Voshaar, Danielle van der Windt, Joel J Gagnier
OBJECTIVE: The Outcome Measures in Rheumatology (OMERACT) Shoulder Core Outcome Set Special Interest Group (SIG) was established to develop a core outcome set (COS) for clinical trials of shoulder disorders. METHODS: In preparation for OMERACT 2016, we systematically examined all outcome domains and measurement instruments reported in 409 randomized trials of interventions for shoulder disorders published between 1954 and 2015. Informed by these data, we conducted an international Delphi consensus study including shoulder trial experts, clinicians, and patients to identify key domains that should be included in a shoulder disorder COS...
January 15, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28054147/prevalence-of-remaining-horizontal-instability-in-high-grade-acromioclavicular-joint-injuries-surgically-managed
#15
Luis Natera Cisneros, Juan Sarasquete Reiriz
PURPOSE: To determine the prevalence of remaining horizontal instability in high-grade acromioclavicular joint (ACJ) injuries surgically managed by means of four different surgical strategies and to assess its relation to the clinical outcomes and the quality of life. METHODS: In this multicentric non-randomized retrospective study, 53 patients with high-grade ACJ injuries surgically managed (by means of open or arthroscopic surgery) were clinically and radiographically assessed at 24 months or more after shoulder surgery...
January 5, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27999727/an-intervention-based-clinical-reasoning-framework-to-guide-the-management-of-thoracic-pain-in-a-dancer-a-case-report
#16
Michael Masaracchio, Kaitlin Kirker, Cristiana Kahl Collins, William Hanney, Xinliang Liu
BACKGROUND AND PURPOSE: As a result of the anatomical proximity of the thoracic spine to the cervical, lumbar, and shoulder regions, dysfunction in the thoracic spine can influence pain, mobility, and stability across these areas. Currently, a paucity of evidence exists addressing treatment of individuals with primary thoracic pain, especially in young, athletic patients. Furthermore, current research discussing clinical reasoning frameworks focus on the differential diagnostic process...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27872111/ultrasound-imaging-to-tailor-the-treatment-of-acute-shoulder-pain-a-randomised-controlled-trial-in-general-practice
#17
Ramon P G Ottenheijm, Jochen W L Cals, Bjorn Winkens, René E Weijers, Rob A de Bie, Geert-Jan Dinant
OBJECTIVE: To determine the clinical effectiveness of ultrasound tailored treatment in patients with acute subacromial disorders. DESIGN: Pragmatic randomised controlled trial. SETTING: Dutch general practice. PARTICIPANTS: Patients aged 18-65 years with acute (duration <3 months) unilateral shoulder pain and no previous treatment, in whom the general practitioner suspected a subacromial disorder was enrolled...
November 21, 2016: BMJ Open
https://www.readbyqxmd.com/read/27816913/laser-acupuncture-treatment-improves-pain-and-functional-status-in-patients-with-subacromial-impingement-syndrome-a-randomized-double-blind-sham-controlled-study
#18
Sibel Kibar, Hatice Ecem Konak, Deniz Evcik, Saime Ay
OBJECTIVE:  The present study aims to determine the effect of laser acupuncture in patients with subacromial impingement syndrome (SAIS). DESIGN:  Randomized, double-blind, sham-controlled study. SETTING:  Physical medicine and rehabilitation outpatient clinic. SUBJECTS:  A total 73 patients with SAIS were randomly assigned into a treatment group (n = 36) and a control group (n = 37). METHODS : The treatment group received laser acupuncture, and the control group received sham laser acupuncture...
November 5, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27789068/musculoskeletal-pain-at-various-anatomical-sites-and-socioeconomic-position-results-of-a-national-survey
#19
A Leclerc, J-F Chastang, R Taiba, P Pascal, D Cyr, S Plouvier, A Descatha
BACKGROUND: Prevalence of musculoskeletal pain according to sites of pain and associated factors in the community has not been thoroughly documented. The association between pain and socioeconomic position has been studied by several authors, but without details in most studies regarding sites of pain, whereas the relations with social position could differ according to the site of pain. The objective of this study was to explore these differences in the community in France. METHODS: The national Health and Occupational History survey was conducted in France in 2006 in subjects aged 20-74 years...
October 2016: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/27776052/fracture-classification-does-not-predict-functional-outcomes-in-supracondylar-humerus-fractures-a-prospective-study
#20
Justin Ernat, Christine Ho, Robert L Wimberly, ChanHee Jo, Anthony I Riccio
BACKGROUND: Few studies have prospectively assessed functional outcomes after the surgical management of supracondylar humerus fractures (SCHFXs) and the relationship between fracture pattern and ultimate patient outcome has never been prospectively evaluated. The purpose of this study was to prospectively evaluate fracture classification and functional outcome in children with extension SCHFXs using validated outcome measures. METHODS: An Institutional Review Board-approved prospective enrollment of consecutive patients with operative SCHFX was performed over a 3-year period...
October 21, 2016: Journal of Pediatric Orthopedics
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