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https://www.readbyqxmd.com/read/27385837/identification-and-management-of-chronic-shoulder-pain-in-the-presence-of-an-mra-confirmed-humeral-avulsion-of-the-inferior-glenohumeral-ligament-hagl-lesion
#1
Arif Karmali, Jennifer McLeod
OBJECTIVE: To present the assessment and conservative management of chronic shoulder pain in the presence of a humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion in an active individual. CLINICAL FEATURES: A 47 year-old female office-worker with constant, deep, right shoulder pain with occasional clicking and catching claimed to have "tore something" in her right shoulder five years ago while performing reverse bicep curls. A physical exam led to differential diagnoses of a Superior Labrum Anterior to Posterior (SLAP) lesion, Bankart lesion, and bicipital tendinopathy...
June 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27163090/slap-repair-with-arthroscopic-decompression-of-spinoglenoid-cyst
#2
Hiroshi Hashiguchi, Satoshi Iwashita, Atsushi Ohkubo, Shinro Takai
INTRODUCTION: A spinoglenoid cyst with suprascapular nerve disorders is highly associated with superior labrum anterior posterior (SLAP) lesion. Conservative or surgical treatment is applied to relieve pain and neurological symptoms. The purpose of this study was to evaluate clinical outcomes of patients treated by arthroscopic surgery for SLAP lesion with a spinoglenoid cyst. METHODS: The subjects of this study were six patients with SLAP lesion with a spinoglenoid cyst who underwent arthroscopic surgery...
2016: SICOT-J
https://www.readbyqxmd.com/read/26818554/slap-lesions-a-treatment-algorithm
#3
Matthias Brockmeyer, Marc Tompkins, Dieter M Kohn, Olaf Lorbach
Tears of the superior labrum involving the biceps anchor are a common entity, especially in athletes, and may highly impair shoulder function. If conservative treatment fails, successful arthroscopic repair of symptomatic SLAP lesions has been described in the literature particularly for young athletes. However, the results in throwing athletes are less successful with a significant amount of patients who will not regain their pre-injury level of performance. The clinical results of SLAP repairs in middle-aged and older patients are mixed, with worse results and higher revision rates as compared to younger patients...
February 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26671775/predictive-factors-associated-with-failure-of-nonoperative-treatment-of-superior-labrum-anterior-posterior-tears
#4
Suk-Hwan Jang, Jeong-Gook Seo, Ho-Su Jang, Jae-Eun Jung, Jin-Goo Kim
BACKGROUND: Uncertainty remains in the natural course of superior labrum anterior-posterior (SLAP) tears treated conservatively with rehabilitation and activity modification. Our purpose was to evaluate clinical outcomes after nonoperative treatment of type II SLAP tear in young active patients and to identify factors related to negative outcomes. METHODS: We retrospectively reviewed 63 patients who initially underwent nonoperative treatment for isolated type II SLAP tear...
March 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26500357/conservative-treatment-of-a-rock-climber-with-a-slap-lesion-a-case-report
#5
Marc-André Blanchette, Ai-Thu Pham, Julie-Marthe Grenier
This case report describes the clinical presentation and conservative treatment of a patient who suffered from a superior labrum anteroposterior (SLAP) tear of the shoulder after a rock climbing session. The 26 year old man had injured his right shoulder while trying to reach a distant socket with his shoulder 90° abducted and in extreme external rotation. After initial treatment failure in chiropractic, the patient sought an orthopaedist and physiotherapy care. A contrast magnetic resonance examination revealed a SLAP lesion...
September 2015: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/24688280/bilateral-os-acromiale-in-a-division-i-basketball-player
#6
Christina D Davlin, Dave Fluker
An unfused acromial epiphysis, called os acromiale, can become unstable and mobile when the deltoid contracts. This may cause pain and lead to impingement syndrome and rotator cuff tearing. After sustaining a direct blow to the right shoulder, a male division I basketball player was diagnosed with impingement syndrome and an os acromiale. Following failed conservative treatment, the athlete underwent arthroscopic subacromial decompression & debridement of the loose os acromiale in the right shoulder. One year later, following a fall on the left shoulder, the athlete was diagnosed with os acromiale, impingement syndrome and a superior labrum anterior-posterior (SLAP) lesion...
December 2003: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/23618008/shoulder-injuries-in-professional-rugby-a-retrospective-analysis
#7
Ian G Horsley, Elizabeth M Fowler, Christer G Rolf
BACKGROUND: In the literature, little is known about the level and pattern of rugby injuries. Of the shoulder injuries reported, 51% of these are caused during a tackle, and 65% of all match injuries affected the shoulder. OBJECTIVE: The study aims to describe a sport-specific unique intra-articular shoulder pathology of professional rugby players, who presented with persistent pain and dysfunction despite physiotherapeutic treatment and rest. METHOD: This study is a retrospective analysis set at a university sports medicine clinic...
April 26, 2013: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/23462957/the-effect-of-infraspinatus-hypotrophy-and-weakness-on-the-arthroscopic-treatment-of-spinoglenoid-notch-cyst-associated-with-superior-labrum-anterior-to-posterior-lesions
#8
Kerem Bilsel, Mehmet Erdil, Mehmet Elmadag, Vahit Emre Ozden, Derya Celik, Ibrahim Tuncay
PURPOSE: Patients with spinoglenoid notch cyst associated with superior labrum anterior-to-posterior (SLAP) lesions were evaluated. The patients were all treated by arthroscopic cyst decompression combined with SLAP repair. The hypothesis of the study was that the patients who underwent prolonged conservative treatment period prior to surgery would exhibit significant infraspinatus hypotrophy and weakness, and their postoperative clinical and functional outcomes would be less satisfactory...
September 2014: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/22737287/effects-of-early-surgical-exploration-in-suspected-barotraumatic-perilymph-fistulas
#9
Ga Young Park, Hayoung Byun, Il Joon Moon, Sung Hwa Hong, Yang-Sun Cho, Won-Ho Chung
OBJECTIVES: Treatment of traumatic perilymph fistula (PLF) remains controversial between surgical repair and conservative therapy. The aim of this study is to analyze the outcomes of early surgical exploration in suspected barotraumatic PLF. METHODS: Nine patients (10 cases) who developed sudden sensorineural hearing loss and dizziness following barotrauma and underwent surgical exploration with the clinical impression of PLF were enrolled. Types of antecedent trauma, operative findings, control of dizziness after surgery, postoperative hearing outcomes, and relations to the time interval between traumatic event and surgery were assessed retrospectively...
June 2012: Clinical and Experimental Otorhinolaryngology
https://www.readbyqxmd.com/read/21411681/concomitant-arthroscopic-slap-and-rotator-cuff-repair-surgical-technique
#10
Brian Forsythe, Scott D Martin
BACKGROUND: The outcomes of combined arthroscopic repairs of a SLAP (superior labral anterior-posterior) lesion and a rotator cuff tear are not known. We compared the outcomes in a cohort of patients who had undergone concomitant arthroscopic repairs of a SLAP lesion and a rotator cuff tear with those in a cohort of patients with a stable biceps anchor who had undergone an isolated rotator cuff repair. We hypothesized that the results would be similar between the two cohorts with respect to the range of motion and preoperative and postoperative function...
March 2011: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/21055704/superior-labrum-anterior-to-posterior-slap-rehabilitation-in-the-overhead-athlete
#11
Robert Manske, Daniel Prohaska
Due to the complexity of shoulder pathomechanics in the overhead athlete, injuries located in the superior aspect of the glenoid, known as superior labral anterior to posterior (SLAP) lesions, are often a surgical and rehabilitation challenge. In an effort to determine surgical versus conservative care of SLAP lesions a thorough clinical examination and evaluation are necessary. If surgery is identified as the treatment of choice, post operative rehabilitation will vary pending surgical findings including the extent and location of the SLAP lesion, and other concomitant findings and procedures...
November 2010: Physical Therapy in Sport
https://www.readbyqxmd.com/read/20516311/concomitant-arthroscopic-slap-and-rotator-cuff-repair
#12
Brian Forsythe, Daniel Guss, Shawn G Anthony, Scott D Martin
BACKGROUND: The outcomes of combined arthroscopic repairs of a SLAP (superior labral anterior-posterior) lesion and a rotator cuff tear are not known. We compared the outcomes in a cohort of patients who had undergone concomitant arthroscopic repairs of a SLAP lesion and a rotator cuff tear with those in a cohort of patients with a stable biceps anchor who had undergone an isolated rotator cuff repair. We hypothesized that the results would be similar between the two cohorts with respect to the range of motion and preoperative and postoperative function...
June 2010: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/20470614/-slap-injuries-superior-labrum-anterior-posterior
#13
V Dvorák
From May to December 1996 the author treated at his Clinic five patients with injuries of the anchoring of the labrum superior and anchoring of the long head of the biceps. Snyder describes these injuries as SLAP -superior labrum anterior posterior. Only the development of arthroscopic technique provided new findings on these lesions. Anamnestic data and the clinical picture closely resemble the impingement syndrome. Here too irritation of the rotator cuff occurs but the cause is intraarticular. Theoretical work provides evidence that injuries of this type lead to reduction of the torsion rigidity of the shoulder joint reduced tension of the lower glenohumeral ligament...
1997: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/20371556/diagnosis-and-management-of-superior-labrum-anterior-posterior-lesions-in-overhead-athletes
#14
REVIEW
Geoffrey D Abrams, Marc R Safran
Shoulder pain is a common complaint in overhead athletes, and superior labrum anterior posterior (SLAP) lesions are a common cause of this pain. The pathological cascade which results in the SLAP lesion consists of a combination of posterior inferior capsular tightness and scapular dyskinesis, resulting in a 'peel back' phenomenon at the biceps anchor and leading to the SLAP tear. Physical exam tests vary in their sensitivity and specificity in detecting SLAP lesions, so MRI is helpful in demonstrating the anatomical alteration...
April 2010: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/20120138/non-explosive-blast-injury-of-the-tympanic-membrane-in-umuahia-nigeria
#15
F T Orji
BACKGROUND: To examine the clinical features and causes of non-explosive blast injury to the ear, as well as the frequency of the State police involvement. METHOD: Prospective clinical study of consecutive patients with traumatic tympanic membrane perforations resulting from non-explosive blast trauma to the ear without history of previous middle ear disease who attended ENT clinic of Federal Medical Center Umuahia. Clinical features and causes of non-explosive blast injury to ear; healing outcome at 2, 4, 8, and 12 weeks; perforation size versus healing outcome and cause of injury were the main outcomes measured...
October 2009: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/19725488/diagnosis-and-treatment-of-biceps-tendinitis-and-tendinosis
#16
Catherine A Churgay
Biceps tendinitis is inflammation of the tendon around the long head of the biceps muscle. Biceps tendinosis is caused by degeneration of the tendon from athletics requiring overhead motion or from the normal aging process. Inflammation of the biceps tendon in the bicipital groove, which is known as primary biceps tendinitis, occurs in 5 percent of patients with biceps tendinitis. Biceps tendinitis and tendinosis are commonly accompanied by rotator cuff tears or SLAP (superior labrum anterior to posterior) lesions...
September 1, 2009: American Family Physician
https://www.readbyqxmd.com/read/19664504/poor-outcomes-after-slap-repair-descriptive-analysis-and-prognosis
#17
Laurie M Katz, Stephanie Hsu, Suzanne L Miller, John C Richmond, Eric Khetia, Eric Ketia, Navjot Kohli, Alan S Curtis
PURPOSE: In the first part of this study, we analyzed a subset of patients to determine what factors may have been present in those with poor outcomes after SLAP repair. In part 2, we evaluated clinical outcomes of these patients after further treatment. METHODS: We completed a retrospective medical record review of consecutive patients presenting between 2000 and 2007 with pain, stiffness, and/or mechanical symptoms after a SLAP repair. To evaluate for similarities among this cohort, data collection included demographics, age at initial SLAP repair, history of trauma, medical history, nonoperative and operative treatments, and physical examination...
August 2009: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/19472949/arthroscopic-evaluation-and-management-after-repeated-luxatio-erecta-of-the-glenohumeral-joint
#18
Sean C Tracy, Jonathan J Myer
Luxatio erecta, inferior dislocation of the glenohumeral joint, is a relatively rare type of glenohumeral dislocation, accounting for <0.5% of all shoulder dislocations. It has been well described in terms of presentation and conservative management. Arthroscopic findings after the more commonly found anteroinferior glenohumeral dislocation have also been described. However, we know of only 1 case report that details the arthroscopic findings and open surgical management in a patient who sustained a single episode of luxatio erecta...
May 2009: Orthopedics
https://www.readbyqxmd.com/read/17891375/-rotator-cuff-tears-and-internal-impingement-in-athletes
#19
REVIEW
T Tischer, G M Salzmann, A B Imhoff
Knowledge of rotator cuff tears, especially in young people, and their cause has been vastly expanded in recent years. This is reflected in the understanding of the pathogenesis of these lesions and the specific therapy. In contrast to the mostly degenerative tears in older people, the causes in young, active people differ: traumatic disruption, internal impingement due to instability (PSI, ASI), SLAP lesion, and microtraumatic causes may be found. Recently, connections between the different pathologies like internal impingement and the SLAP lesion were shown...
October 2007: Der Orthopäde
https://www.readbyqxmd.com/read/17220642/-arthroscopic-treatment-of-type-2-superior-labrum-anterior-posterior-lesions
#20
Mehmet Uğur Ozbaydar, Cağri Tekin, Rifat Kocabaş, Okan Yalaman
OBJECTIVES: We retrospectively evaluated patients who underwent arthroscopic repair for isolated type 2 superior labrum anterior posterior (SLAP) lesions. METHODS: Isolated type 2 SLAP lesions were treated with arthroscopic repair with suture anchors in eight patients (5 males, 3 females; mean age 48.5 years; range 27 to 60 years) with shoulder pain unresponsive to conservative treatment. The mean duration of symptoms was 18.6 months (range 2 to 48 months). Initial diagnoses were based on patients' complaints and findings of physical examination and radiologic imaging, and were confirmed at diagnostic arthroscopy...
2006: Acta Orthopaedica et Traumatologica Turcica
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