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32 papers 1000+ followers MH Residency - Shoulder
https://www.readbyqxmd.com/read/27254261/overuse-injuries-of-the-pediatric-and-adolescent-throwing-athlete
#1
Breann K Tisano, A Reed Estes
In the hypercompetitive environment of year round youth baseball, arm pain is commonplace. Although much research has been done about injuries in the overhead throwing athlete, the emphasis has been on the more elite levels, where athletes have reached full development. The anatomy of the skeletally immature athlete, including open physeal plates and increased tissue laxity, raises unique issues in the presentation and treatment of repetitive throwing injuries of the elbow and shoulder. With a focus on "little leaguers," this discussion evaluates five of the most common elbow and shoulder injuries-Little Leaguer's elbow, ulnar collateral ligament sprain or tear, osteochondritis dissecans/Panner's disease, Little Leaguer's shoulder, and multidirectional instability...
October 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28404557/exercise-prescription-for-overhead-athletes-with-shoulder-pathology-a-systematic-review-with-best-evidence-synthesis
#2
REVIEW
Alexis A Wright, Eric J Hegedus, Daniel T Tarara, Samantha C Ray, Steven L Dischiavi
OBJECTIVE: To produce a best evidence synthesis of exercise prescription used when treating shoulder pathology in the overhead athlete. DESIGN: A systematic review of exercises used in overhead athletes including case studies and clinical commentaries. DATA SOURCES: MEDLINE, PubMed, SPORTDiscus and CINAHL from database inception through July 8, 2016. METHODS: We examined data from randomised controlled trials and prospective cohort (level I-IV evidence) studies that addressed exercise intervention in the rehabilitation of the overhead athlete with shoulder pathology...
April 12, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28319431/evaluation-of-the-risk-factors-for-a-rotator-cuff-retear-after-repair-surgery
#3
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/28282498/risk-factors-for-revision-surgery-after-superior-labral-anterior-posterior-repair
#4
Samuel A Taylor, Ryan M Degen, Alexander E White, Moira M McCarthy, Lawrence V Gulotta, Stephen J O'Brien, Brian C Werner
BACKGROUND: Data regarding risk factors for revision surgery after superior labral anterior-posterior (SLAP) repair are limited to institutional series. PURPOSE: To define risk factors for revision surgery after SLAP repair among patients in a large national database. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: A national insurance database was queried for patients undergoing arthroscopic SLAP repair (Current Procedural Terminology [CPT] code 29807) for the diagnosis of a SLAP tear...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28125910/biceps-disorder-rehabilitation-for-the-athlete
#5
Dorien Borms, Inge Ackerman, Pieter Smets, Glen Van den Berge, Ann M Cools
BACKGROUND: Progressive biceps loading is recommended in the nonoperative and operative rehabilitation of biceps-related disorders. Previous researchers have proposed a continuum of exercises with low to moderate biceps loads to be used in the early and intermediate phases of rehabilitation. A progression of exercises with moderate to high biceps loads to be used in the more advanced phases of rehabilitation is lacking. PURPOSE: To describe a progression of exercises with progressive moderate to high loads on the biceps brachii (BB) based on electromyographic (EMG) analysis...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27288517/effectiveness-of-physical-therapy-treatment-of-clearly-defined-subacromial-pain-a-systematic-review-of-randomised-controlled-trials
#6
REVIEW
M N Haik, F Alburquerque-Sendín, R F C Moreira, E D Pires, P R Camargo
AIM: To summarise the current evidence regarding the effectiveness of physical therapy on pain, function and range of motion in individuals with subacromial pain syndrome (SAPS). DESIGN: Systematic review. DATA SOURCES: PubMed, Web of Science, CINAHL, Cochrane, Embase, Lilacs, Ibecs and Scielo databases. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Randomised controlled trials (RCTs) investigating physical therapy modalities for SAPS on pain, function/disability or range of motion were included...
September 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27139230/rotator-cuff-tendon-connections-with-the-rotator-cable
#7
Madis Rahu, Ivo Kolts, Elle Põldoja, Kristo Kask
PURPOSE: The literature currently contains no descriptions of the rotator cuff tendons, which also describes in relation to the presence and characteristics of the rotator cable (anatomically known as the ligamentum semicirculare humeri). The aim of the current study was to elucidate the detailed anatomy of the rotator cuff tendons in association with the rotator cable. METHODS: Anatomic dissection was performed on 21 fresh-frozen shoulder specimens with an average age of 68 years...
May 2, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26716086/rotator-cuff-tears-an-evidence-based-approach
#8
REVIEW
Senthil Nathan Sambandam, Vishesh Khanna, Arif Gul, Varatharaj Mounasamy
Lesions of the rotator cuff (RC) are a common occurrence affecting millions of people across all parts of the globe. RC tears are also rampantly prevalent with an age-dependent increase in numbers. Other associated factors include a history of trauma, limb dominance, contralateral shoulder, smoking-status, hypercholesterolemia, posture and occupational dispositions. The challenge lies in early diagnosis since a high proportion of patients are asymptomatic. Pain and decreasing shoulder power and function should alert the heedful practitioner in recognizing promptly the onset or aggravation of existing RC tears...
December 18, 2015: World Journal of Orthopedics
https://www.readbyqxmd.com/read/26618058/current-concepts-of-plyometric-exercise
#9
George Davies, Bryan L Riemann, Robert Manske
As knowledge regarding rehabilitation science continues to increase, exercise programs following musculoskeletal athletic injury continue to evolve. Rehabilitation programs have drastically changed, especially in the terminal phases of rehabilitation, which include performance enhancement, development of power, and a safe return to activity. Plyometric exercise has become an integral component of late phase rehabilitation as the patient nears return to activity. Among the numerous types of available exercises, plyometrics assist in the development of power, a foundation from which the athlete can refine the skills of their sport...
November 2015: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/26511004/does-physiotherapy-diagnosis-of-shoulder-pathology-compare-to-arthroscopic-findings
#10
COMPARATIVE STUDY
Mary Elizabeth Magarey, Mark Alan Jones, Chad E Cook, Michael George Hayes
AIMS: To explore the ability of a physiotherapist, using a standardised musculoskeletal physiotherapy assessment protocol, to accurately identify the structures potentially responsible for shoulder symptoms against a standardised arthroscopic shoulder diagnostic assessment, and to determine the physiotherapists' ability to influence post-test diagnostic accuracy. STUDY DESIGN: Consecutive case-based cohort study. SUBJECT SELECTION: All participants were selected by two orthopaedic surgeons for arthroscopic investigation during a 6-month period...
September 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/26272516/deficits-in-glenohumeral-passive-range-of-motion-increase-risk-of-shoulder-injury-in-professional-baseball-pitchers-a-prospective-study
#11
Kevin E Wilk, Leonard C Macrina, Glenn S Fleisig, Kyle T Aune, Ron A Porterfield, Paul Harker, Timothy J Evans, James R Andrews
BACKGROUND: Shoulder injuries from repetitive baseball pitching continue to be a serious, common problem. PURPOSE: To determine whether passive range of motion of the glenohumeral joint was predictive of shoulder injury or shoulder surgery in professional baseball pitchers. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Passive range of motion of the glenohumeral joint was assessed with a bubble goniometer during spring training for all major and minor league pitchers of a single professional baseball organization over a period of 8 successive seasons (2005-2012)...
October 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/23687006/rehabilitation-of-scapular-dyskinesis-from-the-office-worker-to-the-elite-overhead-athlete
#12
REVIEW
Ann M J Cools, Filip Struyf, Kristof De Mey, Annelies Maenhout, Birgit Castelein, Barbara Cagnie
The scapula functions as a bridge between the shoulder complex and the cervical spine and plays a very important role in providing both mobility and stability of the neck/shoulder region. The association between abnormal scapular positions and motions and glenohumeral joint pathology has been well established in the literature, whereas studies investigating the relationship between neck pain and scapular dysfunction have only recently begun to emerge. Although several authors have emphasised the relevance of restoring normal scapular kinematics through exercise and manual therapy techniques, overall scapular rehabilitation guidelines decent for both patients with shoulder pain as well as patients with neck problems are lacking...
April 2014: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/26085191/the-effect-of-diabetes-hyperlipidemia-and-statins-on-the-development-of-rotator-cuff-disease-a-nationwide-11-year-longitudinal-population-based-follow-up-study
#13
Tony Tung-Liang Lin, Ching-Heng Lin, Chia-Li Chang, Chun-Han Chi, Shin-Tsu Chang, Wayne Huey-Herng Sheu
BACKGROUND: The intrinsic risk factors of rotator cuff disease (RCD) include degeneration, inflammation, oxidative stress, and circulation impairment. Both diabetes and hyperlipidemia are thought to increase these risk factors and therefore potentially enhance RCD development. However, few studies, and few longitudinal follow-up studies in particular, exist to prove this. HYPOTHESIS: Both diabetes and hyperlipidemia can increase a patient's risk of developing RCD...
September 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26003482/the-role-of-tendon-and-subacromial-bursa-in-rotator-cuff-tear-pain-a-clinical-and-histopathological-study
#14
Claudio Chillemi, Vincenzo Petrozza, Vincenzo Franceschini, Luca Garro, Alberto Pacchiarotti, Natale Porta, Mirko Cirenza, Francesco Salate Santone, Alessandro Castagna
PURPOSE: To evaluate a possible association of shoulder pain with the clinical features and the histopathological changes occurring in the ruptured tendon and subacromial bursa of patients with rotator cuff tear. METHODS: One hundred and eighty patients were clinically evaluated with the constant score and the visual analogue pain scale. Radiographs and MRI were performed. The chronology of the rupture, the muscle fatty degeneration according to Goutallier's scale and the tear size were evaluated...
December 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26015444/arthroscopic-partial-repair-of-irreparable-rotator-cuff-tears-preoperative-factors-associated-with-outcome-deterioration-over-2-years
#15
Min Soo Shon, Kyoung Hwan Koh, Tae Kang Lim, Won Ju Kim, Kyung Cheon Kim, Jae Chul Yoo
BACKGROUND: Arthroscopic partial repair is a treatment option in irreparable large-to-massive rotator cuff tears without arthritic changes. However, there are indications that arthroscopic partial repair does not yield satisfactory outcomes. PURPOSE: To report the clinical and radiographic results of arthroscopic partial repairs in patients with irreparable large-to-massive cuff tears. In addition, an analysis was performed regarding preoperative factors that may influence patient outcomes and patient-rated satisfaction over time...
August 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25939611/effect-of-anterior-capsular-laxity-on-horizontal-abduction-and-forceful-internal-impingement-in-a-cadaveric-model-of-the-throwing-shoulder
#16
Teruhisa Mihata, Michelle H McGarry, Masashi Neo, Mutsumi Ohue, Thay Q Lee
BACKGROUND: Excessive anterior capsular laxity (elongation of the anterior capsular ligaments) causes shoulder subluxation during acceleration of the throwing motion, leading to a disabled throwing shoulder. Few biomechanical studies have investigated the relationship between anterior capsular laxity and internal impingement, another cause of the disabled throwing shoulder. PURPOSE/HYPOTHESIS: The purpose of this study was to assess the effect of anterior capsular laxity on forceful internal impingement during the late cocking phase...
July 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25943112/does-early-versus-delayed-active-range-of-motion-affect-rotator-cuff-healing-after-surgical-repair-a-systematic-review-and-meta-analysis
#17
REVIEW
Melissa A Kluczynski, Maureen M Isenburg, John M Marzo, Leslie J Bisson
BACKGROUND: The timing of passive range of motion (ROM) after surgical repair of the rotator cuff (RC) has been shown to affect healing. However, it is unknown if early or delayed active ROM affects healing. PURPOSE: To determine whether early versus delayed active ROM affects structural results of RC repair surgery. STUDY DESIGN: Systematic review and meta-analysis. METHODS: A systematic review of articles published between January 2004 and April 2014 was conducted...
March 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25818711/knowing-the-speed-limit-weighing-the-benefits-and-risks-of-rehabilitation-progression-after-arthroscopic-rotator-cuff-repair
#18
REVIEW
Charles A Thigpen, Michael A Shaffer, Michael J Kissenberth
Rotator cuff repairs have increased. Although clinical trials have examined the effect of immobilization and timing of passive range of motion (ROM) on patient outcomes and structural integrity, there is controversy as to the timing and progression for therapy. Primary goals are restoring function while maintaining the structural integrity of the repair. We advocate for a protocol of 4 to 6 weeks of immobilization, followed by protected passive ROM, which is followed by a gradual progression to active ROM and then appropriate resistance exercise program for most all rotator cuff repairs...
April 2015: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/25762150/lateral-trunk-lean-in-pitchers-affects-both-ball-velocity-and-upper-extremity-joint-moments
#19
Matthew J Solomito, Erin J Garibay, Jessica R Woods, Sylvia Õunpuu, Carl W Nissen
BACKGROUND: The incidence of upper extremity injuries in baseball pitchers is increasing. Over the past decade there has been a great deal of research attempting to elucidate the cause of these injuries, focusing mainly on the mechanics of the pitching arm with no examination of other key segments, such as the trunk. This is surprising, as coaches will often comment on trunk position in an effort to improve pitching outcomes. PURPOSE: To determine the association between contralateral trunk lean and ball velocity and the moments about the elbow and glenohumeral joint...
May 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25695976/effect-of-tear-location-on-propagation-of-isolated-supraspinatus-tendon-tears-during-increasing-levels-of-cyclic-loading
#20
Daisuke Araki, R Matthew Miller, Yoshimasa Fujimaki, Yuichi Hoshino, Volker Musahl, Richard E Debski
BACKGROUND: The morphology of the supraspinatus tendon may affect tear propagation. It was hypothesized that tears located in the anterior third of the supraspinatus tendon would propagate more readily and would require lower loads to reach critical amounts of tear propagation than those located in the middle third of the supraspinatus tendon. METHODS: Twenty-three fresh-frozen human cadaveric shoulders were tested under increasing levels of cyclic loading. Tears were created in the anterior third (Group A, n=10) or the middle third (Group M, n=13) of the supraspinatus tendon...
February 18, 2015: Journal of Bone and Joint Surgery. American Volume
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