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27 papers 500 to 1000 followers MH Residency - Shoulder
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
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
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
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
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
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
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
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
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...
May 24, 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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
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
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
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
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
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
Jean-Sébastien Roy, Caroline Braën, Jean Leblond, François Desmeules, Clermont E Dionne, Joy C MacDermid, Nathalie J Bureau, Pierre Frémont
BACKGROUND: Different diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most using more advanced technological characteristics. The first objective was to perform a meta-analysis on the diagnostic accuracy of medical imaging for characterisation of RC disorders. Since US is used at the point of care in environments such as sports medicine, a secondary analysis assessed accuracy by radiologists and non-radiologists...
October 2015: British Journal of Sports Medicine
Seok Won Chung, Jae Yoon Kim, Jong Pil Yoon, Seong Hwa Lyu, Sung Min Rhee, Se Bong Oh
BACKGROUND: The healing failure rate is high for partial-thickness or small full-thickness rotator cuff tears. PURPOSE: To retrospectively evaluate and compare outcomes after arthroscopic repair of high-grade partial-thickness and small full-thickness rotator cuff tears and factors affecting rotator cuff healing. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Included in the study were 55 consecutive patients (mean age, 57...
March 2015: American Journal of Sports Medicine
Aminudin Shamsudin, Patrick H Lam, Karin Peters, Imants Rubenis, Lisa Hackett, George A C Murrell
BACKGROUND: Symptomatic rotator cuff tears are often treated surgically. However, there is a paucity of information regarding the outcomes of revision arthroscopic rotator cuff repairs. PURPOSE: To evaluate the outcome of revision arthroscopic rotator cuff surgery when compared with primary arthroscopic rotator cuff surgery in a large cohort of patients. STUDY DESIGN: Cohort study; Level of evidence, 3. METHOD: A consecutive series of 50 revision arthroscopic rotator cuff repairs performed by a single surgeon, with minimum 2-year follow-up, were retrospectively reviewed using prospectively collected data...
March 2015: American Journal of Sports Medicine
Jonathan F Dickens, Brett D Owens, Kenneth L Cameron, Kelly Kilcoyne, C Dain Allred, Steven J Svoboda, Robert Sullivan, John M Tokish, Karen Y Peck, John-Paul Rue
BACKGROUND: There is no consensus on the optimal treatment of in-season athletes with anterior shoulder instability, and limited data are available to guide return to play. PURPOSE: To examine the likelihood of return to sport and the recurrence of instability after an in-season anterior shoulder instability event based on the type of instability (subluxation vs dislocation). Additionally, injury factors and patient-reported outcome scores administered at the time of injury were evaluated to assess the predictability of eventual successful return to sport and time to return to sport during the competitive season...
December 2014: American Journal of Sports Medicine
Job Hermans, Jolanda J Luime, Duncan E Meuffels, Max Reijman, David L Simel, Sita M A Bierma-Zeinstra
IMPORTANCE: Rotator cuff disease (RCD) is the most common cause of shoulder pain seen by physicians. OBJECTIVE: To perform a meta-analysis to identify the most accurate clinical examination findings for RCD. DATA SOURCES: Structured search in MEDLINE, EMBASE, and CINAHL from their inception through May 2013. STUDY SELECTION: For inclusion, a study must have met the following criteria: (1) description of history taking, physical examination, or clinical tests concerning RCD; (2) detailing of sensitivity and specificity; (3) use of a reference standard with diagnostic criteria prespecified; (4) presentation of original data, or original data could be obtained from the authors; and (5) publication in a language mastered by one of the authors (Danish, Dutch, English, French, German, Norwegian, Spanish, Swedish)...
August 28, 2013: JAMA: the Journal of the American Medical Association
2014-10-09 03:47:22
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