collection
https://read.qxmd.com/read/32740266/an-update-on-surgical-management-of-the-repairable-large-to-massive-rotator-cuff-tear
#1
JOURNAL ARTICLE
Jonathan A Guevara, Vahid Entezari, Jason C Ho, Kathleen A Derwin, Joseph P Iannotti, Eric T Ricchetti
No abstract text is available yet for this article.
October 7, 2020: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/31584855/serratus-anterior-and-upper-trapezius-electromyographic-analysis-of-the-push-up-plus-exercise-a-systematic-review-and-meta-analysis
#2
JOURNAL ARTICLE
Fu-Jie Kang, Hsiang-Ling Ou, Kun-Ying Lin, Jiu-Jenq Lin
CONTEXT: Whereas the serratus anterior (SA) and the upper trapezius (UT) work as a force couple for scapular motion, weakness of the SA and overactivation of the UT are often present in overhead athletes with shoulder dysfunction. Therefore, researchers addressing an intramuscular imbalance between the SA and UT have focused on finding exercises that target the weak SA and minimally activate the UT. OBJECTIVE: To compare the effectiveness of push-up plus (PUP) exercise variants based on the electromyographic (EMG) activity of the SA and UT...
November 2019: Journal of Athletic Training
https://read.qxmd.com/read/31776067/glenohumeral-external-rotation-weakness-partially-accounts-for-increased-humeral-rotation-torque-in-youth-baseball-pitchers
#3
JOURNAL ARTICLE
Kyle W Wasserberger, Jeff W Barfield, Jessica L Downs, Gretchen D Oliver
OBJECTIVES: To examine differences in shoulder internal rotation (IR) torque among youth pitchers of above and below average relative glenohumeral (GH) rotation strength levels. It was hypothesized that differences in IR torque during the pitching motion would could be explained by differences in relative IR and external rotation (ER) strength. DESIGN: Descriptive laboratory study. METHODS: Isometric GH rotation strength and upper extremity pitching mechanics were assessed in 78 male youth baseball pitchers (12...
April 2020: Journal of Science and Medicine in Sport
https://read.qxmd.com/read/31585784/the-role-of-biologic-agents-in-the-management-of-common-shoulder-pathologies-current-state-and-future-directions
#4
REVIEW
James B Carr, Scott A Rodeo
The field of orthopedic surgery has seen a rapid increase in the use of various biologic agents for the treatment of common musculoskeletal injuries. Most biologic agents attempt to harness or mimic naturally occurring growth factors, cytokines, and anti-inflammatory mediators to improve tissue healing and recovery. The most commonly used biologic agents are platelet-rich plasma and cells derived from bone marrow aspirate and adipose tissue. These agents have become increasingly popular despite a relative dearth of clinical data to support their use...
November 2019: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/31609639/partial-thickness-rotator-cuff-tear-by-itself-does-not-cause-shoulder-pain-or-muscle-weakness-in-baseball-players
#5
JOURNAL ARTICLE
Teruhisa Mihata, Rei Morikura, Akihiko Hasegawa, Kunimoto Fukunishi, Takeshi Kawakami, Yukitaka Fujisawa, Mutsumi Ohue, Masashi Neo
BACKGROUND: Partial-thickness rotator cuff tears are common shoulder injuries in baseball players. For some tears, the symptoms can be relieved through physical therapy or debridement without rotator cuff repair. PURPOSE: To assess whether partial-thickness rotator cuff tear by itself causes shoulder pain and muscle weakness in baseball players. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: We studied 87 university baseball players (age, 19...
December 2019: American Journal of Sports Medicine
https://read.qxmd.com/read/31599763/management-of-rotator-cuff-injuries
#6
JOURNAL ARTICLE
Stephen Weber, Jaskarndip Chahal
Management of Rotator Cuff Injuries Clinical Practice Guideline is based on a systematic review of current scientific and clinical research. The purpose of this clinical practice guideline is to guide the clinician's ability to diagnose and treat rotator cuff tears in adults by providing evidence-based recommendations for key decisions that affect the management of patients with rotator cuff injuries. This guideline contains 33 recommendations, including both diagnosis and treatment. In addition, the work group highlighted the need for better research in the diagnosis and treatment of rotator cuff injuries...
March 1, 2020: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/31567841/comparison-of-the-shoulder-external-rotator-strength-and-asymmetry-ratio-between-workers-with-and-without-shoulder-impingement-syndrome
#7
JOURNAL ARTICLE
Jun-Hee Kim, Oh-Yun Kwon, Ui-Jae Hwang, Sung-Hoon Jung, Sun-Hee Ahn, Hyun-A Kim
Kim, J-H, Kwon, O-Y, Hwang, U-J, Jung, S-H, Ahn, S-H, and Kim, H-A. Comparison of shoulder external rotator strength and the asymmetry ratio between workers with and without shoulder impingement syndrome. J Strength Cond Res XX(X): 000-000, 2019-Shoulder impingement syndrome (SIS) is the most common shoulder problem causing shoulder pain. Several studies have indicated that shoulder external rotator muscles provide dynamic stability to the shoulder joint. However, the relationship of SIS to changes in shoulder external rotator muscle strength remains controversial...
September 17, 2019: Journal of Strength and Conditioning Research
https://read.qxmd.com/read/30921461/the-influence-of-glenohumeral-joint-posterior-capsule-tightness-and-impingement-symptoms-on-shoulder-impairments-and-kinematics
#8
COMPARATIVE STUDY
Dayana P Rosa, John D Borstad, Julia K Ferreira, Paula R Camargo
BACKGROUND: Posterior capsule tightness (PCT) and shoulder impingement syndrome (SIS) symptoms are both associated with altered shoulder biomechanics and impairments. However, their combined effect on kinematics, pain, range of motion (ROM), strength, and function remain unknown. OBJECTIVE: The purpose of this study was to determine if the combination of PCT and SIS affects scapular and humeral kinematics, glenohumeral joint ROM, glenohumeral joint external rotation strength, pain, and function differently than does either factor (PCT or SIS) alone...
July 1, 2019: Physical Therapy
https://read.qxmd.com/read/30829536/therapeutic-interventions-for-scapular-kinematics-and-disability-in-patients-with-subacromial-impingement-a-systematic-review
#9
JOURNAL ARTICLE
Katsumi Takeno, Neal R Glaviano, Grant E Norte, Christopher D Ingersoll
CONTEXT: Impaired scapular kinematics are commonly reported in patients with subacromial impingement syndrome (SIS). Various therapeutic interventions designed to improve scapular kinematics and minimize pain and disability have been described in the literature. However, the short- and long-term benefits of these interventions are unclear. OBJECTIVE: To determine the effects of specific short- and long-term therapeutic interventions on scapular kinematics and disability in patients with SIS...
March 2019: Journal of Athletic Training
https://read.qxmd.com/read/30746294/neuromuscular-adaptions-following-a-daily-strengthening-exercise-in-individuals-with-rotator-cuff-related-shoulder-pain-a-pilot-case-control-study
#10
JOURNAL ARTICLE
Amee L Seitz, Lisa A Podlecki, Emily R Melton, Tim L Uhl
Background: The goal of therapeutic exercise is to facilitate a neuromuscular response by increasing or decreasing muscular activity in order to reduce pain and improve function. It is not clear what dosage of exercise will create a neuromuscular response. Purpose: The purpose of this study was to assess the effects following a three-week home program of a daily single exercise, the prone horizontal abduction exercise (PHA), on neuromuscular impairments of motor control as measured by scapular muscle EMG amplitudes, strength, and secondarily outcomes of self-reported pain and function between individuals with and without subacromial pain syndrome...
February 2019: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/30997283/rehabilitation-following-subscapularis-tendon-repair
#11
JOURNAL ARTICLE
Burak Altintas, Helen Bradley, Catherine Logan, Brooke Delvecchio, Nicole Anderson, Peter J Millett
UNLABELLED: Subscapularis (SSC) tendon tears are less common than tears of the remaining rotator cuff tendons, but one with serious consequences given its function as one of the main internal rotators and anterior stabilizers. Mild fraying involving the upper third of the tendon can be treated non-operatively; however, more substantive tears usually require repair in cases of pain or functional impairment. Given the importance of the subscapularis tendon in maintaining stability of the glenohumeral joint and performing internal rotation of the arm, surgical intervention with emphasis on repair may be recommended to eliminate pain and restore strength...
April 2019: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/30647053/subacromial-decompression-surgery-for-adults-with-shoulder-pain-a-systematic-review-with-meta-analysis
#12
JOURNAL ARTICLE
Tuomas Lähdeoja, Teemu Karjalainen, Jarkko Jokihaara, Paul Salamh, Lauri Kavaja, Arnav Agarwal, Marinus Winters, Rachelle Buchbinder, Gordon Guyatt, Per Olav Vandvik, Clare L Ardern
OBJECTIVE: To determine the benefits and harms of subacromial decompression surgery in adult patients with subacromial pain syndrome lasting for more than 3 months. DESIGN: Systematic review with meta-analysis. MAIN OUTCOME MEASURES: Pain, physical function and health-related quality of life. DATA SOURCES: Systematic searches for benefits and harms were conducted to 23 July 2018 in MEDLINE, Embase, PubMed, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, ClinicalTrials...
June 2020: British Journal of Sports Medicine
https://read.qxmd.com/read/30770251/diagnostic-value-of-clinical-tests-for-infraspinatus-tendon-tears
#13
COMPARATIVE STUDY
Mirco Sgroi, Thomas Loitsch, Heiko Reichel, Thomas Kappe
PURPOSE: To analyze and compare the diagnostic value and interpretation of 6 established clinical tests for infraspinatus tendon tears; to assess their ability to distinguish between partial- and full-thickness tears of the infraspinatus tendon; and to investigate whether conducting multiple tests increases the precision of diagnosis. METHODS: A total of 91 patients scheduled for shoulder arthroscopy from March 2015 to April 2017 were included in the present study...
May 2019: Arthroscopy
https://read.qxmd.com/read/30383578/comprehensive-review-of-provocative-and-instability-physical-examination-tests-of-the-shoulder
#14
REVIEW
K J Hippensteel, Robert Brophy, Matthew V Smith, Rick W Wright
A detailed physical examination of the shoulder is crucial in creating a diagnosis in patients who present with shoulder pain. Tests of the cervical spine, scapula, and rotator cuff muscles have already been evaluated in a previous article. This article assesses provocative and instability examination tests of the shoulder. Descriptions on how the tests are performed and their diagnostic accuracy are presented.
June 1, 2019: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/29234564/shoulder-external-rotator-eccentric-training-versus-general-shoulder-exercise-for-subacromial-pain-syndrome-a-randomized-controlled-trial
#15
JOURNAL ARTICLE
Eric J Chaconas, Morey J Kolber, William J Hanney, Matthew L Daugherty, Stanley H Wilson, Charles Sheets
Background: Shoulder pain affects up to 67% of the population at some point in their lifetime with subacromial pain syndrome (SAPS) representing a common etiology. Despite a plethora of studies there remains conflicting evidence for appropriate management of SAPS. Purpose: To compare outcomes, for individuals diagnosed with SAPS, performing a 6-week protocol of eccentric training of the shoulder external rotators (ETER) compared to a general exercise (GE) protocol...
December 2017: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/29048942/comparison-of-2-exercise-rehabilitation-programs-for-multidirectional-instability-of-the-glenohumeral-joint-a-randomized-controlled-trial
#16
RANDOMIZED CONTROLLED TRIAL
Sarah A Warby, Jon J Ford, Andrew J Hahne, Lyn Watson, Simon Balster, Ross Lenssen, Tania Pizzari
BACKGROUND: The recommended initial treatment for multidirectional instability (MDI) of the shoulder is a rehabilitation program, yet there is very low-quality evidence to support this approach. Purpose/Hypothesis: The purpose was to compare the Watson MDI program and Rockwood Instability program among patients with nontraumatic, nonstructural MDI. The hypothesis was that the Watson MDI program would produce clinically and statistically superior outcomes over the Rockwood Instability program...
January 2018: American Journal of Sports Medicine
https://read.qxmd.com/read/29176492/the-weight-bearing-shoulder
#17
REVIEW
Ronak M Patel, Jonathan D Gelber, Mark S Schickendantz
The shoulder achieves a wide spectrum of motion, and in a subset of patients, including those who use manual wheelchairs and upper extremity walking aids, the shoulder also serves as the primary weight-bearing joint. Because the weight-bearing shoulder is subject to considerable joint reaction forces and overuse, a broad spectrum of pathology can affect the joint. The combination of muscle imbalance and repetitive trauma presents most commonly as subacromial impingement syndrome but can progress to other pathology...
January 1, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/28593096/emg-of-shoulder-muscles-during-reactive-isometric-elastic-resistance-exercises
#18
JOURNAL ARTICLE
Michael J Mullaney, Christine Perkinson, Ian Kremenic, Timothy F Tyler, Karl Orishimo, Christopher Johnson
BACKGROUND: Traditionally, shoulder isometrics are introduced in the early stages of shoulder rehabilitation. A patient's isometric torque output is based on a subjective perception of force generation. By utilizing elastic resistance elongation (strain) to standardize force output, clinicians could prescribe shoulder therapeutic isometrics based on % maximum voluntary contraction (%MVC). PURPOSE/HYPOTHESIS: The purpose of this study was to measure electromyographic (EMG) activity and determine the %MVC during shoulder flexion, external rotation and abduction isometrics at varying lengths of TheraBand® elastic resistance...
June 2017: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/28816894/the-clavicle-trial-a-multicenter-randomized-controlled-trial-comparing-operative-with-nonoperative-treatment-of-displaced-midshaft-clavicle-fractures
#19
RANDOMIZED CONTROLLED TRIAL
Philip M Ahrens, Nicholas I Garlick, Julie Barber, Emily M Tims
BACKGROUND: The treatment of displaced midshaft clavicle fractures remains controversial. METHODS: We undertook a multicenter randomized controlled trial to compare effectiveness and safety between nonoperative management and ORIF (open reduction and internal fixation) for displaced midshaft clavicle fractures in adults. Three hundred and one eligible adult patients were randomized to 1 of the 2 treatment groups and followed at 6 weeks, 3 months, and 9 months after recruitment...
August 16, 2017: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/28630217/effectiveness-of-conservative-interventions-including-exercise-manual-therapy-and-medical-management-in-adults-with-shoulder-impingement-a-systematic-review-and-meta-analysis-of-rcts
#20
REVIEW
Ruedi Steuri, Martin Sattelmayer, Simone Elsig, Chloé Kolly, Amir Tal, Jan Taeymans, Roger Hilfiker
OBJECTIVE: To investigate the effectiveness of conservative interventions for pain, function and range of motion in adults with shoulder impingement. DESIGN: Systematic review and meta-analysis of randomised trials. DATA SOURCES: Medline, CENTRAL, CINAHL, Embase and PEDro were searched from inception to January 2017. STUDY SELECTION CRITERIA: Randomised controlled trials including participants with shoulder impingement and evaluating at least one conservative intervention against sham or other treatments...
September 2017: British Journal of Sports Medicine
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