1,570 results match your criteria Infraspinatus Syndrome


Subacromial impingement syndrome: management challenges.

Orthop Res Rev 2018 23;10:83-91. Epub 2018 Oct 23.

The Reading Shoulder Unit, Berkshire Independent Hospital Coley Park, Swallows Croft, Reading, Berkshire, UK,

The painful shoulder is the most common condition seen in specialist shoulder clinics. It is often associated with lack of range of motion and reduced shoulder function. Lack of sleep and difficulties in performing basic daily life activities are common findings. Read More

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http://dx.doi.org/10.2147/ORR.S157864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376459PMC
October 2018

NEUROMUSCULAR ADAPTIONS FOLLOWING A DAILY STRENGTHENING EXERCISE IN INDIVIDUALS WITH ROTATOR CUFF RELATED SHOULDER PAIN: A PILOT CASE-CONTROL STUDY.

Int J Sports Phys Ther 2019 Feb;14(1):74-87

Department of Rehabilitation Sciences, University of Kentucky, Lexington, KY, USA.

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. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350670PMC
February 2019
2 Reads

A Rare Cause of Compression of the Suprascapular Nerve: The Paraglenoid Cyst.

J Orthop Case Rep 2018 Sep-Oct;8(5):40-42

Department of Orthopedic Surgery, Tunis Trauma Center, Ben Arous, Tunisia.

Introduction: The ductal syndromes of the shoulder combine all the compressive processes of the suprascapular nerve at the level of its passage in the spinoglenoid notch and this for several causes. The most common is a lesion of the labrum resulting in the formation of a cyst. These cysts are rare and often underestimated. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367289PMC
February 2019
1 Read

Patterns of muscle coordination during dynamic glenohumeral joint elevation: An EMG study.

PLoS One 2019 8;14(2):e0211800. Epub 2019 Feb 8.

Musculoskeletal Science Research Group, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.

The shoulder relies heavily on coordinated muscle activity for normal function owing to its limited osseous constraint. However, previous studies have failed to examine the sophisticated interrelationship between all muscles. It is essential for these normal relationships to be defined as a basis for understanding pathology. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211800PLOS
February 2019
1 Read

Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline.

BMJ 2019 Feb 6;364:l294. Epub 2019 Feb 6.

Department of Orthopaedic Surgery and Traumatology, Joint Research, OLVG, Amsterdam, The Netherlands

Clinical Question: Do adults with atraumatic shoulder pain for more than 3 months diagnosed as subacromial pain syndrome (SAPS), also labelled as rotator cuff disease, benefit from subacromial decompression surgery? This guideline builds on to two recent high quality trials of shoulder surgery.

Current Practice: SAPS is the common diagnosis for shoulder pain with several first line treatment options, including analgesia, exercises, and injections. Surgeons frequently perform arthroscopic subacromial decompression for prolonged symptoms, with guidelines providing conflicting recommendations. Read More

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http://dx.doi.org/10.1136/bmj.l294DOI Listing
February 2019
8 Reads

Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis.

Br J Sports Med 2019 Jan 15. Epub 2019 Jan 15.

Division of Physiotherapy, Linköping University, Linköping, Sweden.

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. Read More

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http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2018-100486
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http://dx.doi.org/10.1136/bjsports-2018-100486DOI Listing
January 2019
13 Reads

WHO/ILO work-related burden of disease and injury: Protocol for systematic reviews of exposure to occupational ergonomic risk factors and of the effect of exposure to occupational ergonomic risk factors on osteoarthritis of hip or knee and selected other musculoskeletal diseases.

Environ Int 2019 Apr 22;125:554-566. Epub 2018 Dec 22.

Coronel Institute of Occupational Health, Amsterdam UMC, location AMC, Amsterdam Public Health Research Institute, Amsterdam, Netherlands. Electronic address:

Background: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing a joint methodology for estimating the national and global work-related burden of disease and injury (WHO/ILO joint methodology), with contributions from a large network of experts. In this paper, we present the protocol for two systematic reviews of parameters for estimating the number of disability-adjusted life years from osteoarthritis of hip or knee, and selected other musculoskeletal diseases respectively, attributable to exposure to occupational ergonomic risk factors to inform the development of the WHO/ILO joint methodology.

Objectives: We aim to systematically review studies on exposure to occupational ergonomic risk factors (Systematic Review 1) and systematically review and meta-analyze estimates of the effect of exposure to occupational ergonomic risk factors on osteoarthritis of the hip or knee, and selected other musculoskeletal diseases respectively (Systematic Review 2), applying the Navigation Guide systematic review methodology as an organizing framework, conducting both systematic reviews in tandem and in a harmonized way. Read More

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http://dx.doi.org/10.1016/j.envint.2018.09.053DOI Listing
April 2019
1 Read

Conservative treatment after axillary nerve re-injury in a rugby player: a case report.

Eur J Phys Rehabil Med 2018 Dec 21. Epub 2018 Dec 21.

Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy.

Background: Axillary nerve injuries are uncommon, although the incidence is higher in athletes, both related to direct contusion or quadrilateral space syndrome. While few studies have investigated conservative strategies that could be proposed to avoid surgery, no previous case report documented the possible role of rehabilitation in axillary nerve re- injuries.

Case Report: Our patient is a 27-year-old male professional rugby player who experienced a recurrent episode of deltoid strength loss, after a previous axillary nerve injury. Read More

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https://www.minervamedica.it/index2.php?show=R33Y9999N00A181
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http://dx.doi.org/10.23736/S1973-9087.18.05165-1DOI Listing
December 2018
3 Reads

Effects of ultrasound-guided suprascapular nerve pulsed radiofrequency on chronic shoulder pain.

Med Ultrason 2018 Dec;20(4):461-466

Sakarya University Faculty of Medicine.

Aim: Pulsed radiofrequency (PRF) therapy has become increasingly popular in the treatment of chronic shoulder pain due to its long duration of action and non-destructive method. The aim of the study was to reveal the effects of PRF therapy of the suprascapular nerve (SSN) under ultrasound guidance (UG) in patients with chronic shoulder pain on both shoulder pain and function.

Material And Methods: This study included 74 patients diagnosed with at least one of the following: adhesive capsulitis, rotator cuff syndrome and impingement syndrome of shoulder. Read More

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http://dx.doi.org/10.11152/mu-1543DOI Listing
December 2018
88 Reads

Radiological Variabilities in Subcoracoid Impingement: Coracoid Morphology, Coracohumeral Distance, Coracoglenoid Angle, and Coracohumeral Angle.

Med Sci Monit 2018 Nov 30;24:8678-8684. Epub 2018 Nov 30.

Department of Radiology, Kirikkale University School of Medicine, Kirikkale, Turkey.

BACKGROUND The aim of this study was to investigate the effects of coracoid morphology, coracohumeral distance, coracoglenoid angle, and coracohumeral angle variabilities on subcoracoid impingement development using magnetic resonance imaging (MRI). MATERIAL AND METHODS A total of 200 patients (87 males with mean age of 51.1±15. Read More

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http://dx.doi.org/10.12659/MSM.911470DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284362PMC
November 2018
6 Reads

Validity and Responsiveness of the Single Alpha-numeric Evaluation for Shoulder Patients.

Am J Sports Med 2018 Dec 12;46(14):3480-3485. Epub 2018 Nov 12.

South Carolina Center for Effectiveness Research in Orthopedics, Greenville, South Carolina, USA.

Background:: There is an ever-increasing demand for widespread implementation of patient-reported outcomes. However, adoption is slow owing to limitations in clinical infrastructure and resources within busy orthopaedic practices. Prior studies showed the single alpha-numeric evaluation (SANE) score to correlate at a single point in time with the American Shoulder and Elbow Surgeons (ASES) score. Read More

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http://dx.doi.org/10.1177/0363546518807924DOI Listing
December 2018
8 Reads

Attrition of rotator cuff without progression to tears during 2-5 years of conservative treatment for impingement syndrome.

Arch Orthop Trauma Surg 2019 Mar 11;139(3):377-382. Epub 2018 Nov 11.

Department of Orthopaedic Surgery, Severance Hospital, Arthroscopy and Joint Research Institute, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, CPO Box 8044, Seoul, 120-752, South Korea.

Purpose: The purpose of this study was to investigate the natural history of intact rotator cuff in impingement syndrome patients with concomitant spur protruding from the undersurface of acromion.

Methods: This retrospective study included 119 patients with an intact rotator cuff who underwent conservative treatment for a spur protruding from the undersurface of the acromion. The protruded spur was defined as a trapezoid- or tetragon-shaped bony protrusion with a downward peak extending more than 3 mm in length from the baseline drawn along the acromial undersurface on the coronal view of magnetic resonance imaging (MRI) or computed tomography arthrography (CTA). Read More

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http://link.springer.com/10.1007/s00402-018-3065-z
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http://dx.doi.org/10.1007/s00402-018-3065-zDOI Listing
March 2019
13 Reads

Shoulder tendon characteristics in disabled swimmers in high functional classes - Preliminary report.

Phys Ther Sport 2019 Jan 30;35:23-28. Epub 2018 Oct 30.

Division of Biokinesiology and Physical Therapy, University of Southern California, 1540 E. Alcazar Street, CHP155, Los Angeles, CA, 90089, USA. Electronic address:

Objective: To characterize disabled swimmers in comparison to an able-bodied swimmers for (1) supraspinatus tendon thickness, (2) subacromial space and (3) occupation ratio.

Design: Cross-Sectional Study.

Setting: Research laboratory. Read More

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http://dx.doi.org/10.1016/j.ptsp.2018.10.017DOI Listing
January 2019
3 Reads

Effects of kinesiology taping on shoulder girdle muscle activity and sports performance during badminton forehand overhead strokes in amateur badminton players with shoulder impingement syndrome.

J Sports Med Phys Fitness 2018 Oct 31. Epub 2018 Oct 31.

Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China.

Background: This study aimed to examine the influence of kinesiology taping (KT), various overhead stroke techniques, and their interactions on shoulder girdle muscle activity and on sports performance in badminton players with shoulder impingement syndrome.

Methods: Twenty-five amateur badminton players with shoulder impingement syndrome participated in the study. Each was exposed to two KT conditions (no taping and taping) while performing four badminton strokes (defensive clear, attacking clear, smash, and drop shot) in a random order. Read More

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https://www.minervamedica.it/index2.php?show=R40Y9999N00A181
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http://dx.doi.org/10.23736/S0022-4707.18.09125-9DOI Listing
October 2018
15 Reads

Basis of Shoulder Nerve Entrapment Syndrome: An Ultrasonographic Study Exploring Factors Influencing Cross-Sectional Area of the Suprascapular Nerve.

Front Neurol 2018 23;9:902. Epub 2018 Oct 23.

Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey.

As changes in nerves' shape and size are common ultrasonographic findings of entrapment neuropathy, measurement of the nerve cross-sectional area (CSA) becomes the mostly used indicator to differentiate normality from pathology. Recently, more US research has been conducted to measure the shape of the suprascapular notch and the diameter of the suprascapular nerve. Because the suprascapular nerve is paramount for various shoulder disorders, the present study aims to establish normal values of suprascapular nerve sizes at different levels as well as to investigate potential influence of participants' characteristics on the CSA measurements. Read More

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https://www.frontiersin.org/article/10.3389/fneur.2018.00902
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http://dx.doi.org/10.3389/fneur.2018.00902DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205983PMC
October 2018
12 Reads

Psychometric evaluation of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function and Pain Interference Computer Adaptive Test for subacromial impingement syndrome.

J Shoulder Elbow Surg 2019 Feb 18;28(2):324-329. Epub 2018 Oct 18.

Department of Orthopaedics, University of Rochester Medical Center, Rochester, NY, USA. Electronic address:

Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Computer Adaptive Test (CAT) was previously validated for rotator cuff disease and shoulder instability. This study evaluated the psychometric properties of the PROMIS Physical Function (PF) CAT, PROMIS Pain Interference (PI) CAT, and the American Shoulder and Elbow Surgeons (ASES) Shoulder Function Score for subacromial impingement syndrome.

Methods: PROMIS PF CAT, PI CAT, and ASES (Pain, Function, Total) were collected on all visits for 2 surgeons between January 2016 and August 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183055
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http://dx.doi.org/10.1016/j.jse.2018.07.024DOI Listing
February 2019
9 Reads

The effect of Mulligan mobilization on pain and life quality of patients with Rotator cuff syndrome: A randomized controlled trial.

J Back Musculoskelet Rehabil 2019 ;32(1):171-178

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.

Background: Mulligan mobilization techniques cause pain and affect the function in patients with Rotator cuff syndrome.

Objective: The aim of the study was to investigate the effect of Mulligan mobilization on pain and quality of life in individuals with Rotator cuff syndrome.

Methods: This study was conducted on 30 patients with Rotator cuff syndrome. Read More

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http://dx.doi.org/10.3233/BMR-181230DOI Listing
January 2019
2 Reads
1.041 Impact Factor

Increased co-contraction of arm adductors is associated with a favorable course in subacromial pain syndrome.

J Shoulder Elbow Surg 2018 Nov 19;27(11):1925-1931. Epub 2018 Sep 19.

Laboratory for Kinematics and Neuromechanics, Department of Orthopaedics and Rehabilitation, Leiden University Medical Center, Leiden, The Netherlands.

Background: Enhancement of arm adductor activity during abduction (ie, adductor co-contraction), may be effective in the treatment of subacromial pain syndrome (SAPS). We assessed whether an increase of adductor co-contraction is associated with a favorable course of SAPS.

Methods: At baseline and after nearly 4 years of follow-up, electromyography of the latissimus dorsi (LD), teres major (TM), pectoralis major, and deltoid muscle was obtained during isometric abduction and adduction tasks in 26 patients with SAPS. Read More

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http://dx.doi.org/10.1016/j.jse.2018.06.015DOI Listing
November 2018
2 Reads

Impact of symptom bilaterality and hand dominance on patient-reported disability outcomes.

SAGE Open Med 2018 27;6:2050312118797566. Epub 2018 Aug 27.

Division of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Objectives: It is not clear if using patients with bilateral symptoms would impact the level of disability reported in orthopaedic research. The purposes of this study were to (1) examine the prevalence of bilateral shoulder symptoms (significant pain, stiffness or weakness affecting function) in patients with rotator cuff impingement syndrome, rotator cuff tear and osteoarthritis of the glenohumeral joint, (2) explore risk factors associated with bilateral shoulder symptoms, and (3) examine the impact of symptom bilaterality and hand dominance on pre- and post-operative patient-oriented disability outcomes.

Methods: This study involved secondary analysis of prospectively collected data of patients who had undergone shoulder surgery and had returned for their 1-year follow-up. Read More

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http://dx.doi.org/10.1177/2050312118797566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111396PMC
August 2018
2 Reads

The relationship between rotator cuff tear and four acromion types: cross-sectional study based on shoulder magnetic resonance imaging in 227 patients.

Acta Radiol 2018 Aug 15:284185118791211. Epub 2018 Aug 15.

6 Department of Policy Research Affairs, National Health Insurance Service Ilsan Hospital, Seoul, Republic of Korea.

Background Rotator cuff tear (RCT) has been believed to be related to specific types of the acromion. However, most of the studies were performed on a small number of patients with surgical findings not considering the severity of RCT. Purpose To analyze the relationship between age, gender, the side of the shoulder, the acromion type, and the severity of RCT using shoulder magnetic resonance arthrography (MRA). Read More

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http://journals.sagepub.com/doi/10.1177/0284185118791211
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http://dx.doi.org/10.1177/0284185118791211DOI Listing
August 2018
9 Reads
1.350 Impact Factor

Factors Associated with Atraumatic Posterosuperior Rotator Cuff Tears.

J Bone Joint Surg Am 2018 Aug;100(16):1397-1405

Departments of Radiology (J.-B.N.) and Rehabilitation Medicine (C.H.Y.), Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea.

Background: Certain metabolic factors have been proposed as risk factors for a posterosuperior rotator cuff tear. Although metabolic syndrome is of increasing concern in industrialized societies, little information exists regarding its association with posterosuperior rotator cuff tears. The purpose of this study was to determine the risk factors for an atraumatic posterosuperior rotator cuff tear, including metabolic factors and metabolic syndrome. Read More

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http://dx.doi.org/10.2106/JBJS.16.01592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133217PMC
August 2018
2 Reads

Intra-articular injection of botulinum toxin type A for shoulder pain in glenohumeral osteoarthritis: a case series summary and review of the literature.

J Pain Res 2018 25;11:1239-1245. Epub 2018 Jun 25.

Physical Medicine and Rehabilitation Unit, Ospedali Riuniti, Università di Foggia, Foggia,

Introduction: Shoulder pain is one of the most common musculoskeletal diseases, and can be due to glenohumeral osteoarthritis, rotator cuff tear, impingement, tendinitis, adhesive capsulitis, and subacromial bursitis. Several therapies have been proposed, including steroids, nonsteroidal anti-inflammatory drugs, intra-articular injections, and physical therapies. Many published studies have reported on the employment of botulinum toxin type A (BoNT-A) to reduce pain in subjects with neurological and musculoskeletal diseases by inhibiting substance P release and other inflammatory factors. Read More

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http://dx.doi.org/10.2147/JPR.S159700DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025770PMC
June 2018
12 Reads

Long-term results after surgical treatment of subacromial pain syndrome with or without rotator cuff tear.

J Orthop 2018 Sep 17;15(3):757-760. Epub 2018 Mar 17.

Surgical Department, Haraldsplass Deaconess Hospital, Norway.

Purpose: Some studies suggest a common degenerative path might contribute to a range of shoulder diseases involving subacromial pain syndrome and full-thickness rotator cuff tears. One could therefore theorize arthroscopic subacromial decompression and rotator cuff repair as interventions at different stages of a degenerative shoulder disease. Few studies have compared long-term outcomes after these two procedures. Read More

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http://dx.doi.org/10.1016/j.jor.2018.03.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014565PMC
September 2018
4 Reads

[Precise application of Traditional Chinese Medicine in minimally-invasive techniques].

Authors:
Fu-Hui Dong

Zhongguo Gu Shang 2018 06;31(6):493-496

Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China;

The miminally-invasive techniques of traditional Chinese medicine(TCM) uses different types of acupuncture needles to treat diseased locations with special techniques. These techniques include different methods of insertion and closed incision (press cutting, sliding cutting, scrape cutting, etc.). Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.06.001DOI Listing
June 2018
8 Reads

Endoscopic Gluteus Medius and Minimus Repair With Allograft Augmentation Using Acellular Human Dermis.

Arthrosc Tech 2018 Mar 12;7(3):e225-e230. Epub 2018 Feb 12.

Orthopaedic Department, Summa Health System, Akron, Ohio, U.S.A.

Recently, attention has been given to recalcitrant lateral hip pain, also known as greater trochanteric pain syndrome. Although, historically, this has been attributed to greater trochanteric bursitis, the literature has shown that many patients will have a lesion of the gluteus medius and minimus tendons. Endoscopic hip abductor tendon repair has been shown to provide good outcomes with decreasing overall morbidity and is becoming more popular. Read More

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http://dx.doi.org/10.1016/j.eats.2017.08.073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989483PMC
March 2018
25 Reads

Injectable nanocomposite analgesic delivery system for musculoskeletal pain management.

Acta Biomater 2018 07 25;74:280-290. Epub 2018 May 25.

Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, USA; Institute for Regenerative Engineering, The Raymond Beverly Sackler Center for Biomedical, Biological, Physical and Engineering Sciences, University of Connecticut Health Center, Farmington, USA; Department of Biomedical Engineering, University of Connecticut, Storrs, USA; Department of Material Science and Engineering, Institute of Material Science, University of Connecticut, Storrs, USA. Electronic address:

Musculoskeletal pain is a major health issue which results from surgical procedures (i.e. total knee and/or hip replacements and rotator cuff repairs), as well as from non-surgical conditions (i. Read More

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http://dx.doi.org/10.1016/j.actbio.2018.05.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020057PMC
July 2018
17 Reads

Complications of the Fingers and Hand After Arthroscopic Rotator Cuff Repair.

Open Orthop J 2018 30;12:134-140. Epub 2018 Mar 30.

Department of Orthopedic Surgery, Yamagata University Faculty of Medicine Iida-Nishi-2-2-2, Yamagata, 990-9585, Japan.

Background: Complications of the fingers and hand that occur after Arthroscopic Rotator Cuff Repair (ARCR) have not been examined in detail.

Objective: The aim of our study was to evaluate the diagnosis and treatment of complications of the fingers and hand that occur after ARCR and to examine treatment outcomes.

Methods: The case records of 40 patients (41 shoulders) who underwent ARCR using suture anchors were retrospectively reviewed to investigate complications of the fingers and hand after ARCR. Read More

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http://dx.doi.org/10.2174/1874325001812010134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5897988PMC
March 2018
4 Reads

Shoulder Lesion in a 69 Year Old Woman.

J Long Term Eff Med Implants 2018 ;28(1):47-53

Division of Adult Reconstruction, SUNY Downstate Medical Center, Brooklyn, New York; Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center, Brooklyn, New York.

Milwaukee Shoulder Syndrome (MSS) is a painful progressive arthropathy in which hydroxyapatite crystal deposition in synovial tissue induces lysosomal release of collagenase and neutral proteases. These enzymes are destructive to periarticular tissue, including the synovium, articular cartilage, rotator cuff muscles, and the intrasynovial cortical bone. MSS predominantly occurring in women (90%) over the age of 70 years of age with a clinical history marked by recurrent joint effusions and pain, which classically worsens at night. Read More

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http://dx.doi.org/10.1615/JLongTermEffMedImplants.2017020612DOI Listing
January 2018
14 Reads

Common Soft Tissue Musculoskeletal Pain Disorders.

Prim Care 2018 Jun;45(2):289-303

Rheumatology Fellowship, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Uniformed Services University of the Health Sciences, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234, USA.

Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. Read More

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http://dx.doi.org/10.1016/j.pop.2018.02.006DOI Listing
June 2018
18 Reads

ACR Appropriateness Criteria Shoulder Pain-Traumatic.

J Am Coll Radiol 2018 May;15(5S):S171-S188

Specialty Chair, Mayo Clinic, Phoenix, Arizona.

Traumatic shoulder pain is pain directly attributed to a traumatic event, either acute or chronic. This pain may be the result of either fracture (the clavicle, scapula, or proximal humerus) or soft-tissue injury (most commonly of the rotator cuff, acromioclavicular ligaments, or labroligamentous complex). Imaging assessment of traumatic shoulder pain begins with conventional radiography and, depending on physical examination findings, will require MRI or MR arthrography for assessment of soft-tissue injuries and CT for delineation of fracture planes. Read More

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http://dx.doi.org/10.1016/j.jacr.2018.03.013DOI Listing
May 2018
6 Reads

The Swimmer's Shoulder: Multi-directional Instability.

Curr Rev Musculoskelet Med 2018 Jun;11(2):167-171

Sports Medicine and Shoulder Service, Hospital for Special Surgery, 535 E 70th Street, New York, NY, 10021, USA.

Purpose Of Review: Swimmer's shoulder is the term used to describe the problem of shoulder pain in swimmers. Originally described as supraspinatus tendon impingement under the coracoacromial arch, it is now understood that several different pathologies can cause shoulder pain in competitive swimmers, including subacromial impingement syndrome, overuse and subsequent muscle fatigue, scapular dyskinesis, and laxity and instability.

Recent Findings: Swimmers may develop increased shoulder laxity over time due to repetitive use. Read More

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http://dx.doi.org/10.1007/s12178-018-9485-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5970120PMC
June 2018
33 Reads

A new clinical model for facilitating the development of pattern recognition skills in clinical pain assessment.

Musculoskelet Sci Pract 2018 08 9;36:17-24. Epub 2018 Apr 9.

Faculty of Health Sciences, The University of Sydney, and the Kolling Institute, Royal North Shore Hospital, NSW, Australia. Electronic address:

Common, enigmatic musculoskeletal conditions such as whiplash-associated disorder, myofascial pain syndrome, low back pain, headache, fibromyalgia, osteoarthritis, and rotator cuff pathology, account for significant social, economic, and personal burdens on a global scale. Despite their primacy (and shared sequelae) there remains a paucity of available and effective management options for patients with both acute and chronic conditions. Establishing an accurate prognostic or diagnostic profile on a patient-by-patient basis can challenge the insight of both novice and expert clinicians. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687812183008
Publisher Site
http://dx.doi.org/10.1016/j.msksp.2018.03.006DOI Listing
August 2018
4 Reads

Accuracy of Ultrasonography (US) and Magnetic Resonance Imaging (MRI) in Detection of Rotator Cuff Tears in District General Hospital.

Pol J Radiol 2017 20;82:634-637. Epub 2017 Oct 20.

Department of Trauma and Orthopaedics, Royal Surrey County Hospital, Guildford, U.K.

Background: Rotator cuff tears (RCTs) represent a significant proportion of shoulder diseases, hence they are a frequent cause of patient visits in shoulder clinics. However, the diagnosis of rotator cuff tears is controversial. Investigation of cuff tears is based on ultrasonography (US) and magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.12659/PJR.903004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894042PMC
October 2017
4 Reads

Upper body kinematic and muscular variability in response to targeted rotator cuff fatigue.

Hum Mov Sci 2018 Jun 11;59:121-133. Epub 2018 Apr 11.

Occupational Biomechanics Laboratory, Department of Kinesiology, McMaster University, Hamilton, ON L8S 4K1, Canada. Electronic address:

The rotator cuff muscles are prominent stabilizers of the shoulder and are vulnerable to muscle fatigue. Rotator cuff fatigue may result in subacromial impingement (SAI) through the superior translation of the humeral head. Scapular changes have been reported inconsistently, but may prevent SAI. Read More

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http://dx.doi.org/10.1016/j.humov.2018.04.001DOI Listing
June 2018
5 Reads

Ultrasound guided versus landmark guided corticosteroid injection in patients with rotator cuff syndrome: Randomised controlled trial.

J Clin Orthop Trauma 2018 Mar 7;9(Suppl 1):S80-S85. Epub 2017 Feb 7.

Department of Orthopaedics, GTB Hospital & UCMS, Delhi 110095, India.

Objective: Impingement syndrome is the most common differential in a patient presenting to an orthopaedic OPD with shoulder pain. Impingement syndrome is often managed with subacromial corticosteroid injection, which can be instilled using either landmark guided (LMG) approach or with the assistance of ultrasound (US). This study was envisaged to enquire whether ultrasound assistance improves the accuracy, efficacy or safety profile of the injection. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883910PMC
March 2018
4 Reads

Identification of Myofascial Trigger Points in Breast Cancer Survivors with Upper Limb Pain: Interrater Reliability.

Pain Med 2018 Aug;19(8):1650-1656

Department of Rehabilitation Sciences, KU Leuven-University of Leuven, Leuven, Belgium.

Objective: Despite the increasing awareness of the contribution of myofascial dysfunctions to upper limb pain in breast cancer survivors, reliability of the identification of myofascial trigger points (MTPs) in this population has not yet been investigated. Therefore, the aim of the present study was to investigate the interrater reliability of the identification of MTPs by palpation at the upper limb region in breast cancer survivors with upper limb pain.

Design: Interrater reliability study. Read More

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http://dx.doi.org/10.1093/pm/pnx299DOI Listing
August 2018
5 Reads

Patients who are candidates for subacromial decompression have more pronounced range of motion deficits, but do not differ in self-reported shoulder function, strength or pain compared to non-candidates.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 17;26(8):2505-2511. Epub 2018 Mar 17.

Sports Orthopedic Research Center - Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager & Hvidovre, Denmark.

Purpose: Subacromial impingement syndrome (SIS) is associated with low self-reported shoulder function, impairments in shoulder strength and range of motion (ROM), and pain. It is not known how the symptomatology associated with SIS is reflected in the choice of treatment. This study compares self-reported shoulder function, shoulder strength, ROM, and pain in patients with SIS considered candidates and non-candidates for subacromial decompression (SAD). Read More

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http://link.springer.com/10.1007/s00167-018-4894-6
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http://dx.doi.org/10.1007/s00167-018-4894-6DOI Listing
August 2018
4 Reads

Subacromial Decompression Yields a Better Clinical Outcome Than Therapy Alone: A Prospective Randomized Study of Patients With a Minimum 10-Year Follow-up.

Am J Sports Med 2018 May 15;46(6):1397-1407. Epub 2018 Mar 15.

Department of Orthopedics, NU-Hospital Group, Trollhättan/Uddevalla, Sweden.

Background: The long-term outcome after the treatment of subacromial impingement syndrome (SAIS) with either nonsurgical or surgical methods has not been thoroughly investigated. Hypothesis/Purpose: The purpose was to evaluate the long-term clinical outcome and the presence of rotator cuff injuries and osteoarthritis (OA) after the surgical and nonsurgical treatment of SAIS. The hypothesis was that, at a minimum 10 years after the initial treatment, patients who had undergone acromioplasty would have a better clinical outcome and run a lower risk of developing rotator cuff ruptures and OA as compared with those treated with physical therapy. Read More

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http://dx.doi.org/10.1177/0363546518755759DOI Listing
May 2018
19 Reads

Injection Therapies for Rotator Cuff Disease.

Orthop Clin North Am 2018 Apr 19;49(2):231-239. Epub 2017 Dec 19.

Sports Medicine and Shoulder Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY, USA.

Rotator cuff disease affects a large proportion of the overall population and encompasses a wide spectrum of pathologies, including subacromial impingement, rotator cuff tendinopathy or tear, and calcific tendinitis. Various injection therapies have been used for the treatment of rotator cuff disease, including corticosteroid, prolotherapy, platelet-rich plasma, stem cells, and ultrasound-guided barbotage for calcific tendinitis. However, the existing evidence for these therapies remains controversial or sparse. Read More

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http://dx.doi.org/10.1016/j.ocl.2017.11.010DOI Listing
April 2018
26 Reads

The Strengthening Exercises in Shoulder Impingement trial (The SExSI-trial) investigating the effectiveness of a simple add-on shoulder strengthening exercise programme in patients with long-lasting subacromial impingement syndrome: Study protocol for a pragmatic, assessor blinded, parallel-group, randomised, controlled trial.

Trials 2018 Mar 2;19(1):154. Epub 2018 Mar 2.

Sports Orthopaedic Research Center - Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Kettegårds Allé 30, DK-2650, Hvidovre, Denmark.

Background: Subacromial impingement syndrome (SIS) is a painful, and often long lasting, shoulder condition affecting patient function and quality of life. In a recent study, we observed major strength impairments in shoulder external rotation and abduction (~30%) in a population of patients with pronounced and long-lasting SIS. However, the current rehabilitation of such strength impairments may be inadequate, with novel rehabilitation programmes including exercise therapy only improving external rotation strength by 4-13%. Read More

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http://dx.doi.org/10.1186/s13063-018-2509-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833202PMC
March 2018
15 Reads

The End of an Era?

Authors:
Jeremy Lewis

J Orthop Sports Phys Ther 2018 Mar;48(3):127-129

In 1972, American orthopaedic surgeon Charles Neer published his seminal paper, "Anterior Acromioplasty for the Chronic Impingement Syndrome in the Shoulder: A Preliminary Report." It wasn't a robust scientific paper; however, it changed the direction of orthopaedic practice for the next half century. Neer argued that a primary cause of shoulder pain was attrition of the supraspinatus tendon and related structures from the overlying acromion, especially when the arm was elevated. Read More

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http://dx.doi.org/10.2519/jospt.2018.0102DOI Listing
March 2018
68 Reads

Cost-effectiveness Evaluation of the Inclusion of Dry Needling into an Exercise Program for Subacromial Pain Syndrome: Evidence from a Randomized Clinical Trial.

Pain Med 2018 Dec;19(12):2336-2347

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain.

Objective: To evaluate the cost-effectiveness of the inclusion of trigger point-dry needling (TrP-DN) into an exercise program for the management of subacromial pain syndrome.

Methods: Fifty patients with unilateral subacromial pain syndrome were randomized with concealed allocation to exercise alone or exercise plus TrP-DN. Both groups were asked to perform an exercise program targeting the rotator cuff musculature twice daily for five weeks. Read More

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https://academic.oup.com/painmedicine/advance-article/doi/10
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http://dx.doi.org/10.1093/pm/pny021DOI Listing
December 2018
23 Reads

Do subscapularis tears really result in superior humeral migration?

Acta Orthop Traumatol Turc 2018 Mar 13;52(2):109-114. Epub 2018 Feb 13.

Gazi University, School of Medicine, Department of Orthopaedics & Traumatology, Ankara, Turkey.

Objectives: The aim of this study was to analyse the effect of subscapularis tear on superior humeral excursion (SHE) and acromiohumeral distance (AHD). The hypothesis was that subscapularis tears do not result in superior humeral excursion.

Methods: Patients who underwent shoulder arthroscopy between August of 2011 and 2015 were reevaluated. Read More

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http://dx.doi.org/10.1016/j.aott.2018.01.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136318PMC
March 2018
7 Reads

Multimodality imaging of subacromial impingement syndrome.

Skeletal Radiol 2018 Jul 14;47(7):923-937. Epub 2018 Feb 14.

Department of Orthopedic Surgery, Clinique du Sport, 2 Rue George Negrevergne, 33700, Mérignac-Bordeaux, France.

Subacromial impingement syndrome results from irritation of the tendons of the rotator cuff muscles in the subacromial space and may manifest as a range of pathologies. However, subacromial impingement is a dynamic condition for which imaging reveals predisposing factors but no pathognomonic indicators. Also, the usual imaging features of subacromial impingement may be seen in symptomatic and asymptomatic patients. Read More

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http://link.springer.com/10.1007/s00256-018-2875-y
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http://dx.doi.org/10.1007/s00256-018-2875-yDOI Listing
July 2018
9 Reads

Comprehensive Examination of the Athlete's Shoulder.

Sports Health 2018 Jul/Aug;10(4):366-375. Epub 2018 Feb 14.

Section of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.

Context: Shoulder pain and dysfunction are common, with patients presenting complaints to both primary and orthopaedic physicians. History and physical examination remain essential to creating a differential diagnosis, even as noninvasive imaging has improved.

Evidence Acquisition: Literature was obtained through keyword searches based on the pathology in question (eg, rotator cuff) and the keywords physical examination using PubMed from January 1, 1980, through September 20, 2017. Read More

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http://dx.doi.org/10.1177/1941738118757197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044121PMC
July 2018
11 Reads

The relationships between shoulder pain, range of motion, and disability in patients with shoulder dysfunction.

J Back Musculoskelet Rehabil 2018 Feb;31(1):163-167

Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.

Background: Shoulder dysfunction is a major cause of musculoskeletal pain in general population. A variety of shoulder disorders can cause a reduction in shoulder range of motion and subsequent disability.

Objective: To investigate the relationship between the shoulder pain, range of motion, and disability in patients with shoulder dysfunction. Read More

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http://dx.doi.org/10.3233/BMR-169762DOI Listing
February 2018
6 Reads

Lower shoulder abduction during throwing motion may cause forceful internal impingement and decreased anterior stability.

J Shoulder Elbow Surg 2018 Jun 13;27(6):1125-1132. Epub 2018 Feb 13.

Department of Sports Orthopaedic Center, Yokohama Minami Kyosai Hospital, Yokohama, Japan; Orthopaedic Biomechanics Laboratory, Tibor Rubin VA Medical Center, Long Beach, CA, USA; Department of Orthopaedic Surgery, University of California, Irvine, CA, USA. Electronic address:

Background: Internal impingement and decreased anterior stability, which result from shoulder capsular loosening, are common shoulder pathologies in throwing athletes. The purpose of this study was to assess the effect of shoulder abduction angle on shoulder internal impingement and anterior shoulder stability during the simulated throwing motion.

Methods: Eight cadaveric shoulders were tested by simulating the late-cocking and acceleration phases of the throwing motion for intact and thrower's shoulder conditions. Read More

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http://dx.doi.org/10.1016/j.jse.2017.12.029DOI Listing
June 2018
8 Reads

Short-term outcomes of subacromial injection of combined corticosteroid with low-volume compared to high-volume local anesthetic for rotator cuff impingement syndrome: a randomized controlled non-inferiority trial.

Eur J Orthop Surg Traumatol 2018 Aug 8;28(6):1079-1087. Epub 2018 Feb 8.

Sport and Orthopedic Center, Samitivej Hospital, Bangkok, Thailand.

Background: In symptomatic tendinosis, a corticosteroid injection into the subacromial space is a palliative treatment option. This study compares high volumes (10 cc) of local anesthetic (LA) combined with triamcinolone acetate (TA) with low volumes (4 cc) of LA combined with TA to see whether the latter would provide similar pain, function and complication outcomes for subacromial injections in patients with impingement syndrome.

Materials And Methods: This single-center, randomized, single-blind, non-inferiority trial included patients with shoulder pain and positive multiple clinical tests supporting the diagnosis of impingement syndrome. Read More

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http://dx.doi.org/10.1007/s00590-018-2149-3DOI Listing
August 2018
29 Reads

Prevalence of upper extremity pain in a population of people with paraplegia.

Spinal Cord 2018 07 24;56(7):695-703. Epub 2018 Jan 24.

Department of Orthopaedic Surgery, Trauma Surgery and Spinal Cord Injury, University of Heidelberg, Heidelberg, Germany.

Study Design: Cross-sectional study.

Objectives: To determine the prevalence, patterns, and predictors of musculoskeletal pain in the upper extremity joints among wheelchair-dependent individuals with post-traumatic paraplegia. Secondarily, to document most common reported causes of upper extremity pain. Read More

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http://dx.doi.org/10.1038/s41393-018-0062-6DOI Listing
July 2018
3 Reads