1,586 results match your criteria Infraspinatus Syndrome


[Subacromial impingement syndrome].

Ugeskr Laeger 2019 Apr;181(14)

Subacromial impingement syndrome is one of the most common causes of shoulder pain and is associated with substantial shoulder impairments. The initial treatment should be non-operative in form of rotator cuff and scapula strengthening exercises for at least three months. Not all patients respond satisfactorily to non-operative treatment, but only patients with persistent symptoms after sufficiently tried non-operative treatment, should be referred to an orthopaedic specialist. Read More

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April 2019
2 Reads

Appropriate care for orthopedic patients: effect of implementation of the Clinical Practice Guideline for Diagnosis and Treatment of Subacromial Pain Syndrome in the Netherlands.

Acta Orthop 2019 Apr 1:1-10. Epub 2019 Apr 1.

a Department of Orthopedic Surgery , University of Groningen, University Medical Center Groningen ;

Background and purpose - The multidisciplinary Clinical Practice Guideline for diagnosis and treatment of subacromial pain syndrome (SAPS) was created in 2012 by the Dutch Orthopedic Association. In brief, it stated that SAPS should preferably be treated nonoperatively. We evaluated the effect of the implementation of the guideline on the number of shoulder surgeries for SAPS in the Netherlands (17 million inhabitants). Read More

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http://dx.doi.org/10.1080/17453674.2019.1593641DOI Listing
April 2019
2 Reads

Two Cases of Spontaneous Recurrent Hemarthrosis of the Shoulder with Acromial Erosion Associated with Impingement Syndrome.

Case Rep Orthop 2019 21;2019:3042475. Epub 2019 Feb 21.

Department of Orthopedics, Tokushima University, Japan.

Spontaneous recurrent hemarthrosis of the shoulder is rare. Most previously reported cases were associated with massive rotator cuff tear and degenerative glenohumeral arthritis. We described two cases of recurrent hemarthrosis without osteoarthritis of the shoulder. Read More

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http://dx.doi.org/10.1155/2019/3042475DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409071PMC
February 2019
3 Reads

CT findings in a dog with subacute myopathy and later fibrotic contracture of the infraspinatus muscle.

Vet Radiol Ultrasound 2019 Mar 18. Epub 2019 Mar 18.

Department of Companion Animal Clinical Sciences, Faculty of Veterinary Medicine, Norwegian University of Life Science, Oslo, Norway.

A 5-year-old Norwegian elkhound was referred due to an acute onset of lameness and persistent shoulder pain over a period of 3 weeks. Computed tomography demonstrated an enlarged, hypoattenuating right infraspinatus muscle with peripheral contrast enhancement and a nonenhancing center, without concurrent lesions in superficial structures or bones. The right infraspinatus muscle showed progressive atrophy on consecutive CT studies. Read More

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http://dx.doi.org/10.1111/vru.12727DOI Listing
March 2019
2 Reads

Upper limb active joint repositioning during a multijoint task in participants with and without rotator cuff tendinopathy and effect of a rehabilitation program.

J Hand Ther 2019 Mar 8. Epub 2019 Mar 8.

Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada, G1M 2S8; Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada, G1R 1P5.

Study Design: Cross-sectional and longitudinal (exploratory) studies.

Introduction: Rotator cuff (RC) tendinopathy is the most prevalent shoulder diagnosis, and proprioception deficits are often observed in individuals with RC tendinopathy.

Purpose Of The Study: This study aimed to evaluate upper limb proprioception during a multijoint task in participants with and without RC tendinopathy and to determine if symptoms, functional limitations, and proprioception are improved after a rehabilitation program. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08941130173028
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http://dx.doi.org/10.1016/j.jht.2018.09.009DOI Listing
March 2019
3 Reads

The supraspinatus occupation ratios of both the ≥ 50% articular- and bursal-side partial-thickness rotator cuff tears were low and the infraspinatus occupation ratio of the ≥ 50% bursal-side partial-thickness rotator cuff tears was low.

Knee Surg Sports Traumatol Arthrosc 2019 Mar 7. Epub 2019 Mar 7.

Department of Orthopaedic Surgery, Dankook University College of Medicine, Manghyangro 201, Dongnam-gu, 330-715, Cheonan, Chungnam, Republic of Korea.

Purpose: The purpose of this study was to analyze the relationship between the occupation ratio and partial-thickness rotator cuff tears.

Methods: The study included and retrospectively investigated 683 patients with partial-thickness rotator cuff tears between 2013 and 2017. Fifty patients with impingement syndrome were also enrolled as the control group for normal-population comparison. Read More

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http://dx.doi.org/10.1007/s00167-019-05419-0DOI Listing
March 2019
2 Reads

Synovitis as a concomitant disease in shoulder pathologies.

Arch Orthop Trauma Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Introduction: Shoulder pathologies are often accompanied by rotator interval synovitis. This phenomenon is poorly described in the literature so far. The aim of the study was to analyze the occurrence of macroscopically visible synovial reaction in the rotator interval in patients with chronic shoulder pathologies and to perform a histopathological evaluation. Read More

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http://link.springer.com/10.1007/s00402-019-03152-4
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http://dx.doi.org/10.1007/s00402-019-03152-4DOI Listing
March 2019
5 Reads

Autoimmune Connective Tissue Diseases and the Risk of Rotator Cuff Repair Surgery: A Population-Based Retrospective Cohort Study.

BMJ Open 2019 Feb 25;9(2):e023848. Epub 2019 Feb 25.

Department of Mathematics, Soochow University, Taipei, Taiwan.

Objectives: Autoimmune connective tissue diseases (ACTDs) commonly involve the shoulder joint; however, clinical epidemiological studies investigating their association with tendons are scant. Rotator cuff (RC) tears can cause shoulder disability, and surgical intervention is usually required. The study investigated RC repair surgery risk in ACTD patients. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-023848DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398915PMC
February 2019
3 Reads

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
1 Read

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
9 Reads

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368381PMC
February 2019
2 Reads

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
10 Reads

Subacromial decompression surgery for rotator cuff disease.

Cochrane Database Syst Rev 2019 01 17;1:CD005619. Epub 2019 Jan 17.

Monash Department of Clinical Epidemiology, Cabrini Institute and Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia, 3144.

Background: Surgery for rotator cuff disease is usually used after non-operative interventions have failed, although our Cochrane Review, first published in 2007, found that there was uncertain clinical benefit following subacromial decompression surgery.

Objectives: To synthesise the available evidence of the benefits and harms of subacromial decompression surgery compared with placebo, no intervention or non-surgical interventions in people with rotator cuff disease (excluding full thickness rotator cuff tears).

Search Methods: We searched CENTRAL, MEDLINE, Embase, Clinicaltrials. Read More

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http://doi.wiley.com/10.1002/14651858.CD005619.pub3
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http://dx.doi.org/10.1002/14651858.CD005619.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357907PMC
January 2019
21 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
20 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
6 Reads

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
6 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
110 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
14 Reads

A Prospective Randomized Study Comparing the Effectiveness of Midlateral and Posterior Subacromial Steroid Injections.

Orthopedics 2019 Jan 14;42(1):e44-e50. Epub 2018 Nov 14.

The authors sought to compare the accuracy and effectiveness of the mid-lateral and posterior routes of subacromial injection. They conducted a prospective randomized study involving 50 shoulders scheduled to receive subacromial injection via the midlateral or posterior route. After injection, a blinded musculoskeletal radiologist interpreted the radiographs. Read More

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http://dx.doi.org/10.3928/01477447-20181109-03DOI Listing
January 2019
2 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
11 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
16 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
5 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
20 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
19 Reads

Subacromial impingement anatomy and its association with rotator cuff pathology in women: radiograph and MRI correlation, a retrospective evaluation.

Skeletal Radiol 2019 May 27;48(5):781-790. Epub 2018 Oct 27.

Radiology Department, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9178, USA.

Objective: To evaluate the relationships between acromial anatomy and developmental alterations with rotator cuff tears in female patients and compare these parameters on radiographs and corresponding MRIs along with inter-reader performance.

Materials And Methods: Patient demographics, symptoms, and acromial characteristics on radiograph (acromial index, lateral acromion angle, subacromial space on AP and Y- views, acromial anterior and lateral downsloping) and MRI (shape, slope, spur, osteoarthrosis, os acromiale) were recorded. Radiographic and MRI findings were compared and correlated with rotator cuff pathology on MRI. Read More

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http://link.springer.com/10.1007/s00256-018-3096-0
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http://dx.doi.org/10.1007/s00256-018-3096-0DOI Listing
May 2019
16 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
20 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
March 2019
3 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
4 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
5 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 2019 May 15;60(5):608-614. 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
May 2019
10 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
13 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
6 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
11 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
28 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
18 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
5 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
20 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
27 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
9 Reads

The Diagnostic Reproducibility of Tomosynthesis for the Correlation between Acromiohumeral Distance and Rotator Cuff Size or Type.

Korean J Radiol 2018 May-Jun;19(3):417-424. Epub 2018 Apr 6.

Department of Radiology, Hanyang University Hospital, Seoul 04763, Korea.

Objective: To correlate the acromiohumeral distance (AHD) using tomosynthesis and rotator cuff (RC) pathology and various anatomical indices and to assess the diagnostic reproducibility of tomosynthesis for the evaluation of subacromial impingement.

Materials And Methods: A retrospective review of 63 patients with clinically suspected subacromial impingement was conducted. Two musculoskeletal radiologists independently measured the following quantitative data: the AHD on plain radiographs and the AHD at three compartments (anterior, middle, and posterior) using tomosynthesis, computed tomography (CT) arthrography, or magnetic resonance (MR) arthrography. Read More

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http://dx.doi.org/10.3348/kjr.2018.19.3.417DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904468PMC
February 2019
1 Read

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
46 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
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http://dx.doi.org/10.1016/j.msksp.2018.03.006DOI Listing
August 2018
8 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
5 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
7 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
5 Reads

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

Pain Med 2018 08;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
7 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
Publisher Site
http://dx.doi.org/10.1007/s00167-018-4894-6DOI Listing
August 2018
8 Reads