1,660 results match your criteria Infraspinatus Syndrome


Where and what damage occurs at the acromial undersurface in patients with rotator cuff tears?

J Shoulder Elbow Surg 2020 May 12. Epub 2020 May 12.

Department of Orthopedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.

Background: The gross pathology of the acromial undersurface in shoulders with rotator cuff tears with subacromial impingement is not completely understood. Many researchers have focused on damage to the anterior one-third area of the acromial undersurface, but few have studied the middle and posterior one-third areas. The purpose of this study was to clarify where and what damage occurs at the acromial undersurface in patients with rotator cuff tears. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.002DOI Listing

Role of shoulder gradient in the pathogenesis of rotator cuff tears.

World J Orthop 2020 Apr 18;11(4):206-212. Epub 2020 Apr 18.

Department of Orthopedics, Rasul-e Akram Hospital, Iran University of Medical Sciences, Tehran 1445613131, Iran.

Background: Shoulder gradient has been associated with shoulder pathologies such as shoulder impingement syndrome.

Aim: To investigate if there is an association between shoulder gradient and incidence of rotator cuff tear (RCT).

Methods: A total of 61 patients with a confirmed diagnosis of RCT were included in this retrospective study. Read More

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http://dx.doi.org/10.5312/wjo.v11.i4.206DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206199PMC

Motor Recovery of the Suprascapular Nerve after Arthroscopic Decompression in the Scapular Notch - a Systematic Review.

Z Orthop Unfall 2020 May 11. Epub 2020 May 11.

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen.

Background: The suprascapular nerve can be compromised as a result of a compression syndrome in different locations. A (proximal) compression within the scapular notch can lead to dorsal shoulder pain and simultaneous weakness of the infraspinatus and supraspinatus muscles. By transection of the lig. Read More

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http://dx.doi.org/10.1055/a-1128-0557DOI Listing

Endoscopic Repair of Full-Thickness Gluteus Medius and Minimus Tears-Prospective Study with a Minimum 2-Year Follow-up.

Arthroscopy 2020 May 6. Epub 2020 May 6.

Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Partners Heath System, Boston, Massachusetts, USA.

Purpose: The purpose of this study is to evaluate the short-term outcomes of endoscopic repair of full-thickness gluteus medius and minimus tendon tears with a minimum of 2-year follow-up and add to the paucity of literature on abductor tendon tears.

Methods: All patients who underwent endoscopic abductor tendon repair between December 2013 and August 2017 were prospectively evaluated. The inclusion criteria for this study were primary full-thickness gluteal tendon tears and at least 2-years follow-up. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.04.025DOI Listing

Massive cutback in orthopaedic healthcare services due to the COVID-19 pandemic.

Knee Surg Sports Traumatol Arthrosc 2020 Jun 30;28(6):1705-1711. Epub 2020 Apr 30.

Department of Orthopaedic Surgery, Medical University of Innsbruck, Innrain 52, 6020, Innsbruck, Austria.

Purpose: Due to the lack of evidence, it was the aim of the study to investigate current possible cutbacks in orthopaedic healthcare due to the coronavirus disease 2019 pandemic (COVID-19).

Methods: An online survey was performed of orthopaedic surgeons in the German-speaking Arthroscopy Society (Gesellschaft für Arthroskopie und Gelenkchirurgie, AGA). The survey consisted of 20 questions concerning four topics: four questions addressed the origin and surgical experience of the participant, 12 questions dealt with potential cutbacks in orthopaedic healthcare and 4 questions addressed the influence of the pandemic on the particular surgeon. Read More

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http://dx.doi.org/10.1007/s00167-020-06032-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192059PMC

Shoulder Conditions: Rotator Cuff Injuries and Bursitis.

FP Essent 2020 Apr;491:11-16

WellSpan York Hospital Sports Medicine Fellowship, 1001 S George St, York, PA 17403.

Subacromial impingement/pain syndrome is a common cause of shoulder pain that encompasses a spectrum of pathology of the subacromial bursa and rotator cuff tendons. Pathology of the rotator cuff tendons can range from inflammation to fibrotic changes to partial- and full-thickness tears. Biomechanical dysfunction of the rotator cuff and glenohumeral complex contributes to the pathophysiology and progression of subacromial impingement/pain syndrome. Read More

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Acromioplasty rates in patients with shoulder disorders with and without acupuncture treatment: a retrospective propensity score-matched cohort study.

Acupunct Med 2020 Apr 20:964528419895529. Epub 2020 Apr 20.

Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea.

Objective: This retrospective propensity score-matched cohort study aimed to examine the frequency of acromioplasty among patients with shoulder disorders receiving and not receiving acupuncture, based on Korea National Health Insurance Service-National Sample Cohort (NHIS-NSC) data.

Methods: We included cases of high-frequency shoulder disorders-adhesive capsulitis, rotator cuff syndrome, shoulder impingement syndrome, and sprain and strain of the shoulder joint-stratified from the Korea NHIS-NSC database between 2002 and 2013; cases were classified into two groups based on a history of acupuncture treatment performed at least twice within 6 weeks (acupuncture group:  = 111,561; control group:  = 71,340). We examined propensity scores and hazard ratios (HRs) for the frequency of acromioplasty, within 2 years of the first treatment or first examination in the acupuncture and control groups, respectively; cumulative survival rates were estimated using Kaplan-Meier survival analysis. Read More

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http://dx.doi.org/10.1177/0964528419895529DOI Listing

The acromion-greater tuberosity impingement index: A new radiographic measurement and its association with rotator cuff pathology.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499020913348

Department of Orthopaedic Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, China.

Purpose: Several radiographic parameters describe humeral head coverage by the acromion. We describe a new radiographic measurement, the acromion-greater tuberosity impingement index (ATI), and its ability to predict rotator cuff pathology.

Methods: The ATI was measured with magnetic resonance imaging (MRI) and X-ray analysis in 83 patients with rotator cuff pathology and 76 patients with acute rotator cuff tears. Read More

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http://dx.doi.org/10.1177/2309499020913348DOI Listing

Painful Shoulder: Exercise Can Reduce Pain and Improve Mobility and Function.

Authors:

J Orthop Sports Phys Ther 2020 Mar;50(3):142

Shoulder pain is common, especially as we age. Pain that limits your ability to raise your arm above your head or rotate your shoulder is called "subacromial shoulder pain." The good news is that most people with subacromial shoulder pain improve with physical therapy. Read More

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http://dx.doi.org/10.2519/jospt.2020.0501DOI Listing

Dose-Response Relationship between Physical Workload and Specific Shoulder Diseases-A Systematic Review with Meta-Analysis.

Int J Environ Res Public Health 2020 02 14;17(4). Epub 2020 Feb 14.

Division of Occupational Health, Department of Occupational Safety and Environment, Regional Government of South Hesse, 65197 Wiesbaden, Germany.

Several epidemiological studies have found an association between shoulder-loaded work activities and specific shoulder diseases. No study has derived the dose-response relationship and resulting doubling dose, important for the recognition of occupational diseases. This systematic review is an update of the van der Molen et al. Read More

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http://dx.doi.org/10.3390/ijerph17041243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068556PMC
February 2020

Subacromial analgesia via continuous infusion catheter vs. placebo following arthroscopic shoulder surgery: a systematic review and meta-analysis of randomized trials.

J Shoulder Elbow Surg 2020 Mar;29(3):471-482

Department of Orthopaedic Surgery, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.

Background: Subacromial analgesia (SAA) is hypothesized to reduce pain after arthroscopic shoulder surgery by delivering a continuous infusion of local anesthetic directly to the surgical site. The purpose of this systematic review and meta-analysis was to evaluate the efficacy of SAA vs. placebo for pain relief after arthroscopic subacromial shoulder procedures. Read More

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http://dx.doi.org/10.1016/j.jse.2019.11.010DOI Listing

Measurement of Pectoralis Minor Muscle Length in Women Diagnosed With Breast Cancer: Reliability, Validity, and Clinical Application.

Phys Ther 2020 03;100(3):429-437

Department of Exercise Science, Creighton University.

Background: Decreased pectoralis minor muscle length is common after primary breast cancer treatment and can result in an abnormal position of the scapula. This position can contribute to shoulder pain and pathomechanics and can lead to problems such as impingement syndrome, rotator cuff tears, and frozen shoulder. Currently, there are limited reliable methods for measuring pectoralis minor length. Read More

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http://dx.doi.org/10.1093/ptj/pzz174DOI Listing

Teres minor and quadrilateral space syndrome: A review.

J Orthop 2020 Jul-Aug;20:144-146. Epub 2020 Jan 21.

University of Toledo Medical Center, 3000 Arlington Ave. Toledo, OH, 43614, USA.

The teres minor is one of four rotator cuff muscles that is involved in many shoulder pathologies. The integrity of the teres minor can be indicative of treatment success for disorders including rotator cuff tears, impingement syndrome, and quadrangular space syndrome. Quadrangular or quadrilateral space syndrome is a debilitating disorder that may require surgical intervention in chronic cases and can lead to atrophy of the teres minor. Read More

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http://dx.doi.org/10.1016/j.jor.2020.01.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997635PMC
January 2020

Shoulder Rotator Cuff Disorders: A Systematic Review of Clinical Practice Guidelines and Semantic Analyses of Recommendations.

Arch Phys Med Rehabil 2020 Jan 31. Epub 2020 Jan 31.

Maisonneuve-Rosemont Hospital Research Center, University of Montréal Affiliated Research Center, Montréal, Québec, Canada; School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada. Electronic address:

Objectives: To perform a systematic review of clinical practice guidelines (CPGs) and semantic analysis of specific clinical recommendations for the management of rotator cuff disorders in adults.

Data Sources: A systematic bibliographic search was conducted up until May 2018 in Medline, Embase, and Physiotherapy Evidence Database, or PEDro, databases, in addition to 12 clinical guidelines search engines listed on the Appraisal of Guidelines for Research and Evaluation (AGREE) website.

Study Selection: Nine CPGs on the management of rotator cuff disorders in adults or workers, available in English or French, and published from January 2008 onward, were included and screened by 2 independent reviewers. Read More

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http://dx.doi.org/10.1016/j.apmr.2019.12.017DOI Listing
January 2020

Cross-cultural adaptions and measurement properties of the WORC (Western Ontario rotator cuff index): a systematic review.

Health Qual Life Outcomes 2020 Jan 29;18(1):17. Epub 2020 Jan 29.

Collaborative Program in Musculoskeletal Health Research, Bone and Joint Institute, Western University, London, ON, Canada.

Background: To evaluate the translations, cross-cultural adaptation procedures and measurement properties of the Western Ontario Rotator Cuff Index (WORC), when it is adapted for different cultures.

Methods: A systematic review was performed, considering different cultural adaptions of the WORC accessible through MEDLINE, CINAHL, EMBASE and/or Google Scholar. Included were prospective cohort studies that used an adapted version of the WORC to measure QoL in patients with rotator cuff disorders. Read More

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http://dx.doi.org/10.1186/s12955-020-1276-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988228PMC
January 2020

Internal consistency, test-retest reliability, and construct validity of the adapted Arabic version of the Oxford shoulder score in patients with shoulder disorders.

Disabil Rehabil 2020 Jan 26:1-7. Epub 2020 Jan 26.

Department of Building and Real Estate, Hong Kong Polytechnic University, Kowloon, Hong Kong Special Administrative Region.

The current study aimed to evaluate the internal consistency, test-retest reliability, and construct validity of the translated and adapted Arabic version of the Oxford shoulder score in patients with shoulder disorders. One hundred four patients (average age 45.9 ± 15. Read More

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http://dx.doi.org/10.1080/09638288.2020.1714757DOI Listing
January 2020

Could superior capsule findings be used as a predictor for partial bursal-sided rotator cuff tears?

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499019895153

Department of Orthopedics and Traumatology, Medical Faculty, Gazi University, Ankara, Turkey.

Purpose: The purpose of this study was to investigate the relationship between the superior capsule tear patterns and synovitis with subacromial pathologies, such as bursal-sided rotator cuff tear and subacromial impingement syndrome.

Methods: Fifty patients who underwent arthroscopic treatment for isolated bursal-sided tear were included in the study. Fifty more patients who underwent arthroscopic treatment for isolated Superior Labrum Anterior Posterior (SLAP) 2 lesion without pathology in the rotator cuff were included in the control group. Read More

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http://dx.doi.org/10.1177/2309499019895153DOI Listing
January 2020

Axillary Peripheral Nerve Stimulation for Chronic Shoulder Pain: A Retrospective Case Series.

Neuromodulation 2020 Jan 13. Epub 2020 Jan 13.

International Spine Pain & Performance Center, Washington, DC, USA.

Objective: The objective of this study was to determine the effect of axillary peripheral nerve stimulation (PNS) on pain reduction in patients with chronic shoulder pain. Chronic shoulder pain was defined as pain greater than six months originating from any of the following and not the result of a stroke: subacromial impingement syndrome/rotator cuff pathology, glenohumeral joint arthritis, acromioclavicular joint arthritis, adhesive capsulitis, or biceps tendinopathy.

Materials And Methods: Eight adult patients with chronic shoulder pain, as defined above, who either did not respond to surgical intervention or who were deemed not ideal surgical candidates underwent permanent axillary PNS therapy. Read More

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http://dx.doi.org/10.1111/ner.13096DOI Listing
January 2020

Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review.

BMJ Open Sport Exerc Med 2019 6;5(1):e000544. Epub 2019 Dec 6.

School of Health and Social Work, University of Hertfordshire, Hatfield, UK.

Objectives: Rotator cuff-related shoulder pain (RCRSP) is a common upper limb complaint. It has been suggested that this condition is more common among people with cardiometabolic risk factors. This systematic review has synthesised evidence from case-control, cross-sectional and cohort studies on the association between metabolic syndrome (MetS) and RCRSP. Read More

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http://dx.doi.org/10.1136/bmjsem-2019-000544DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937110PMC
December 2019

Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis.

Medicine (Baltimore) 2020 Jan;99(2):e18716

Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital.

Background: Rotator cuff disease (RCD) consists of subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. Read More

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http://dx.doi.org/10.1097/MD.0000000000018716DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959934PMC
January 2020

Surgical Treatment of Gluteus Medius Tears Augmented With Allograft Human Dermis.

Arthrosc Tech 2019 Nov 25;8(11):e1379-e1387. Epub 2019 Oct 25.

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Greater trochanteric pain syndrome can be caused by gluteus medius and minimus tendinopathy/tears and chronic trochanteric bursitis. Specifically, moderate-to-severe abductor tendon tears can cause severe lateral hip pain, limp, and abnormal gait. A variety of open and endoscopic techniques to treat glut abductors hip tears have been described. Read More

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http://dx.doi.org/10.1016/j.eats.2019.07.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926308PMC
November 2019

Platelet-Rich Plasma and Corticosteroid in the Treatment of Rotator Cuff Impingement Syndrome: Randomized Clinical Trial.

Rev Bras Ortop (Sao Paulo) 2019 Dec 13;54(6):636-643. Epub 2019 Dec 13.

Programa de pós-graduação em Saúde e meio ambiente, Universidade Tiradentes, Aracaju, SE, Brasil.

 This research aims to study the effectiveness of platelet-rich plasma (PRP) in the treatment of patients with rotator cuff impingement syndrome compared with the treatment with subacromial injection of corticosteroids.  This is a double-blind, randomized, comparative clinical trial. The patients were clinically evaluated with the use of the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure, University of California Los Angeles (UCLA) shoulder rating scale and Constant-Murley shoulder outcome score (CMS) on the day of application, and then again after 1, 3 and 6 months. Read More

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http://dx.doi.org/10.1016/j.rboe.2018.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923638PMC
December 2019

New predictors for subscapularis tear: Coraco-lesser tuberosity angle, lesser tuberosity angle, and lesser tuberosity height.

Orthop Traumatol Surg Res 2020 Feb 11;106(1):45-51. Epub 2019 Dec 11.

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea. Electronic address:

Background: The pathogenesis of degenerative subscapularis (SC) tear is not clear, several mechanisms are involved: intrinsic tendon degeneration or subcoracoid impingement. The aim of this study was to propose new radiographic markers, the coraco-lesser tuberosity angle (CLA), lesser tuberosity angle (LTA) and lesser tuberosity height (LTH). The hypothesis was that higher values of CLA, LTA, and LTH would be associated with a higher likelihood in detecting a SC tear. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.10.017DOI Listing
February 2020

Surgery for rotator cuff tears.

Cochrane Database Syst Rev 2019 12 9;12:CD013502. Epub 2019 Dec 9.

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

Background: This review is one in a series of Cochrane Reviews of interventions for shoulder disorders.

Objectives: To synthesise the available evidence regarding the benefits and harms of rotator cuff repair with or without subacromial decompression in the treatment of rotator cuff tears of the shoulder.

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

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http://dx.doi.org/10.1002/14651858.CD013502DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6900168PMC
December 2019

Viewing perspective malrotation influences angular measurements on lateral radiographs of the scapula.

J Shoulder Elbow Surg 2020 May 26;29(5):1030-1039. Epub 2019 Nov 26.

Department of Orthopaedics, Harold K. Dunn Orthopaedic Research Laboratory, University of Utah, Salt Lake City, UT, USA; Department of Biomedical Engineering, University of Utah, Salt Lake City, UT, USA. Electronic address:

Background: Accurate and reliable assessment of acromial tilt (ATA) and slope (ASA) angles have been important in the clinical evaluation of degenerative and traumatic rotator cuff tears. This study analyzed the influence of radiographic viewing perspective on the ATA and ASA and developed criteria to identify true lateral (TL) view radiographs.

Methods: Three-dimensional computed tomographic (CT) reconstructions of 52 scapulae without rotator cuff tears or osteoarthritis were studied. Read More

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http://dx.doi.org/10.1016/j.jse.2019.09.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170764PMC

Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010-2017.

Vaccine 2020 Jan 26;38(5):1137-1143. Epub 2019 Nov 26.

Immunization Safety Office, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), United States.

Background: Vaccines administered into or too close to underlying joint structures have the potential to cause shoulder injuries. Limited data exist on the epidemiology of such events.

Objective: To describe case reports of atypical shoulder pain and dysfunction following injection of inactivated influenza vaccine (IIV). Read More

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http://dx.doi.org/10.1016/j.vaccine.2019.11.023DOI Listing
January 2020

Neuralgic Amyotrophy in a 66-year-old Hiker: a Case Report.

Mater Sociomed 2019 Sep;31(3):224-226

Department of Physiology, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

Introduction: Neuralgic amyotrophy (NA) or Parsonage Turner syndrome is a clinical syndrome characterized by sudden attack of neuropathic pain, motor weakness and sensory loss that could be more or less clinically present. Different interpretations regarding the differential diagnosis, symptoms, cause and treatment were given till now.

Aim: We report our experience with a 66-year-old male who had a sudden pain attack and palsy in shoulder region, without sensory loss, and associated calcific tendinitis of rotator cuff and degenerative changes in cervical spine. Read More

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http://dx.doi.org/10.5455/msm.2019.31.224-226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6853743PMC
September 2019

Exposure-response relationships between cumulative occupational shoulder exposures and different diagnoses related to surgery for subacromial impingement syndrome.

Int Arch Occup Environ Health 2020 Apr 23;93(3):375-380. Epub 2019 Nov 23.

Danish Ramazzini Centre, Department of Occupational Medicine, Regional Hospital West Jutland, University Research Clinic, Herning, Denmark.

Purpose: The aim was to examine associations between cumulative occupational shoulder exposures and different diagnoses related to surgery for subacromial impingement syndrome (SIS).

Methods: We re-analysed data from a previous register-based cohort study of the Danish working population (2,374,403 persons) with follow-up 2003-2008. The outcomes were eight different SIS-related diagnosis codes (M19, M75. Read More

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http://dx.doi.org/10.1007/s00420-019-01485-6DOI Listing

Effect of supervised physiotherapy versus home exercise program in patients with subacromial impingement syndrome: A systematic review and meta-analysis.

Phys Ther Sport 2020 Jan 6;41:34-42. Epub 2019 Nov 6.

Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain; Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay.

Objective: To determine whether supervised physiotherapy is more effective for functional improvement and pain relief than a home exercise program in subjects with subacromial impingement syndrome.

Design: Systematic review and meta-analysis of randomized clinical trials.

Methods: An electronic search was performed in Medline, Central, Embase, PEDro, Lilacs, Cinahl, SPORTDiscus, and Web of Science databases. Read More

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http://dx.doi.org/10.1016/j.ptsp.2019.11.003DOI Listing
January 2020

Editorial Commentary: Subacromial Bursa-Friend or Foe Within The Shoulder? An Old Debate With New Insights.

Arthroscopy 2019 11;35(11):2989-2991

Bad Neustadt/Saale, Germany.

There is an ongoing debate about whether to resect or preserve the subacromial bursa during surgical treatment of rotator cuff tears. Neer was the first to systematically describe bursitis as a component of subacromial impingement syndrome that may extend to rotator cuff disease, often discussed as a point of controversy with Uhthoff who first identified the bursa as a contributor to rotator cuff healing, both experimentally and clinically. Because the subacromial bursa provides the gliding mechanism of the shoulder and regenerates itself after surgical removal, interest evolved on the role of the bursa in the healing of rotator cuff tears for evolution of regenerative therapies as a support of arthroscopic repair techniques. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.08.019DOI Listing
November 2019

The Apoptosis Pathway and CASP8 Variants Conferring Risk for Acute and Overuse Musculoskeletal Injuries.

J Orthop Res 2020 Mar 11;38(3):680-688. Epub 2019 Nov 11.

Department of Human Biology, Division of Exercise Science and Sports Medicine, Faculty of Health Sciences, University of Cape Town, Postal: No 1 Boundary Road, ESSM Level 3, SISSA Building Newlands, Cape Town, 7700, South Africa.

Rotator cuff tendinopathy (RCT), anterior cruciate ligament (ACL) ruptures, and carpal tunnel syndrome (CTS), are examples of chronic (RCT and CTS) and acute (ACL ruptures) musculoskeletal soft tissue injuries. These injuries are multifactorial in nature, with several identified intrinsic and extrinsic risk factors. Previous studies have implicated specific sequence variants within genes encoding structural and regulatory components of the extracellular matrix of tendons and/ligaments to predispose individuals to these injuries. Read More

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http://dx.doi.org/10.1002/jor.24504DOI Listing
March 2020
1 Read

Comparison of glenohumeral joint rotation between asymptomatic subjects and patients with subacromial impingement syndrome using cine-magnetic resonance imaging: a cross-sectional study.

BMC Musculoskelet Disord 2019 Oct 25;20(1):475. Epub 2019 Oct 25.

Department of Orthopedic Surgery, School of Medicine, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0570, Japan.

Background: The purpose of this study to compare glenohumeral joint motion during active shoulder axial rotation between subacromial impingement syndrome (SIS) shoulders and asymptomatic shoulders using cine-magnetic resonance imaging (cine-MRI). Measurement of glenohumeral joint motion via manual intervention does not assess the usual glenohumeral joint motion, and the glenoid surface cannot be confirmed manually. However, cine-MRI can produce clear images of glenohumeral joint rotation. Read More

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http://dx.doi.org/10.1186/s12891-019-2818-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815044PMC
October 2019
1 Read

Investigation of C-C radiculopathy and shoulder rotator cuff lesions coexistence frequency.

North Clin Istanb 2019 16;6(3):260-266. Epub 2018 Nov 16.

Department of Physical Medicine and Rehabilitation, Erenkoy Physical Therapy and Rehabilitation Hospital, Istanbul, Turkey.

Objective: The aim of this study was to evaluate the coexistence of C and/or C root compression with rotator cuff pathologies and its effect on pain and disability.

Methods: A total of 65 patients with pain radiating from neck to shoulder were retrospectively evaluated on the basis of demographic data, duration of symptoms, overhead activities, and physical examination. The visual numerical scale (VNS), Quick DASH (Disabilities of the Arm, Shoulder, and Hand), and Shoulder Pain and Disability Index (SPADI) were also used. Read More

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http://dx.doi.org/10.14744/nci.2018.04796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790919PMC
November 2018
1 Read

Internal impingement of the shoulder in overhead athletes: Retrospective multicentre study in 135 arthroscopically-treated patients.

Orthop Traumatol Surg Res 2019 12 5;105(8S):S201-S206. Epub 2019 Oct 5.

15, rue Ampère, 92500 Rueil-Malmaison, France.

Background: Internal impingement of the shoulder (IIS) is the leading cause of chronic shoulder pain in overhead throwing athletes. No consensus exists about which techniques are optimal when surgery is in order. The available studies are limited by small sample sizes and short follow-ups. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.09.006DOI Listing
December 2019

[Painful shoulder: Frequent shoulder diseases, diagnosis and therapy].

MMW Fortschr Med 2019 Oct;161(17):62-73

Sektion Schulter- und Ellenbogenchirurgie, Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Universität München, Ludwig-Maximilians-Universität, Nussbaumstr. 20, D-80336, München, Deutschland.

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http://dx.doi.org/10.1007/s15006-019-0027-5DOI Listing
October 2019
1 Read

The impact of pre-existing shoulder diseases and traumatic injuries of the shoulder on adhesive capsulitis in adult population: A population-based nested case-control study.

Medicine (Baltimore) 2019 Sep;98(39):e17204

Department of Medical Research, Taichung Veterans General Hospital, Taichung.

Adhesive capsulitis (AC) is a common chronic disorder for adult patients; however, whether a history of pre-existing shoulder diseases may affect the development of AC is still not fully understood. We aimed to investigate the incidence and prevalence of AC and to assess the association of pre-existing shoulder diseases and traumatic injuries of the shoulder with the development of AC in adults.This retrospective population-based cohort and nested case-control study used data from the National Health Institute Research Database of Taiwan. Read More

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http://dx.doi.org/10.1097/MD.0000000000017204DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775364PMC
September 2019
6 Reads

Proximal myofascial pain in patients with distal complex regional pain syndrome of the upper limb.

J Bodyw Mov Ther 2019 Jul 21;23(3):547-554. Epub 2019 Feb 21.

Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. Electronic address:

Background: Patients suffering from complex regional pain syndrome (CRPS) endure myofascial-related pain in at least 50% of cases.

Aims: To evaluate the association of upper limb CRPS with myofascial pain in muscles that might influence arm or hand pain, and to evaluate whether the paraspinal skin and subcutaneous layers' tenderness and allodynia are associated with CRPS.

Methods: A case-control study comprising 20 patients presenting with upper limb CRPS, and 20 healthy controls matched for sex and age, were evaluated in the thoracic paraspinal area and myofascial trigger points (MTrPs) (infraspinatus, rhomboids, subclavius, serratus posterior superior and pectoralis minor) via a skin rolling test. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.02.015DOI Listing
July 2019
3 Reads

Internal impingement of the shoulder: An international survey of 261 orthopaedic surgeons.

Orthop Traumatol Surg Res 2019 12 21;105(8S):S207-S212. Epub 2019 Sep 21.

15, rue Ampère, 92500 Rueil-Malmaison, France.

Background: Internal impingement of the shoulder (IIS) is a specific disorder of young overhead-throwing athletes that was first described in 1991. The many non-operative and surgical treatments suggested to date have produced mixed outcomes. The objective of this study was to compare the practices of surgeons in France versus other countries regarding the diagnosis and treatment of IIS. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.09.007DOI Listing
December 2019
2 Reads

Risk factors for rotator cuff tendinopathy: A systematic review and meta-analysis.

J Rehabil Med 2019 Oct;51(9):627-637

Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, NA Hong Kong, Hong Kong.

Objectives: To conduct a systematic review and meta-analysis to identify risk and associated factors for symptomatic rotator cuff tendinopathy.

Data Sources: PubMed, CINAHL and Scopus were searched from inception to June 2017.

Study Selection: Participants presented with signs and symptoms suggestive of rotator cuff tendinopathy/tendinosis/tendinitis, shoulder impingement syndrome, or subacromial bursitis diagnosed by clinical tests and/or conventional imaging. Read More

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http://dx.doi.org/10.2340/16501977-2598DOI Listing
October 2019
17 Reads

Arthroscopic Repair of Type II SLAP Lesions in Overhead Athletes.

Arthrosc Tech 2019 Jul 18;8(7):e781-e792. Epub 2019 Jul 18.

Stetson Powell Orthopedics and Sports Medicine, Burbank, California, U.S.A.

For overhead athletes and, in particular, baseball pitchers, the rates of success and return to play for those who have undergone arthroscopic repair of type II SLAP lesions are poor, ranging from 7% to 62%. The reasons for the poor results and high failure rates in overhead athletes with type II SLAP repairs are multifactorial and are a combination of many factors. These factors include the failure to establish the diagnosis and treat these athletes preoperatively; the inability of the operating surgeon to differentiate normal anatomic variants from pathologic SLAP lesions at the time of surgery; the surgical technique, which may violate the rotator cuff; or the placement of suture anchors, which restricts external rotation and alters overhead throwing mechanics. Read More

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http://dx.doi.org/10.1016/j.eats.2019.03.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6714522PMC
July 2019
2 Reads

Radiofrequency microtenotomy: a promising method for treatment of rotator cuff tendinopathy.

Knee Surg Sports Traumatol Arthrosc 2019 Dec 31;27(12):3856-3863. Epub 2019 Aug 31.

Department of Orthopedics, University Hospital North Norway, 9038, Tromsö, Norway.

Purpose: Subacromial pain syndrome is a common disorder. Arthroscopic subacromial decompression is currently the preferred treatment method. Bipolar radiofrequency microtenotomy has shown promising results in treating tendinosis. Read More

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http://dx.doi.org/10.1007/s00167-019-05689-8DOI Listing
December 2019
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Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials.

J Shoulder Elbow Surg 2020 Jan 13;29(1):e29-e36. Epub 2019 Aug 13.

Sajad Physiotherapy Clinic, Tehran, Iran.

Background: Therapeutic exercise for scapular muscles is suggested to be effective in reducing shoulder pain in patients with rotator cuff disorders, whereas its effectiveness on scapular position and motion has remained unclear. Therefore, the aim of this systematic review was to investigate whether exercise therapy improves scapular position and motion in individuals with scapular dyskinesis.

Methods: This study is a wide systematic review including any type of clinical trial in which the effect of any type of therapeutic exercise, including scapular muscle strengthening, stretching, and scapular stabilization exercise, is investigated in adult participants. Read More

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http://dx.doi.org/10.1016/j.jse.2019.05.037DOI Listing
January 2020
2 Reads

The Influence of Different Rotator Cuff Deficiencies on Shoulder Stability Following Reverse Shoulder Arthroplasty.

Iowa Orthop J 2019 ;39(1):63-68

Department of Orthopedics and Rehabilitation, The University of Iowa, Iowa City, IA USA.

Background: The primary indication for reverse shoulder arthroplasty (RSA) is rotator cuff arthropathy caused by a deficient rotator cuff. Cuff deficiency in patients is highly variable in its distribution and extent, with mechanical implications that may significantly affect post-operative recovery. This study investigated the effects of variable cuff deficiency on the propensity for impingement between the scapula and humeral component and resulting subluxation, the source of two common complications (scapular notching and instability). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604531PMC
February 2020
3 Reads

Predictors of failure after conservative treatment of symptomatic partial-thickness rotator cuff tear.

J Shoulder Elbow Surg 2020 Jan 6;29(1):113-120. Epub 2019 Aug 6.

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, IR Iran. Electronic address:

Background: Further studies are required to determine the effectiveness of conservative treatment of partial-thickness rotator cuff tear (PTRCT). Here, we aim to identify the predictors of failure after conservative treatment in a large series of patients with symptomatic PTRCT.

Methods: The outcome of conservative treatment in a retrospective cohort of 272 patients with symptomatic PTRCT was evaluated. Read More

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http://dx.doi.org/10.1016/j.jse.2019.05.009DOI Listing
January 2020
3 Reads

Metabolic profiling of serum and tissue from the rotator interval and anterior capsule in shoulder stiffness: a preliminary study.

BMC Musculoskelet Disord 2019 Aug 7;20(1):364. Epub 2019 Aug 7.

Department of Orthopedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul, 137-701, South Korea.

Background: Using mass spectrometry, we evaluated the metabolic profiles of patients who had rotator cuff tears with shoulder stiffness, or shoulder stiffness only, and compared these with samples from a control group.

Methods: This study enrolled 28 patients, including 10 patients with shoulder stiffness only (group I), nine patients with rotator cuff tear and stiffness (group II), and nine controls selected from patients diagnosed with impingement syndrome or long head of the biceps lesions without evident limitation of joint motion or rotator cuff tears. Serum and tissue from the rotator interval and anterior capsule were collected. Read More

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http://dx.doi.org/10.1186/s12891-019-2709-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686262PMC
August 2019
2 Reads

Role of Ultrasound in the Detection of Rotator-Cuff Syndrome: An Observational Study.

Med Sci Monit 2019 Aug 6;25:5856-5863. Epub 2019 Aug 6.

Shanghai General Hospital of Nanjing Medical University, Shanghai, China (mainland).

BACKGROUND Physical tests are usually preferred to assess rotator-cuff syndrome but are insufficient to predict the morphology and size of the rotator-cuff. The objective of the study was to rate the ultrasound findings for patients with sudden shoulder pain and to determine potential predictors of the same. MATERIAL AND METHODS A total of 112 patients with sudden shoulder pain with rotator-cuff syndrome, suspected by orthopedic doctors, were subjected to ultrasonography. Read More

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http://dx.doi.org/10.12659/MSM.915547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6693366PMC
August 2019
1 Read

Identification of Inflammatory Mediators in Tendinopathy Using a Murine Subacromial Impingement Model.

J Orthop Res 2019 12 13;37(12):2575-2582. Epub 2019 Aug 13.

Department of Orthopaedic Surgery, Laboratory for Joint Tissue Repair and Regeneration, Orthopedic Soft Tissue Research Program, The Hospital for Special Surgery, New York, New York, 10021.

Subacromial impingement is associated with a spectrum of disorders-including rotator cuff disease-but their relationship is complex. We have established a novel murine model of subacromial impingement to study supraspinatus tendinopathy. The purpose of this study was to evaluate changes in gene expression in this murine shoulder impingement model to further elucidate the mechanisms underlying the development of tendinopathy. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/jor.24434
Publisher Site
http://dx.doi.org/10.1002/jor.24434DOI Listing
December 2019
7 Reads

Functional improvements in active elevation, external rotation, and internal rotation after reverse total shoulder arthroplasty with isolated latissimus dorsi transfer: surgical technique and midterm follow-up.

J Shoulder Elbow Surg 2019 Dec 9;28(12):2356-2363. Epub 2019 Jul 9.

Alps Surgery Institute, Clinique Générale d'Annecy, Annecy, France.

Hypothesis: This study investigated the hypothesis that reverse total shoulder arthroplasty (RSA) in combination with an isolated latissimus dorsi tendon (LDT) transfer in patients with pseudoparalysis of abduction and external rotation (combined loss of active elevation and external rotation [CLEER] syndrome) would demonstrate improved postoperative functional results.

Methods: This study was a retrospective single-surgeon case series of 13 consecutive patients with CLEER who underwent RSA without subscapularis repair and combined with an isolated LDT transfer. We reviewed 10 patients (77%), at a minimum of 2 years, with 3 cases lost to follow-up. Read More

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http://dx.doi.org/10.1016/j.jse.2019.04.039DOI Listing
December 2019
6 Reads

Comment on "Heterotopic ossification after arthroscopy for hip impingement syndrome".

Chin Med J (Engl) 2019 07;132(14):1763-1764

Department of Sports Medicine, The First Affiliated Hospital of Shenzhen University, Health Science Center; Shenzhen Second People's Hospital, Shenzhen, Guangdong 518000, China.

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http://dx.doi.org/10.1097/CM9.0000000000000304DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6759098PMC
July 2019
3 Reads