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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

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

Am Fam Physician 2019 Feb;99(3):190

Tufts University, Boston, MA, USA.

North Clin Istanb 2018 Sep;5(3):232-237

Department of Physical Medicine and Rehabilitation, Universıty of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.

Objective: Joint hypermobility (JH) is a clinical condition in which the joints move beyond the expected physiological range of motion. JH can be accompanied by many musculoskeletal complaints. One of the common causes of musculoskeletal pain is shoulder pain. Read More

Clin Rehabil 2019 Jan 23:269215518824691. Epub 2019 Jan 23.

4 Gerencia de Atención Integrada de Talavera de la Reina (SESCAM), Toledo, Spain.

Objectives:: To evaluate the effectiveness of high-intensity laser therapy on shoulder pain and function in subacromial impingement syndrome.

Design:: Clinical controlled trial with alternate allocation.

Setting:: Hospital Department of Rehabilitation. Read More

Musculoskeletal Care 2019 Jan 8. Epub 2019 Jan 8.

Rehabilitation Department, John Hopkins Healthcare Aramco, Dhahran, Kingdom of Saudi Arabia.

Background: Subacromial impingement syndrome (SAIS) is the most common cause of shoulder pain and is costly, in terms of disability and health service provision. Research evidence suggests that, generally, the anterior, lateral and posterior approaches are used by clinicians for subacromial injection. However, it is uncertain which of these approaches is more effective than the other in the management of SAIS. Read More

PM R 2019 Jan 4. Epub 2019 Jan 4.

Rehabilitation Science Postgraduation Progam - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.

Background: Shoulder pain is a common complaint among musculoskeletal patients and the prevalence of patients with subacromial pain syndrome (SAPS) is high. Though the high prevalence, there is a lack of an extensive evaluation of the proprioception acuity in patients with SAPS. Knowledge of the proprioceptive deficit would assist clinicians for the proper treatment and may offer an alternative explanation for the mechanisms underlying SAPS, which are poorly understood. Read More

Musculoskelet Sci Pract 2019 Feb 11;39:157-163. Epub 2018 Dec 11.

University of Brighton, Health Sciences, Robert Dodd Building, 49 Darley Road, Eastbourne, BN20 7UR, UK.

Musculoskeletal (MSK) conditions are very common and represent a major concern for the society and global health. The manual therapy technique Mulligan's Mobilisation with Movement (MWM) has shown promising results in treating a variety of MSK conditions. The aim of this review was to systematically review the literature to establish whether MWM treatment is effective for improving pain and function in patients with MSK conditions related to peripheral joints. Read More

Environ Int 2018 Dec 21. Epub 2018 Dec 21.

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

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

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

J Neurosurg 2018 Nov 1:1-11. Epub 2018 Nov 1.

OBJECTIVEBoth clinical and radiological reports have suggested that the subclavius, a muscle in the costoclavicular space of the thoracic outlet, participates in neurogenic thoracic outlet syndrome (NTOS) in some instances, especially during movements narrowing the costoclavicular space. Magnetic resonance imaging can identify subclavius muscles with signs of nerve impingement, yet the impact of the subclavius in such situations remains unclear. Therefore, the authors investigated whether dividing or sparing the subclavius characterized by nerve impingement on MRI would affect surgical outcomes. Read More

Braz J Phys Ther 2018 Nov 6. Epub 2018 Nov 6.

Discipline of Physiotherapy, The University of Newcastle, Callaghan, NSW, Australia.

Background: Trigger point dry needling interventions are utilized by physical therapists to manage shoulder pain. Observational studies have shown positive short-term outcomes in patients with subacromial pain syndrome receiving trigger point dry needling. However, little research has been done to evaluate the long-term effectiveness of trigger point dry needling specifically as it compares to other commonly utilized interventions such as exercise and manual therapy. Read More

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

Arch Orthop Trauma Surg 2018 Nov 11. 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

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

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

Zhonghua Wai Ke Za Zhi 2018 Oct;56(10):781-785

Department of Orthopedics, Tianjin Fifth Central Hospital, Tianjin 300450, China.

To evaluate the clinical effects of ultrasound-guided subacromial injection of two drugs in treatment of subacromial impingement syndrome. This was a randomized controlled trial study, prospective collection of patients' data who were diagnosed as subacromial impingement syndrome at Orthopedic of Tianjin Fifth Central Hospital from January 2015 to August 2017. To ensure the randomness of the study, patients were randomized into two groups using a random number table. Read More

J Bodyw Mov Ther 2018 Oct 6;22(4):1013-1021. Epub 2017 Dec 6.

Department of Biomechanics and Sport Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University, Mirdamad, Shahid Mofateh, Tehran, Iran.

Background: Rehabilitation of injuries in the upper extremity and reestablishment of muscle strength throughout the range of motion in overhead movements, are the major concerns of athletes and coaches in the sports field.

Purpose: To determine the effect of eight-week "gyroscopic device" mediated resistance training exercise on grip strength, wrist and shoulder strength and proprioception, and upper extremity performance, in participants with impingement syndrome or tennis elbow.

Design And Methods: For this study, in a university rehabilitation clinic 45 volleyball players (aged 22-28) purposefully were selected and divided into 3 groups: shoulder impingement (group I), tennis elbow (group II), and control (group III). Read More

Eur J Orthop Surg Traumatol 2018 Oct 26. Epub 2018 Oct 26.

Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital and Orthopedics Department, Samitivej Hospital, Bangkok, Thailand.

Objective: Subacromial impingement syndrome is one of the most common causes of pain in the shoulder. To this date, there is no specific radiographic view that can be used to evaluate the size of a subacromial spur. This study aims to examine a cassette tilt view can be used to evaluate the size of a subacromial spur. Read More

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

Musculoskelet Surg 2018 Oct 1. Epub 2018 Oct 1.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Italy.

Purpose: To understand the role of camptocormia (increased kyphosis) and postural alteration in Parkinson's disease in the development of shoulder pathology, with a special concern for adhesive capsulitis and shoulder stiffness.

Methods: A preliminary online search was carried out, with combination of keywords including "Parkinson," "Shoulder stiffness," "Frozen shoulder," "Adhesive capsulitis," "Postural alteration," "Camptocormia". The retrieved papers were screened by title and abstract and those considered relevant to the aim of the review were read in full text and included. Read More

BMC Musculoskelet Disord 2018 Sep 27;19(1):348. Epub 2018 Sep 27.

School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.

Background: To explore patient characteristics predictive of a poor response to multidisciplinary non-surgical rehabilitation of three common orthopaedic conditions within a tertiary care service.

Methods: A retrospective audit of medical records of patients who had undergone multidisciplinary non-surgical management of their knee osteoarthritis (KOA, n = 190), shoulder impingement syndrome (SIS, n = 199), or low back pain (LBP, n = 242) within a multisite tertiary care service was undertaken. Standardised clinical measures recorded by the service at the initial consultation were examined using a base binary logistic regression model to determine their relationship with a poor response to management (ie. Read More

Acta Chir Orthop Traumatol Cech 2018 ;85(4):261-265

Ortopedicko-traumatologické oddělení, Nemocnice Znojmo.

PURPOSE OF THE STUDY This study aimed to explore the effects of new therapeutic procedures in patients with shoulder impingement syndrome. The primary goal of the study was to confirm the hypothesis that the application of the platelet-rich plasma (PRP) in patients with shoulder impingement syndrome will have a positive effect on both the subjective and objective evaluation of their condition. The clinical condition before and after the treatment was evaluated. Read More

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

Medicine (Baltimore) 2018 Sep;97(38):e12386

Clinical Trial Center.

Introduction: Subacromial impingement syndrome (SIS) is one of the most common diseases inducing shoulder pain. Acupuncture is a source of pain relief that has been used for SIS; however, there is no clinical study about image-guided acupuncture for SIS. The aim of this study is to evaluate the effectiveness and safety of fluoroscopy-guided acupuncture in patients with SIS. Read More

Acta Ortop Mex 2018 Jan-Feb;32(1):13-16

Facultad de Medicina de León, Universidad de Guanajuato. México.

Introduction: Disabling shoulder problems in the elderly are common.

Objective: To quantify the diagnoses found in 100 consecutive shoulders cases in rehabilitation and its functional impact on the DASH scale.

Material And Methods: 100 consecutive patients with age 65 years received in the Rehabilitation Department, performing diagnosis and functional assessment in the DASH scale. Read More

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

Int J Surg Case Rep 2018 13;51:147-149. Epub 2018 Aug 13.

University Hospital Geelong, Barwon Health, Geelong, VIC, Australia; Barwon Centre of Orthopaedic Research and Education (B-CORE), Barwon Health and St John of God Hospital, Geelong, VIC, Australia; School of Medicine, Deakin University, Waurn Ponds, Geelong, VIC, Australia.

Introduction: Subacromial impingement syndrome (SAIS) is one cause of shoulder pain and encompasses a spectrum of pathologies and is not an isolated entity.

Presentation Of Case: We present a rare case where a 40 year old male presented with a 3 year history of right shoulder tip pain with limited abduction to 30°, external rotation to 45°, preserved internal rotation and forward flexion and a painful arc with positive Neers and Hawkins-Kennedy signs for impingement consistent with SAIS. The presentation occurred in the setting of a supraspinatus intramuscular lipoma demonstrated on shoulder MRI. Read More

Bone Joint J 2018 09;100-B(9):1182-1186

Centre Orthopédique Santy, Hôpital Jean Mermoz, Lyon, France.

Aims: Scapular notching is a frequently observed radiographic phenomenon in reverse shoulder arthroplasty (RSA), signifying impingement of components. The purposes of this study were to evaluate the effect of glenoid component size and glenosphere type on impingement-free range of movement (ROM) for extension and internal and external rotation in a virtual RSA model, and to determine the optimal configuration to reduce the incidence of friction-type scapular notching.

Materials And Methods: Preoperative CT scans obtained in 21 patients (three male, 18 female) with primary osteoarthritis were analyzed using modelling software. Read More

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

J Manipulative Physiol Ther 2018 Jul - Aug;41(6):475-482. Epub 2018 Aug 8.

Postgraduate Program in Rehabilitation Sciences, Nove de Julho University, São Paulo, Brazil.

Objective: The purpose of this study was to evaluate the effect of combined manual therapy (MT) and diadynamic (DD) currents on myofascial trigger points of the upper trapezius muscle in individuals with a diagnosis of unilateral shoulder impingement syndrome.

Methods: A randomized clinical trial was conducted involving 60 individuals with shoulder impingement syndrome who were allocated to the following 3 groups: (1) MT and DD currents (MTDD), (2) MT alone, and (3) DD currents alone. The participants were submitted to 16 treatment sessions over an 8-week period and were evaluated using the Numerical Rating Pain Scale as well as the pain and disability subscales of the Shoulder Pain and Disability Index. Read More

Int J Sports Phys Ther 2018 Apr;13(2):306-320

Department of Orthopaedic Surgery, Keck School of Medicine of the University of Southen California, Los Angeles, CA, USA.

Repetitive overhead throwing generates tremendous demands on the shoulder joint of the overhead athlete. Clinicians, therapists, and medical staff are charged with optimizing a throwing athlete's shoulder mobility and stability to maximize performance and prevent injury. Modifiable risk factors such as strength asymmetry, glenohumeral range of motion deficits, and scapulothoracic joint abnormalities contribute to the overhead athlete's predisposition to shoulder injury. Read More

BMJ 2018 Jul 19;362:k2860. Epub 2018 Jul 19.

Department of Orthopedics and Traumatology, Helsinki University Hospital, Töölö hospital, Helsinki, Finland.

Objective: To assess the efficacy of arthroscopic subacromial decompression (ASD) by comparing it with diagnostic arthroscopy, a placebo surgical intervention, and with a non-operative alternative, exercise therapy, in a more pragmatic setting.

Design: Multicentre, three group, randomised, double blind, sham controlled trial.

Setting: Orthopaedic departments at three public hospitals in Finland. Read More

J Plast Surg Hand Surg 2018 Jul 17:1-7. Epub 2018 Jul 17.

b Department of Orthopaedic Surgery , St. Olav´s University Hospital , Trondheim , Norway.

It would be useful if it were possible for the patients to recreate their pre-operative QuickDASH scores in audits where this score had not been recorded before surgery. We assessed the accuracy of remembered pre-operative QuickDASH scores among 229 consecutive patients and the value of a previously developed algorithm for correcting these scores. Real pre-operative scores and remembered pre-operative scores were compared after a mean of 21 months. Read More

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

J Athl Train 2018 Jun 2;53(6):584-589. Epub 2018 Jul 2.

Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles.

Context:   Performing shoulder-abduction exercises with scapular retraction has been theorized to reduce the potential for shoulder impingement. However, objective data to support this premise are lacking.

Objective:   To evaluate the influence of active scapular retraction on acromiohumeral distance (AHD) at 4 shoulder-abduction angles using real-time ultrasound. Read More

Int Orthop 2018 Jun 8. Epub 2018 Jun 8.

Department of Orthopaedic Surgery, Wonju College of Medicine, Yonsei University Wonju Severance Christian Hospital, Ilsan-ro 20, Wonju-si, Gangwon-do, 26426, Republic of Korea.

Purpose: Acromioclavicular-coracoclavicular ligament injury occurs frequently, and the clavicle hook plate technique is an easy-to-use treatment method. However, complications such as subacromial impingement syndrome, synovitis, erosion, osteolysis, post-operative pain, and post-operative limitations in range of motion have been reported. We aimed to evaluate the use of the clavicle hook plate in the shoulder joints and to compare in vivo three-dimensional (3D) scapular kinematics and scapulohumeral rhythm between the shoulders with a clavicle hook plate and contralateral normal shoulder joints. Read More

J Am Osteopath Assoc 2018 07;118(7):484-485

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

Zhongguo Gu Shang 2018 Jun;31(6):500-503

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

Objective: To study the clinical results of needle Dao for the treatment of subacromial impingement syndrome.

Methods: From September 2013 to August 2014, 90 patients with subacromial impingement syndrome were treated, including 61 females and 29 males, with the average age of (55.21±8. Read More

Physiother Theory Pract 2018 Jun 26:1-12. Epub 2018 Jun 26.

a Program in Physical Therapy , Mayo Clinic School of Health Sciences , Rochester , MN , USA.

Persons with subacromial impingement syndrome (SIS) have an imbalance in scapular muscle recruitment. To avoid humeral head compression against the coracoacromial arch during the early stages of rehabilitation, physical therapists recommend movements targeting scapular retraction, shoulder depression, and arm extension such as the inverted row (IR) exercise. The purposes of this study were to describe: (1) scapular balance ratios during an IR and (2) the magnitudes of recruitment of spinal stabilizer muscles. Read More

J Shoulder Elbow Surg 2018 Aug 6;27(8):1407-1414. Epub 2018 Jun 6.

School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Background: Video feedback (VF) can guide patients to consciously control scapular orientation without inappropriate substitution. This study investigated whether progressive conscious control with VF improves scapular muscle activation and movements during arm elevation in patients with subacromial impingement and scapular dyskinesis.

Methods: The study recruited 38 amateur overhead athletes with subacromial impingement and scapular medial border prominence who were randomly assigned to the VF or control group. Read More

Clin Interv Aging 2018 22;13:1003-1010. Epub 2018 May 22.

Orthopaedics and Traumatology Department, Adana Numune Training and Research Hospital, Adana, Turkey.

Background: To evaluate the treatment efficacy and complications of the lateral minimally invasive plate osteosynthesis (MIPO) method in geriatric patients with a humerus diaphyseal fracture with proximal extension.

Patients And Methods: The study included a total of 21 patients (18 females, 3 males; mean age 74±6.3 years, range 65-89 years) who underwent surgery with the lateral MIPO technique for a humerus diaphyseal fracture with proximal extension during the period January 2011 to December 2016. Read More

Phys Ther Sport 2018 Jul 17;32:115-120. Epub 2018 May 17.

Department of Physical Education, Federal University of Maranhão, São Luís, MA, Brazil. Electronic address:

Objective: To evaluate the intra- and inter-rater reliability of fleximetry in the measurement of range of motion (ROM) in individuals with chronic shoulder pain.

Design: Reliability study.

Setting: Physiotherapy clinic. Read More

Acta Orthop Traumatol Turc 2018 Jul 25;52(4):249-255. Epub 2018 Apr 25.

Izmir Medical Park Hospital, Izmir, Turkey.

Objective: The aim of this study was to assess and compare the effects of different electrotherapy methods and exercise therapy on pain, function and quality of life in shoulder impingement syndrome.

Methods: Eighty-three patients (66 females, 17 males; mean age: 48.2 ± 7. Read More

Injury 2018 Jun 18;49(6):1108-1112. Epub 2018 Apr 18.

Department of Orthopaedics, Qingpu Branch of Zhongshan Hospital, Fudan University, Shanghai 201700, China. Electronic address:

Objectives: Although various implants exist for 3- and 4-part proximal humerus fractures, few implants are appropriate for humerus split type greater tuberosity fractures. The goal of this study was to assess the efficacy of pre-contoured anatomic locking plate for humerus split type greater tuberosity fractures.

Methods: A retrospective review of 68 patients with humerus split type greater tuberosity fractures treated with open reduction and internal fixation using anatomic locking plates between January 2014 and October 2016. Read More

Praxis (Bern 1994) 2018 Apr;107(9-10):547-548

1 Rehabilitation Sciences Program, Institute of Health Professions, Massachusetts General Hospital, Charlestown Navy Yard, Boston, USA.

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

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