1,624 results match your criteria Shoulder Rotator Cuff Injury Ultrasonography


Pectoralis major tendon transfer for recurrent anterior shoulder dislocation after primary surgery in an elderly patient: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14264

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Cheonan, Korea.

Rationale: Adequate stability of traumatic anterior shoulder dislocation without any obvious damage to the anterior capsulolabral structure in elderly patients can be achieved by treating the associated rotator cuff injuries. However, in case of recurrent shoulder dislocation despite rotator cuff repair, the repaired rotator cuff may be weakened or reruptured and is often impossible to repair again. Therefore, the role of the rotator cuff as a shoulder stabilizer cannot be expected. Read More

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http://dx.doi.org/10.1097/MD.0000000000014264DOI Listing
February 2019
1 Read

Treatment of Adhesive Capsulitis of the Shoulder.

J Am Acad Orthop Surg 2019 Jan 2. Epub 2019 Jan 2.

From the Columbia University Medical Center, Department of Orthopedics, Center for Shoulder Elbow and Sports Medicine, New York, NY.

Adhesive capsulitis presents clinically as limited, active and passive range of motion caused by the formation of adhesions of the glenohumeral joint capsule. Radiographically, it is thickening of the capsule and rotator interval. The pathology of the disease, and its classification, relates to inflammation and formation of extensive scar tissue. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00606DOI Listing
January 2019
3 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
5 Reads

Evaluation of risk factors for irreparable rotator cuff tear in patients older than age 70 including evaluation of radiologic factors of the shoulder.

J Shoulder Elbow Surg 2018 Nov;27(11):1932-1938

Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address:

Background: Rotator cuff tears (RCTs) are generally considered to occur at the age of 40 to 50, but some becomes massive tears at the age of 60 to 70 if neglected. This study evaluated preoperative factors affecting tear size and reparability of rotator cuffs based on magnetic resonance imaging findings among patients older than age 70.

Methods: We identified 270 patients with full-thickness RCTs (175 reparable tears, group A; 95 irreparable tears, group B) that were confirmed with magnetic resonance imaging findings from January 2009 to March 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183053
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http://dx.doi.org/10.1016/j.jse.2018.07.011DOI Listing
November 2018
3 Reads

Clinical and structural outcome twenty years after repair of isolated supraspinatus tendon tears.

J Shoulder Elbow Surg 2019 Jan 12;28(1):196-202. Epub 2018 Oct 12.

Institut Locomoteur de l'Ouest Saint Gregoire (Vivalto Sante), Saint Gregoire, France.

Background: This study evaluated the clinical and structural outcome 20 years after repair of isolated supraspinatus tendon tears. We hypothesized that the results would deteriorate over time.

Materials And Methods: For this retrospective multicenter study, 137 patients were recalled for a clinical and imaging assessment. 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.2018.07.023DOI Listing
January 2019
10 Reads

Influence of the site of acromioplasty on reduction of the critical shoulder angle (CSA) - an anatomical study.

BMC Musculoskelet Disord 2018 Oct 13;19(1):371. Epub 2018 Oct 13.

Department of Orthopaedics, University of Zurich, Balgrist University Hospital, Uniklinik Balgrist, Forchstrasse 340, 8008, Zürich, Switzerland.

Background: A large critical shoulder angle (CSA) >35° is associated with the development of rotator cuff tearing. Lateral acromioplasty (AP) has the theoretical potential to prevent rotator cuff tearing and/ or to reduce the risk of re-tears after repair. It is, however unclear which part of the lateral acromion has to be reduced to obtain the desired CSA. Read More

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http://dx.doi.org/10.1186/s12891-018-2294-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186126PMC
October 2018

Winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy: A case report.

Medicine (Baltimore) 2018 Oct;97(40):e12515

Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea.

Rationale: Scapular winging is caused by neuromuscular dysfunction of shoulder stabilizer muscles. Clinically, a winged scapula can be easily diagnosed by typical physical findings. We report a case of atypical winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy, which has rarely been reported. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810050-0002
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http://dx.doi.org/10.1097/MD.0000000000012515DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200514PMC
October 2018
8 Reads

Acromioclavicular joint cyst formation in a patient with rotator cuff-tear arthropathy: a rare cause of shoulder discomfort.

BMJ Case Rep 2018 Sep 27;2018. Epub 2018 Sep 27.

Department for Shoulder and Elbow Surgery, Charite Universitatsmedizin Berlin Campus Virchow-Klinikum, Berlin, Germany.

We report a case of a 77-year-old man who presented to our shoulder department with a soft tissue mass on his right acromioclavicular (AC) joint. Previously attempted puncture aspiration had revealed serous fluid retention which recurred after each of several drainage attempts. Conventional radiography and MRI of the affected shoulder joint demonstrated a progressed cuff-tear arthropathy with an irreparable tear of the supraspinatus tendon, static superior migration of the humeral head, opening of the AC joint capsule and a superior joint-fluid 'eruption' and accumulation called 'Geyser sign'. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22618
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http://dx.doi.org/10.1136/bcr-2018-226188DOI Listing
September 2018
2 Reads

Effectiveness of 3-dimensional shoulder ultrasound in the diagnosis of rotator cuff tears: A meta-analysis.

Medicine (Baltimore) 2018 Sep;97(37):e12405

Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Munich, Germany.

Background: Numerous quantitatively based studies measuring the accuracy of 3D shoulder ultrasound (US) for the diagnosis of rotator cuff tears remain inconclusive. In order to determine how effective 3D shoulder US is for detecting rotator cuff tears, a meta-analysis was performed systematically.

Methods: Six electronic databases, PubMed/Medline, Embase, Cochrane Library, CNKI, VIP data, and Wanfang data, were utilized to retrieve articles praising the diagnostic value of 3D shoulder US for use in detecting rotator cuff tears. Read More

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http://dx.doi.org/10.1097/MD.0000000000012405DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156036PMC
September 2018
22 Reads

Cross-talk between shoulder and neck pain: an imaging study of association between rotator cuff tendon tears and cervical foraminal stenosis.

Medicine (Baltimore) 2018 Sep;97(36):e12247

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

Rotator cuff tendon tears are prevalent in patients with shoulder pain, the third most common musculoskeletal complaint. As shoulders are largely innervated by cervical nerves, it seems possible that rotator cuff pathology could have an association with cervical spine disorders, although few studies have investigated this possibility. This study aimed to explore the association between rotator cuff tendon tears and cervical radiculopathy (at C5 and C6 levels) in the shoulder pain population. Read More

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http://dx.doi.org/10.1097/MD.0000000000012247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133567PMC
September 2018
2 Reads

Progressive early passive and active exercise therapy after surgical rotator cuff repair - study protocol for a randomized controlled trial (the CUT-N-MOVE trial).

Trials 2018 Sep 3;19(1):470. Epub 2018 Sep 3.

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, DK-5230, Odense, Denmark.

Background: Rotator cuff tear is a common cause of shoulder disability and results in patients predominantly complaining of pain and loss of motion and strength. Traumatic rotator cuff tears are typically managed surgically followed by ~ 20 weeks of rehabilitation. However, the timing and intensity of the postoperative rehabilitation strategy required to reach an optimal clinical outcome is unknown. Read More

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http://dx.doi.org/10.1186/s13063-018-2839-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122575PMC
September 2018
5 Reads

The long-term effects of hyaluronic acid on hemiplegic shoulder pain and injury in stroke patients: A randomized controlled study.

Medicine (Baltimore) 2018 Aug;97(35):e12078

Background: Hemiplegic shoulder pain (HSP) is one common complication after stroke. The interferes with the functionality of the affected shoulder in patients with stroke during rehabilitation. Hyaluronic acid (HA) could have positive effects on pain relief and shoulder motion in stroke patients with hemiplegic shoulders. Read More

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http://dx.doi.org/10.1097/MD.0000000000012078DOI Listing
August 2018
14 Reads

The efficacy and safety of autologous conditioned serum (ACS) injections compared with betamethasone and placebo injections in the treatment of chronic shoulder joint pain due to supraspinatus tendinopathy: a prospective, randomized, double-blind, controlled study.

Med Ultrason 2018 Aug;20(3):335-341

University of Belgrade School of Medicine, Clinic for Orthopedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade, Serbia.

Aims: Autologous conditioned serum (ACS; marketed as Orthokine®) is an autologous blood product that has previously shown efficacy in treatment of joint osteoarthritis, spinal radiculopathy, tendon and muscle injuries in randomized controlled trials. In this 24-week, randomized, double-blind study, we compared the efficacy and safety of ACS with glucocorticoid (betamethasone) injections in chronic supraspinatus tendinopathy patients.

Material And Methods: Thirty-two patients with chronic supraspinatus tendinopathy were enrolled in the study. Read More

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http://dx.doi.org/10.11152/mu-1495DOI Listing
August 2018
13 Reads

A prospective evaluation of predictors of pain after arthroscopic rotator cuff repair: psychosocial factors have a stronger association than structural factors.

J Shoulder Elbow Surg 2018 Oct 16;27(10):1824-1829. Epub 2018 Aug 16.

Department of Orthopaedics, The Ohio State University, Columbus, OH, USA. Electronic address:

Hypothesis: We evaluated the correlation of preoperative factors with pain after arthroscopic rotator cuff repair (ARCR). We hypothesized that nonstructural factors, including metrics of psychological well-being and preoperative narcotic use, would correlate with higher pain levels postoperatively and that structural factors, such as tear size, would not be predictive.

Methods: Ninety-three patients were prospectively enrolled and evenly distributed by tear size. Read More

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http://dx.doi.org/10.1016/j.jse.2018.06.019DOI Listing
October 2018
2 Reads

The epidemiology of MRI detected shoulder injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympics.

BMC Musculoskelet Disord 2018 Aug 17;19(1):296. Epub 2018 Aug 17.

Section of Musculoskeletal Imaging, Department of Radiology, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Ave., Boston, MA, 02118, USA.

Background: To use Magnetic Resonance Imaging (MRI) to characterize the severity, location, prevalence, and demographics of shoulder injuries in athletes at the Rio de Janeiro 2016 Summer Olympic Games.

Methods: This was a retrospective analysis of all routine shoulder MRIs obtained from the Olympic Village Polyclinic during the Rio 2016 Summer Olympics. Imaging was performed on 1. Read More

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http://dx.doi.org/10.1186/s12891-018-2224-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097204PMC
August 2018
7 Reads

Blood flow evaluation by dynamic magnetic resonance imaging of symptomatic rotator cuff tears and frozen shoulders.

J Shoulder Elbow Surg 2018 Dec 13;27(12):e372-e379. Epub 2018 Aug 13.

Department of Orthopaedic Surgery, Jichi Medical University, Tochigi, Japan.

Background: This study compared imaging findings of blood flow changes between symptomatic rotator cuff tear (RCT) and frozen shoulder (FS) by using 3-dimensional dynamic magnetic resonance imaging (MRI) to determine the clinical characteristics of symptomatic RCT.

Methods: The 2 study groups comprised 31 symptomatic RCT patients who underwent arthroscopic rotator cuff repair and 30 patients with FS. We denoted abnormal blood flow detected around the glenohumeral joint as the burning sign (BS). Read More

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http://dx.doi.org/10.1016/j.jse.2018.05.042DOI Listing
December 2018
4 Reads

The pattern of idiopathic isolated teres minor atrophy with regard to its two-bundle anatomy.

Skeletal Radiol 2019 Mar 8;48(3):363-374. Epub 2018 Aug 8.

Department of Radiology, Seoul National University Bundang Hospital, 82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, Korea.

Objective: We aimed to analyze the pattern of teres minor atrophy with regard to its two-bundle anatomy and to assess its association with clinical factors.

Materials And Methods: Shoulder MRIs performed between January and December 2016 were retrospectively reviewed. Images were evaluated for the presence and pattern of isolated teres minor atrophy. Read More

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http://link.springer.com/10.1007/s00256-018-3038-x
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http://dx.doi.org/10.1007/s00256-018-3038-xDOI Listing
March 2019
19 Reads

Contrast-Enhanced Ultrasound Determines Supraspinatus Muscle Atrophy After Cuff Repair and Correlates to Functional Shoulder Outcome.

Am J Sports Med 2018 Sep 6;46(11):2735-2742. Epub 2018 Aug 6.

Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, HTRG-Heidelberg Trauma Research Group, Heidelberg University Hospital, Heidelberg, Germany.

Background: Muscle degeneration as a consequence of rotator cuff tears is mainly assessed by magnetic resonance imaging. Contrast-enhanced ultrasound (CEUS) is a new functional imaging method to assess microvascular perfusion as a fundamental parameter of muscle tissue vitality. In this cross-sectional study, the authors evaluated supraspinatus muscle perfusion after cuff repair and analyzed its association with functional shoulder outcome and the grade of echogenicity in B-mode ultrasound indicating fatty infiltration. Read More

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http://dx.doi.org/10.1177/0363546518787266DOI Listing
September 2018
4 Reads

Anatomic Total Shoulder Arthroplasty Versus Reverse Total Shoulder Arthroplasty for Post-Capsulorrhaphy Arthropathy.

Orthopedics 2018 Sep 27;41(5):275-280. Epub 2018 Jul 27.

Post-capsulorrhaphy arthropathy is a long-term sequela that can develop after open anterior stabilization surgeries, which have historically been performed. The purpose of this study was to compare anatomic total shoulder arthroplasty (ATSA) with reverse total shoulder arthroplasty (RTSA) for the treatment of post-capsulorrhaphy arthropathy. There were 19 patients in the ATSA cohort and 20 in the RTSA cohort. Read More

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http://dx.doi.org/10.3928/01477447-20180724-05DOI Listing
September 2018

Geometric modification of the humeral position after total reverse shoulder arthroplasty: what is the optimal lowering of the humerus?

J Shoulder Elbow Surg 2018 Dec 2;27(12):2207-2213. Epub 2018 Jul 2.

Service de Chirurgie Orthopédique, Centre Hospitalier Universitaire Maison-Blanche, Reims, France. Electronic address:

Background: The main mechanical effect after reverse shoulder arthroplasty (RSA) is the lowering of the glenohumeral rotation center. The optimal value of the humeral lowering after RSA is still debated. The main objective of our study was to determine the lowering and medialization of the humerus and to correlate these parameters with short-term functional results. Read More

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http://dx.doi.org/10.1016/j.jse.2018.05.027DOI Listing
December 2018
1 Read
2.290 Impact Factor

Predictors of pain and functional outcomes after operative treatment for rotator cuff tears.

J Shoulder Elbow Surg 2018 Aug;27(8):1393-1400

Department of Orthopaedic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

Background: Optimal patient selection is key to success of operative treatment for cuff tears. We assessed predictors of pain and functional outcomes in a longitudinal cohort of patients undergoing operative treatment.

Methods: From March 2011 to January 2015, a cohort of patients with rotator cuff tears undergoing rotator cuff surgery was recruited. Read More

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http://dx.doi.org/10.1016/j.jse.2018.04.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085102PMC
August 2018
25 Reads

Patterns of tendon retraction in full-thickness rotator cuff tear: comparison of delaminated and nondelaminated tendons.

Skeletal Radiol 2019 Jan 7;48(1):109-117. Epub 2018 Jul 7.

Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, YAW 6030, Boston, MA, 02114, USA.

Objective: To analyze full-thickness rotator cuff tears, compare retraction patterns in delaminated and nondelaminated tendons, and correlate retraction distances with anteroposterior tear lengths.

Materials And Methods: In 483 MR examinations reported as showing full-thickness cuff tear, two musculoskeletal radiologists independently characterized tendons as delaminated or nondelaminated. Tendon delamination was defined as either horizontal intra-substance splitting of bursal and articular layers by an intervening plane of fluid, or differential retraction of bursal and articular layers. Read More

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http://dx.doi.org/10.1007/s00256-018-3013-6DOI Listing
January 2019
8 Reads

Incidence of rotator cuff tears in the setting of calcific tendinopathy on MRI: a case controlled comparison.

Skeletal Radiol 2019 Feb 7;48(2):245-250. Epub 2018 Jul 7.

Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Objective: To compare the incidence of rotator cuff tears on shoulder MRI in patients who have rotator cuff calcific tendinopathy with that in patients without calcific tendinopathy in a frequency-matched case-control study.

Materials And Methods: Retrospective review shoulder MRIs of 86 patients with rotator cuff calcific tendinopathy and an 86-patient age-, gender-, and laterality-matched control group using frequency matching.

Results: No statistically significant difference (odds ratio: 0. Read More

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http://link.springer.com/10.1007/s00256-018-3018-1
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http://dx.doi.org/10.1007/s00256-018-3018-1DOI Listing
February 2019
16 Reads

Clinical outcomes and structural integrity of C-shaped rotator cuff tears after arthroscopic repair: comparison with crescent-shaped tears.

J Orthop Surg Res 2018 Jun 19;13(1):154. Epub 2018 Jun 19.

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

Background: We aimed to describe a new C-shaped tear configuration, and to compare clinical outcomes and structural integrity between the C-shaped and the established crescent-shaped small to medium-sized rotator cuff tears after arthroscopic repair.

Methods: This retrospective study included 102 patients who underwent arthroscopic repair in a single-row fashion for small- to medium-sized rotator cuff tears of either C or crescent shape from March 2009 to June 2014. Visual analogue scale (VAS) pain score, subjective shoulder value (SSV), American Shoulder and Elbow Surgeon (ASES) score, and active range of motion (ROM) were evaluated for functional outcomes. Read More

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http://dx.doi.org/10.1186/s13018-018-0863-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011185PMC

Degenerative Changes in Asymptomatic Subjects: A Descriptive Study Examining the Supraspinatus Using Musculoskeletal Sonography in a Young Population.

J Allied Health 2018 ;47(2):152-155

Dep. of Physical Therapy, Arkansas State University, PO Box 910, State University, AR 72467, USA. Tel 870-972-3591.

As many as 96% of persons over age 50 years may have shoulder abnormalities involving the rotator cuff. Many of these individuals remain asymptomatic. In contrast, there is limited research into the prevalence of shoulder pathology in the younger asymptomatic population. Read More

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November 2018
8 Reads

Use of Ultrasound-Guided Superficial Cervical Plexus Block for Pain Management in the Emergency Department.

J Emerg Med 2018 07 29;55(1):87-95. Epub 2018 May 29.

Department of Family Medicine, University of British Columbia, Nanaimo, British Columbia, Canada.

Background: Although use of the superficial cervical plexus block (SCPB) by anesthesia for perioperative indications is well described, there is a paucity of research on use of SCPB in the emergency department (ED).

Objective: This prospective observational study aims to prospectively characterize the feasibility, potential for efficacy, and safety of ultrasound-guided SCPB in a convenience sample of ED patients presenting with painful conditions of the "cape" distribution of the neck and shoulder.

Methods: Data were gathered prospectively on a convenience sample of 27 patients presenting to a community ED with painful conditions involving the distribution of the SCPB: para-cervical muscle spasm/pain (n = 8), clavicle fractures (n = 7), acromioclavicular joint injuries (n = 3), radicular pain (n = 3), and rotator cuff disorders (n = 6). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183036
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http://dx.doi.org/10.1016/j.jemermed.2018.04.030DOI Listing
July 2018
27 Reads

Clinical outcomes and repair integrity after arthroscopic full-thickness rotator cuff repair: suture-bridge versus double-row modified Mason-Allen technique.

J Shoulder Elbow Surg 2018 Nov 24;27(11):1953-1959. Epub 2018 May 24.

Department of Orthopedic Surgery, Eulji University Hospital, Daejeon, Republic of Korea.

Background: This retrospective study compared the clinical and radiologic outcomes of patients who underwent arthroscopic rotator cuff repairs by the suture-bridge and double-row modified Mason-Allen techniques.

Methods: From January 2012 to May 2013, 76 consecutive cases of full-thickness rotator cuff tear, 1 to 4 cm in the sagittal plane, for which arthroscopic rotator cuff repair was performed, were included. The suture-bridge technique was used in 37 consecutive shoulders; and the double-row modified Mason-Allen technique, in 39 consecutive shoulders. Read More

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http://dx.doi.org/10.1016/j.jse.2018.04.005DOI Listing
November 2018
20 Reads

Rotator cuff repair with all-suture anchors: a midterm magnetic resonance imaging evaluation of repair integrity and cyst formation.

J Shoulder Elbow Surg 2018 Nov 22;27(11):2006-2012. Epub 2018 May 22.

Department of Orthopaedic Surgery and Traumatology, GasthuisZusters Antwerpen Hospitals, Wilrijk, Belgium.

Background: This study investigated the feasibility and safety of all-suture anchors in arthroscopic rotator cuff repair.

Methods: All patients were diagnosed with a rotator cuff tear by ultrasound or magnetic resonance imaging (MRI). Patients with partial tears, massive tears, subscapularis tears, or previous shoulder surgery, were excluded. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183021
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http://dx.doi.org/10.1016/j.jse.2018.03.006DOI Listing
November 2018
19 Reads

Tenodesis renders better results than tenotomy in repairs of isolated supraspinatus tears with pathologic biceps.

J Shoulder Elbow Surg 2018 Nov 18;27(11):1939-1945. Epub 2018 May 18.

Saint-Grégoire Private Hospital Center, Saint-Grégoire, France.

Background: Many authors recommend systematic biceps tenotomy or tenodesis when repairing rotator cuff tears, regardless of whether the biceps is normal or pathologic. The purpose of this study was to determine whether 10-year outcomes of repairs of isolated supraspinatus tears are influenced by adjuvant biceps tenodesis or tenotomy.

Methods: Patients who underwent repair of isolated supraspinatus tears were recalled for evaluation at a minimum follow-up of 10 years. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183023
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http://dx.doi.org/10.1016/j.jse.2018.03.030DOI Listing
November 2018
8 Reads

Ultrasound-Guided Prolotherapy with Polydeoxyribonucleotide for Painful Rotator Cuff Tendinopathy.

Pain Res Manag 2018 25;2018:8286190. Epub 2018 Mar 25.

Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: Rotator cuff tendinopathy is a primary cause of shoulder pain and dysfunction. Several effective nonsurgical treatment methods have been described for chronic rotator cuff tendinopathy. Prolotherapy with polydeoxyribonucleotide (PDRN), which consists of active deoxyribonucleotide polymers that stimulate tissue repair, is a nonsurgical regenerative injection that may be a viable treatment option. Read More

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https://www.hindawi.com/journals/prm/2018/8286190/
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http://dx.doi.org/10.1155/2018/8286190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889899PMC
September 2018
14 Reads

Quantitative Measurement of Muscle Atrophy and Fat Infiltration of the Supraspinatus Muscle Using Ultrasonography After Arthroscopic Rotator Cuff Repair.

Ann Rehabil Med 2018 Apr 30;42(2):260-269. Epub 2018 Apr 30.

Department of Rehabilitation Medicine, Mediplex Sejong Hospital, Incheon, Korea.

Objective: To investigate the utility of ultrasonography to objectively examine morphological changes (i.e., muscle atrophy and fatty infiltration) of the supraspinatus muscle. Read More

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http://e-arm.org/journal/view.php?doi=10.5535/arm.2018.42.2.
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http://dx.doi.org/10.5535/arm.2018.42.2.260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940602PMC
April 2018
25 Reads

Acromial roof in patients with concentric osteoarthritis and massive rotator cuff tears: multiplanar analysis of 115 computed tomography scans.

J Shoulder Elbow Surg 2018 Oct 8;27(10):1866-1876. Epub 2018 May 8.

Department of Orthopaedic Surgery, University of Zürich, Balgrist University Hospital, Zürich, Switzerland.

Background: There is evidence for differences of scapular shape between shoulders with rotator cuff tears (RCT) and osteoarthritic shoulders (OA). This study analyzed orientation and shape of the acromion in patients with massive RCT and concentric OA (COA) in a multiplanar computed tomography (CT) analysis.

Methods: CT scans of 70 shoulders with degenerative RCT and 45 shoulders with COA undergoing primary shoulder arthroplasty were analyzed. Read More

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http://dx.doi.org/10.1016/j.jse.2018.03.014DOI Listing
October 2018
4 Reads

A Large Size Lipoma at Spinoglenoid Notch Mimicked Traumatic Rotator Cuff Tear.

J Hand Surg Asian Pac Vol 2018 Jun;23(2):267-269

* Department of Orthopedic Surgery, Myongji Hospital, Goyang, Korea.

Herein, we report a large lipoma at the spinoglenoid notch that mimicked a rotator cuff tear, which occurred in a 61-year-old male farmer. Weakness and pain in the shoulder started abruptly after hard labor, and our first impression was a traumatic rotator cuff tear; however, there was no tear on MRI, and complete marginal excision of a large lipoma at the spinoglenoid notch relieved the symptoms completely at a postoperative three-month follow-up visit. We believe that certain activities such as forceful shoulder abduction may have caused the sudden onset of suprascapular neuropathy in the loosely compressed suprascapular nerve by the lipoma. Read More

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http://dx.doi.org/10.1142/S2424835518720141DOI Listing
June 2018
1 Read

Long-term clinical and radiographic outcome of rotator cuff repair with a synthetic interposition graft: a consecutive case series with 17 to 20 years of follow-up.

J Shoulder Elbow Surg 2018 Sep 3;27(9):1622-1628. Epub 2018 May 3.

Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Department of Orthopedics, Linköping University Hospital, Linköping, Sweden.

Background: Treatment options for irreparable cuff tears include synthetic interposition grafts, but whether such grafts can maintain acceptable shoulder function and prevent cuff tear arthropathy in the long-term is unknown.

Method: This was a retrospective case series of 13 consecutive patients treated with a synthetic interposition graft made of Dacron (DuPont, Wilmington, DE, USA). Patients were examined with bilateral ultrasonography, bilateral x-ray imaging, Constant-Murley score, and Western Ontario Rotator Cuff score. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183022
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http://dx.doi.org/10.1016/j.jse.2018.03.011DOI Listing
September 2018
4 Reads

Critical shoulder angle in an East Asian population: correlation to the incidence of rotator cuff tear and glenohumeral osteoarthritis.

J Shoulder Elbow Surg 2018 Sep 3;27(9):1602-1606. Epub 2018 May 3.

Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan. Electronic address:

Background: Focus has recently been on the critical shoulder angle (CSA) as a factor related to rotator cuff tear and osteoarthritis (OA) in the European population. However, whether this relationship is observed in the Asian population is unclear.

Methods: The correlation between the CSAs measured on anteroposterior radiographs and the presence or absence of rotator cuff tears or OA changes was assessed in 295 patients. Read More

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http://dx.doi.org/10.1016/j.jse.2018.03.013DOI Listing
September 2018
4 Reads

Contractile property measurement of the torn supraspinatus muscle using real-time tissue elastography.

J Shoulder Elbow Surg 2018 Sep 27;27(9):1700-1704. Epub 2018 Apr 27.

Graduate School of Health Sciences, Yamagata Prefectural University of Health Sciences, Yamagata, Japan.

Hypothesis: In the restoration of shoulder abduction, decreased contractility of the torn rotator cuff muscle may be a cause of a poor result. The aim of this study was to investigate the relationship between the contractile property of the torn supraspinatus muscle measured by real-time tissue elastography and the Goutallier stage as modified by Fuchs et al. METHODS: The muscular hardness of the torn supraspinatus muscle was measured in 32 patients at rest and during isometric contraction with the shoulder abducted to 60° in the scapular plane. Read More

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http://dx.doi.org/10.1016/j.jse.2018.02.065DOI Listing
September 2018
2 Reads

The greater tuberosity angle: a new predictor for rotator cuff tear.

J Shoulder Elbow Surg 2018 Aug 24;27(8):1415-1421. Epub 2018 Apr 24.

Sydney Shoulder Research Institute, Sydney, NSW, Australia.

Background: The implication of scapular morphology in rotator cuff tears has been extensively studied. However, the role of the greater tuberosity (GT) should be of equal importance. The aim of this study was to propose a new radiographic marker, the GT angle (GTA), which measures the position of the GT in relation to the center of rotation of the humeral head. Read More

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http://dx.doi.org/10.1016/j.jse.2018.02.051DOI Listing
August 2018
1 Read

Arthroscopic treatment for intratendinous rotator cuff tear results in satisfactory clinical outcomes and structural integrity.

Knee Surg Sports Traumatol Arthrosc 2018 Dec 20;26(12):3797-3803. Epub 2018 Apr 20.

Department of Orthopedic Surgery, School of Medicine, Pusan National University, Amidong 1 Ga Seogu, Pusan, South Korea.

Purpose: This study aimed to evaluate the clinical outcomes and structural integrity of arthroscopic repair of intratendinous rotator cuff tear.

Methods: Patients who were diagnosed with an intratendinous tear but in whom conservative treatment failed were selected and underwent arthroscopic repair. Between 2008 and 2014, a total of 30 patients (6 men, 24 women; mean age, 59 ± 3. Read More

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http://dx.doi.org/10.1007/s00167-018-4931-5DOI Listing
December 2018
5 Reads

Posterior Shoulder Dislocation Associated With the Head (Splitting) and Humeral Neck Fracture: Impact of Understanding Radiologic Signs and Experience With an Extended Deltopectoral Approach.

Tech Hand Up Extrem Surg 2018 Jun;22(2):57-64

Ozel Memorial Antalya Hospital, Zafer Mah., Yildirim Beyazit Cad., Kepez/Antalya, Turkey.

In this paper, our main objective was to emphasize the competency of extended deltopectoral exposure, enforced with the supraspinatus and subscapularis detachment, to gain access to the entire head. The second important point in this paper was to underline the importance of the knowledge that is necessary for interpreting classic radiologic signs of posterior fracture-dislocation of the shoulder. A 47-year-old woman fell down directly onto her shoulder while she was skiing. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000190DOI Listing
June 2018
6 Reads

Rotator Cuff Tear Morphologic Parameters at Magnetic Resonance Imaging: Relationship With Muscle Atrophy and Fatty Infiltration and Patient-Reported Function and Health-Related Quality of Life.

J Comput Assist Tomogr 2018 Sep/Oct;42(5):784-791

Department of Medicine and.

Objective: The aim of this study was to determine the relationship between rotator cuff tear (RCT) morphologic parameters and muscle atrophy and fatty infiltration, and patient-reported outcome measures, in patients with symptomatic full-thickness RCT.

Methods: Rotator cuff tear location, length, width, thickness, and musculotendinous junction position were assessed in 57 magnetic resonance imaging scans and correlated to the outcome measures using multivariate regression analysis.

Results: Supraspinatus tendon tear length (odds ratio [OR], 2. Read More

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http://dx.doi.org/10.1097/RCT.0000000000000740DOI Listing
September 2018
4 Reads

Clinical Applications of Ultrasonography in the Shoulder and Elbow.

J Am Acad Orthop Surg 2018 May;26(9):303-312

From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center for Sports Surgery, Pittsburgh, PA.

In the past 30 years, the use of ultrasonography in the field of orthopaedics has evolved. As ultrasonography has been refined, smaller machines with higher fidelity and better transducers have become available at a lower cost. Diagnostic and therapeutic applications of ultrasonography in the shoulder and elbow have expanded imaging options and provided alternatives to surgical management. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00257DOI Listing
May 2018
2 Reads

Comparison between 3D isotropic and 2D conventional MR arthrography for diagnosing rotator cuff tear and labral lesions: A meta-analysis.

J Magn Reson Imaging 2018 Oct 30;48(4):1034-1045. Epub 2018 Mar 30.

Department of Radiology, Kyung Hee University Hospital, Seoul, Republic of Korea.

Background: Although 3D-isotropic MR arthrography has been characterized as a substitute imaging tool for rotator cuff tear (RCT) and labral lesions, it has not been commonly used in clinical practice because of controversy related to image blurring and indistinctness of structural edges.

Purpose: To perform a comparison of the diagnostic performance of 3D-isotropic MR arthrography and 2D-conventional MR arthrography for diagnosis of RCT (solely RCT, full/partial-thickness supraspinatus [SST]-infraspinatus [IST] tear, or subscapularis [SSc] tear) and labral lesions.

Study Type: Meta-analysis. Read More

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http://doi.wiley.com/10.1002/jmri.26024
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http://dx.doi.org/10.1002/jmri.26024DOI Listing
October 2018
8 Reads

Can inadequate acromiohumeral distance improvement and poor posterior remnant tissue be the predictive factors of re-tear? Preliminary outcomes of arthroscopic superior capsular reconstruction.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 28;26(7):2205-2213. Epub 2018 Mar 28.

Department of Orthopedic Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, 75 Bokji-ro, Busanjin-gu, Busan, 47392, South Korea.

Purpose: The factors affecting the anatomical and functional outcomes of arthroscopic superior capsular reconstruction (ASCR) were investigated in this study. Continuity between the posterior remnant tissue and graft, as well as medial-to-lateral anatomical graft continuity, might play a vital role in shoulder stability and functional recovery, which could be correlated with postoperative factors such as the acromiohumeral distance (AHD).

Methods: Thirty-two patients (36 shoulders) who underwent ASCR were included. Read More

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http://dx.doi.org/10.1007/s00167-018-4912-8DOI Listing

Superior glenoid inclination and rotator cuff tears.

J Shoulder Elbow Surg 2018 Aug 23;27(8):1444-1450. Epub 2018 Mar 23.

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.

Background: The objectives of this study were to determine whether glenoid inclination (1) could be measured accurately on magnetic resonance imaging (MRI) using computed tomography (CT) as a gold standard, (2) could be measured reliably on MRI, and (3) whether it differed between patients with rotator cuff tears and age-matched controls without evidence of rotator cuff tears or glenohumeral osteoarthritis.

Methods: In this comparative retrospective radiographic study, we measured glenoid inclination on T1 coronal MRI corrected into the plane of the scapula. We determined accuracy by comparison with CT and inter-rater reliability. Read More

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http://dx.doi.org/10.1016/j.jse.2018.02.043DOI Listing
August 2018
4 Reads

Computed tomography underestimates rotator cuff pathology in patients with glenohumeral osteoarthritis.

J Shoulder Elbow Surg 2018 Aug 21;27(8):1451-1455. Epub 2018 Mar 21.

Department of Orthopedic Surgery, New England Baptist Hospital, Boston, MA, USA; Boston Sports and Shoulder Center, Waltham, MA, USA. Electronic address:

Background: Computed tomography (CT) is the standard assessment of glenoid morphology before shoulder arthroplasty and is commonly used to evaluate rotator cuff pathology in patients with glenohumeral osteoarthritis (GHOA). Magnetic resonance imaging (MRI) is not routinely used in this setting but has higher sensitivity in diagnosing full-thickness rotator cuff tears (RCT) and is considered the gold standard. The purpose of this study was to determine the sensitivity and specificity of CT in diagnosing full-thickness RCTs and compare the evaluation of fatty infiltration and muscle atrophy on CT vs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183011
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http://dx.doi.org/10.1016/j.jse.2018.02.034DOI Listing
August 2018
7 Reads

Hidden degloving rotator cuff tears secondary to glenohumeral dislocation.

J Shoulder Elbow Surg 2018 Aug 16;27(8):1456-1461. Epub 2018 Mar 16.

Centre Orthopédique Santy, Hôpital Privé Jean Marmoz, Lyon, France.

Background: A rare form of rotator cuff tear (RCT) is observed secondary to glenohumeral dislocation, followed by immediate repositioning, as well as formation of scar tissue between tendons and tuberosities. Radiographic diagnosis of such "degloving" tears is problematic because they are obscured by scar tissue. We aimed to describe characteristics of degloving tears and report outcomes following their arthroscopic repair. Read More

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http://dx.doi.org/10.1016/j.jse.2018.01.020DOI Listing
August 2018
6 Reads

Polydeoxyribonucleotide injection in the patients with partial-thickness tear of supraspinatus tendon: a prospective and pilot study using ultrasound.

Phys Sportsmed 2018 05 14;46(2):213-220. Epub 2018 Mar 14.

a Department of Rehabilitation Medicine , Seoul National University College of Medicine, Seoul National University Bundang Hospital , Seongnam-si , Gyeonggi-do , South Korea.

Objective: Polydeoxyribonucleotide as adenosine receptor (A) agonist has been used in plastic surgery and dermatology related to its regenerative property. The aim of this pilot study is to evaluate the safety and efficacy of polydeoxynucleotide injection in patients with rotator cuff tears by a variety of outcomes including pain, disability, physical performance test, and ultrasonography (US).

Methods: Seventeen patients (9 men, 8 women, age: 57. Read More

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http://dx.doi.org/10.1080/00913847.2018.1450059DOI Listing
May 2018
27 Reads

Glenohumeral joint translation and muscle activity in patients with symptomatic rotator cuff pathology: An ultrasonographic and electromyographic study with age-matched controls.

J Sci Med Sport 2018 Sep 2;21(9):885-889. Epub 2018 Mar 2.

College of Science Health & Engineering, La Trobe University, Australia.

Objectives: To determine whether patients with symptomatic rotator cuff pathology had more glenohumeral joint translation and different patterns of rotator cuff muscle activity compared to controls.

Design: Repeated measurements of glenohumeral translation and muscle activity in two positions and six testing conditions in two groups.

Methods: Twenty participants with a symptomatic and diagnosed rotator cuff tear and 20 age, and gender matched controls were included. Read More

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http://dx.doi.org/10.1016/j.jsams.2018.02.007DOI Listing
September 2018
2 Reads

Effectiveness Of Plain Shoulder Radiograph In Detecting Degenerate Rotator Cuff Tears.

J Ayub Med Coll Abbottabad 2018 Jan-Mar;30(1):8-11

Hinchingbrooke Hospital, Huntingdon, Cambridgeshire, PE29, 6NT, United Kingdom.

Background: Studies have demonstrated radiographic findings of sclerosis and cortical irregularity at the greater tuberosity can suggest a rotator cuff tear. Plain radiographs are the most easily attainable first-line investigations in evaluating shoulder injuries. This study determines the effectiveness in predicting degenerate rotator cuff tears by detecting radiographic changes on shoulder x-rays. Read More

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Injection Therapies for Rotator Cuff Disease.

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

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

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

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