2,031 results match your criteria rotation glenohumeral


Influencing factors of pressure pain hypersensitivity of the upper trapezius in food service workers with nonspecific neck/shoulder myofascial pain: A cross-sectional study.

Medicine (Baltimore) 2022 Aug;101(31):e29696

Department of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, Wonju, Kangwon-Do, South Korea.

It is unclear which factors contribute to the developing pressure pain hypersensitivity of the upper trapezius, a type of neurophysiological hyperexcitability. The present study investigated the relationship between physical and psychological factors and pressure pain hypersensitivity of the upper trapezius for each sex. In total, 154 individuals with neck/shoulder myofascial pain participated, among 372 food service workers. Read More

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Common Upper Extremity Injuries in Pediatric Athletes.

Curr Rev Musculoskelet Med 2022 Aug 1. Epub 2022 Aug 1.

Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA.

Purpose Of Review: The aim of this study is to review the most recent literature on common upper extremity injuries in pediatric athletes and discuss their diagnosis, management, and outcomes. We also highlight ultrasound as a tool in their evaluation.

Recent Findings: Shoulder conditions presented include little league shoulder, glenohumeral rotation deficit, acute traumatic shoulder dislocation, and multidirectional shoulder instability. Read More

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Comparison of Shoulder Motion Measurements by Visual Estimate, Goniometer and Motion Capture.

J Pediatr Orthop 2022 09 22;42(8):443-450. Epub 2022 Jul 22.

Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE.

Background: Brachial plexus birth injuries (BPBI) can result in lasting impairments of external rotation and cross-body adduction (CBA) that disrupt functional activities such as dressing, grooming, or throwing a ball. The purpose of this study was to compare the quantification of shoulder humerothoracic (HT) external rotation (ER), and glenohumeral (GH) CBA by 3 methods - physician visual estimate, goniometer measurement by an occupational therapist, and motion capture.

Methods: Twenty-six patients with BPBI (average age of 9. Read More

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September 2022

Outcomes After Anatomic and Reverse Shoulder Arthroplasty for the Treatment of Glenohumeral Osteoarthritis: A Propensity Score-Matched Analysis.

J Bone Joint Surg Am 2022 Aug 19;104(15):1362-1369. Epub 2022 Apr 19.

Department of Orthopaedic Surgery, New England Baptist Hospital, Boston, Massachusetts.

Background: Reverse shoulder arthroplasty (RSA) is increasingly being utilized for the treatment of primary osteoarthritis. However, limited data are available regarding the outcomes of RSA as compared with anatomic total shoulder arthroplasty (TSA) in the setting of osteoarthritis.

Methods: We performed a retrospective matched-cohort study of patients who had undergone TSA and RSA for the treatment of primary osteoarthritis and who had a minimum of 2 years of follow-up. Read More

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Glenohumeral internal rotation deficit in volleyball players with and without a history of shoulder pain.

Res Sports Med 2022 Jul 21:1-10. Epub 2022 Jul 21.

Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

This study aimed to investigate physiological and pathological Glenohumeral Internal Rotation Deficit (GIRD) in volleyball players with and without a history of shoulder pain. Volleyball players with a history of shoulder pain (n = 18) and without a history of shoulder pain (n = 18), who were matched in age, weight, height, BMI, years of experience and frequency of practice were recruited for this cross-sectional study. Shoulder internal and external rotation Range of Motion (ROM) was measured for the dominant and non-dominant shoulders of each participant using a digital inclinometer. Read More

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Reverse Total Shoulder Arthroplasty Alters Humerothoracic, Scapulothoracic, and Glenohumeral Motion During Weighted Scaption.

Clin Orthop Relat Res 2022 Jul 18. Epub 2022 Jul 18.

Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.

Background: Reverse total shoulder arthroplasty (rTSA) typically restores active arm elevation. Prior studies in patients with rTSA during tasks that load the arm had limitations that obscured underlying three-dimensional (3D) kinematic changes and the origins of motion restrictions. Understanding the scapulothoracic and glenohumeral contributions to loaded arm elevation will uncover where functional deficits arise and inform strategies to improve rTSA outcomes. Read More

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Can surgeons optimize range of motion and reduce scapulohumeral impingements in reverse shoulder arthroplasty? A computational study.

Shoulder Elbow 2022 Aug 18;14(4):385-394. Epub 2021 Feb 18.

Institut Universitaire Locomoteur et du Sport (IULS), Unité de Recherche Clinique Côte d'Azur (UR2CA), CHU de Nice, Université Côte d'Azur (UCA), Nice, France.

Background: Early glenohumeral impingement leads to poor range of motion and notching in reverse shoulder arthroplasty. The aim was to find from planning software which implant configuration provides the best motions in reverse shoulder arthroplasty.

Patients And Methods: Reverse shoulder arthroplasty planning (Glenosys) was made in 31 patients (12 men, 19 women, 76 ± 6 yo) and impingements were analyzed. Read More

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Ultrasound Assessment of Anterior Humeral Head Translation in Patients With Anterior Shoulder Instability: Correlation With Demographic, Radiographic, and Clinical Data.

Orthop J Sports Med 2022 Jul 8;10(7):23259671221101924. Epub 2022 Jul 8.

Department of Musculoskeletal Sports Medicine, Research and Innovation, Nagoya City University Graduate School of Medical Science, Nagoya, Japan.

Background: Ultrasonography can be used to quantitatively assess anterior humeral head translation (AHHT) at different degrees of shoulder abduction. Risk factors for recurrent shoulder instability have been identified.

Hypothesis: It was hypothesized that the number of dislocations or glenoid or humeral bone loss would be associated with more AHHT as measured using ultrasound. Read More

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Differences in Glenohumeral Range of Motion and Humeral Torsion Between Right-Handed and Left-Handed Professional Baseball Pitchers.

Am J Sports Med 2022 07;50(9):2481-2487

Cleveland Clinic, Cleveland, Ohio, USA.

Background: Elite pitchers have demonstrated significant differences in glenohumeral range of motion and humeral torsion compared with the nonthrowing population. Furthermore, abnormal shoulder range of motion measurements have been associated with different injury risks and challenges in assessing rehabilitation progress. Variations in range of motion and torsion due to handedness in the asymptomatic professional population have yet to be investigated in the literature. Read More

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Frozen Shoulder Manipulation with the FEAR Technique: A Retrospective Case Series with Minimum Two-Year Follow-up.

J Surg Orthop Adv 2022 ;31(2):96-99

University of Tennessee-Campbell Clinic Department of Orthopaedic Surgery & Biomedical Engineering, Memphis, Tennessee.

Conservative treatment of adhesive capsulitis fails in up to 30% of patients. Manipulation under anesthesia (MUA) has been shown to be safe and effective, although complications (iatrogenic fracture, glenohumeral dislocation, rotator cuff tears, nerve injuries) have been reported. This study details a novel technique, FEAR (Forward elevation, Extension, Adduction/abduction, and internal and external Rotation), and its results. Read More

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Characteristics of the scapula movement during shoulder elevation depend on posture.

J Phys Ther Sci 2022 Jul 1;34(7):478-484. Epub 2022 Jul 1.

Department of Health Care Science, Graduate School of Bunkyo Gakuin University, Japan.

[Purpose] This study aimed to clarify the differences in scapular movement during flexion and abduction of the shoulder joint with different postures. [Participants and Methods] This study included 15 male participants. Their shoulder flexion and abduction and angles of the scapular upward rotation, scapular anterior tilt, scapular external rotation, and thoracic spine flexion were measured. Read More

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The Relationship between Scapular Position and Glenohumeral Rotational Range of Motion in High School Baseball Players.

J Shoulder Elbow Surg 2022 Jun 30. Epub 2022 Jun 30.

Department of Physical Therapy, Kyoto Tachibana University, Kyoto-City, Kyoto, Japan.

Background: Past research indicated that scapular malposition is related to the glenohumeral internal rotation deficit (GIRD). However, there is no research examining the effect of throwing-related pain on this relationship. This study investigated the relationship between scapular position and range of motion (ROM) and compared the difference in this relationship between with and without throwing-related pain. Read More

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Effect of thoracic expansion restriction on scapulothoracic and glenohumeral joint motion during shoulder external rotation.

J Back Musculoskelet Rehabil 2022 Jun 7. Epub 2022 Jun 7.

Background: Shoulder external rotation in the throwing motion involves movement of the scapulothoracic and glenohumeral joints, thoracic spine, and the thorax. Restriction of thoracic expansion may decrease scapulothoracic joint motion and compensate by excessive glenohumeral joint motion. However, it is unclear how restricting the expansion of the thorax alters shoulder motion. Read More

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Long-term Outcomes After the Open Latarjet Procedure for the Surgical Management of Humeral Avulsion of the Glenohumeral Ligament Lesions.

Am J Sports Med 2022 07 20;50(9):2476-2480. Epub 2022 Jun 20.

Centre Orthopédique Santy, Hôpital Privé Jean Mermoz, Ramsay Santé, Lyon, France.

Background: Recurrent anterior glenohumeral instability caused by a humeral avulsion of the glenohumeral ligament (HAGL) lesion has been studied, but very limited long-term evidence is available.

Purpose: To retrospectively review patients with a HAGL lesion who underwent an open Latarjet procedure for recurrent anterior shoulder instability.

Study Design: Case series; Level of evidence, 4. Read More

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Glenohumeral Hydrodistension for Postoperative Stiffness After Arthroscopic Primary Rotator Cuff Repair.

Orthop J Sports Med 2022 Jun 14;10(6):23259671221104505. Epub 2022 Jun 14.

Department of Orthopaedics, University of North Carolina Hospitals, Chapel Hill, North Carolina, USA.

Background: Postoperative stiffness is a known complication after rotator cuff repair (RCR). Glenohumeral hydrodistension (GH) has been a treatment modality for shoulder pathology but has not been used to treat postoperative stiffness after RCR.

Purpose/hypothesis: The purpose of this study was to identify the risk factors for postoperative stiffness after RCR and review outcomes after treatment with GH. Read More

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Affection of glenoid wear on clinical results after humeral head replacement using a single prosthesis in cuff tear arthropathy with more than 8 years follow-up.

J Shoulder Elbow Surg 2022 Jun 15. Epub 2022 Jun 15.

Department of Orthopaedic Surgery, Nanbu Tokusyukai Hospital, Okinawa, Japan.

Background: Glenoid wear (GW) is a long-term complication after HHR, and one of the major reasons for revision surgery. This study evaluated GW after more than 8 years follow-up after HHR in patients with CTA using a modified classification of GW, to examine the relationship between GW and clinical outcomes, and identify risk factors for GW progression.

Methods: This retrospective case series study included 34 shoulders (13 male, 21 female; mean age at surgery: 70. Read More

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Effectiveness of Scapular Stabilization Versus Non-Stabilization Stretching on Shoulder Range of Motion, a Randomized Clinical Trial.

Int J Sports Phys Ther 2022 1;17(4):695-706. Epub 2022 Jun 1.

Department of Physical Therapy, University of Kentucky.

Background: Previous research has demonstrated the benefits of both stabilization and non-stabilization of the scapula during stretching in individuals with posterior shoulder tightness, but limited evidence exists in patients with shoulder pain.

Hypothesis/purpose: The aim of this study was to determine the effect of stabilized scapular stretching on patients with shoulder pain. The primary hypothesis of this study is that stabilized scapular stretching will improve glenohumeral motion and pain compared to non-stabilized stretch program. Read More

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No Strength Differences Despite Greater Posterior Rotator Cuff Intramuscular Fat in Patients with Eccentric Glenohumeral Osteoarthritis.

Clin Orthop Relat Res 2022 Jun 2. Epub 2022 Jun 2.

Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Background: When nonoperative measures do not alleviate the symptoms of glenohumeral osteoarthritis (OA), patients with advanced OA primarily are treated with anatomic total shoulder arthroplasty (TSA). It is unknown why TSAs performed in patients with eccentric (asymmetric glenoid wear) compared with concentric (symmetric glenoid wear) deformities exhibit higher failure rates, despite surgical advances. Persistent disruption of the posterior-to-anterior rotator cuff (RC) force couple resulting from posterior RC intramuscular degeneration in patients with eccentric deformities could impair external rotation strength and may contribute to eventual TSA failure. Read More

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Moment arms of the deltoid, infraspinatus and teres minor muscles for movements with high range of motion: A cadaveric study.

Clin Biomech (Bristol, Avon) 2022 07 25;97:105685. Epub 2022 May 25.

Département d'anatomie, Université du Québec à Trois-Rivières, Trois-Rivières, Canada; Chaire de recherche en anatomie fonctionnelle, Université du Québec à Trois-Rivières, Trois-Rivières, Canada; Groupe de recherche sur les affections neuro-musculosquelettiques, Université de Québec à Trois-Rivières, Trois-Rivières, Canada.

Background: Moment arms are an indicator of the role of the muscles in joint actuation. An excursion method is often used to calculate them, even though it provides 1D results. As shoulder movement occurs in three dimensions (combination of flexion, abduction and axial rotation), moment arms should be given in 3D. Read More

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Shoulder Arthroplasty Options for Glenohumeral Osteoarthritis in Young and Active Patients (<60 Years Old): A Systematic Review.

J Shoulder Elb Arthroplast 2022 23;6:24715492221087014. Epub 2022 Mar 23.

Centro Hospitalar Universitário do Porto, Porto, Portugal.

Aim: This study aims to describe the shoulder arthroplasty options for young and active patients (<60 years old) with glenohumeral osteoarthritis.

Methods: A systematic review of the literature was conducted by searching on Pubmed database. Studies that reported outcomes of patients with glenohumeral arthritis, younger than 60 years, that underwent shoulder arthroplasty [(Hemiarthroplasty (HA), Hemiarthroplasty with biological resurfacing (HABR), Total shoulder arthroplasty (TSA), Reversed total shoulder arthroplasty (RSA)] were included. Read More

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Range of Movement and Patient-Reported Outcomes in Shoulder Arthroplasty in the Elderly: A Comparison of Anatomical Versus Reverse Shoulder Replacements.

Cureus 2022 May 2;14(5):e24657. Epub 2022 May 2.

Trauma and Orthopaedics, West Hertfordshire Hospitals NHS Trust, London, GBR.

Introduction Shoulder arthroplasty is in increasing demand in the elderly given the rising prevalence of glenohumeral osteoarthritis (OA) across the population. There is a dearth of evidence in the current literature comparing anatomical total shoulder arthroplasty and reverse total shoulder arthroplasty (RTSA) in the elderly population. This study compares patient-reported outcome measures and range of movement (ROM) between anatomical and reverse total shoulder replacements in matched patient cohorts over the age of 70 years. Read More

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Comparing the Results of External Rotational Humeral Osteotomy in Older Children to the Mod Quad and Triangle Tilt Procedures in Adults with Obstetric Brachial Plexus Injury.

Eplasty 2022 8;22:e2. Epub 2022 Feb 8.

Texas Nerve and Paralysis Institute, Houston, Texas.

Background: External Rotational Humeral osteotomy is used to address the external rotation deficit in older children with obstetric brachial plexus Injury (OBPI). Although this procedure improves the cosmetic effect of shoulder subluxation, it has no effect on the underlying structural (glenohumeral deformity and scapular elevation and rotation) and functional problems. In this study, improvements in glenohumeral joint alignment; scapular hypoplasia, elevation, and rotation (SHEAR) deformity; and upper extremity functional movements were demonstrated in adult patients with OBPI 1 year after the mod Quad and/or triangle tilt surgeries. Read More

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February 2022

Tendon transfers for massive rotator cuff tears.

Authors:
Antonio Cartucho

EFORT Open Rev 2022 May 31;7(6):404-413. Epub 2022 May 31.

Shoulder and Elbow Unit, Hospital Cuf Descobertas, Lisbon, Portugal.

Massive rotator cuff tears (MRCTs) present a particular challenge due to high rates of retear that can range from 18 to 94%, failure of healing after repair, and potential for irreparability. Management of MRCTs must take into consideration the patient's characteristics, clinical examamination and expectation, number and quality of muscle tendons units involved. Conservative treatment, arthroscopic long head of the biceps tenotomy, cuff debridement, partial repair, and superior capsule reconstruction are viable solutions to treat selected patients. Read More

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The Effectiveness of Shoulder Mobility and Strength Programs in Competitive Water-Polo Players.

Life (Basel) 2022 May 20;12(5). Epub 2022 May 20.

Institut Nacional d'Educació Física de Catalunya (INEFC), Universitat de Lleida (UdL), 25192 Lleida, Spain.

Background: Water-polo is the water sport with the highest incidence of injuries, with shoulder pain being the most common one. The understanding of risk factors and guidance on preventive measures is essential in this sport discipline. The aim of this study was to determine the effects of a specific 6-week training plan on range of motion (ROM) and joint strength levels in a group of professional water-polo players. Read More

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Alterations in shoulder kinematics are associated with shoulder pain during wheelchair propulsion sprints.

Scand J Med Sci Sports 2022 Aug 5;32(8):1213-1223. Epub 2022 Jun 5.

Peter Harrison Centre for Disability Sport, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.

The study purpose was to examine the biomechanical characteristics of sports wheelchair propulsion and determine biomechanical associations with shoulder pain in wheelchair athletes. Twenty wheelchair court-sport athletes (age: 32 ± 11 years old) performed one submaximal propulsion trial in their sports-specific wheelchair at 1.67 m/s for 3 min and two 10 s sprints on a dual-roller ergometer. Read More

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Direction of non-recoverable strain in the glenohumeral capsule following multiple anterior dislocations: Implications for anatomic Bankart repair.

J Orthop Res 2022 May 26. Epub 2022 May 26.

Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

The study aimed to analyze the direction of non-recoverable strain and determine the optimal direction for anatomic capsular plication within four sub-regions of the inferior glenohumeral capsule following multiple dislocations. Seven fresh-frozen cadaveric shoulders were dissected. A grid of strain markers was affixed to the inferior glenohumeral capsule. Read More

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Biomechanical analysis of anterior stability after 15% glenoid bone loss: comparison of Bankart repair, dynamic anterior stabilization, dynamic anterior stabilization with Bankart repair, and Latarjet.

J Shoulder Elbow Surg 2022 May 18. Epub 2022 May 18.

Shoulder and Elbow Division, Sports Medicine Institute, Hospital for Special Surgery, New York, NY, USA.

Background: Dynamic anterior shoulder stabilization (DAS) with Bankart repair is a recently described stabilization technique thought to be more robust than an isolated Bankart repair while avoiding many coracoid transfer-related complications and technical demands. DAS involves transfer of the long head biceps through a subscapularis split to the anterior glenoid to create a sling effect. We hypothesize that DAS with Bankart repair will restore anterior stability in a human-cadaveric model with subcritical (15%) glenoid bone loss. Read More

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