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Chronic shoulder pain: Evaluation

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16 papers 100 to 500 followers
By Joe Weatherly FM/Hospitalist-CoFounder of QuestioningMedicine and PCRAP contributor.
Eric J Hegedus, Adam P Goode, Chad E Cook, Lori Michener, Cortney A Myer, Daniel M Myer, Alexis A Wright
OBJECTIVE: To update our previously published systematic review and meta-analysis by subjecting the literature on shoulder physical examination (ShPE) to careful analysis in order to determine each tests clinical utility. METHODS: This review is an update of previous work, therefore the terms in the Medline and CINAHL search strategies remained the same with the exception that the search was confined to the dates November, 2006 through to February, 2012. The previous study dates were 1966 - October, 2006...
November 2012: British Journal of Sports Medicine
Yasmaine H J M Karel, Wendy G M Scholten-Peeters, Marloes Thoomes-de Graaf, Edwin Duijn, Ramon P G Ottenheijm, Maaike P J van den Borne, Bart W Koes, Arianne P Verhagen, Geert-Jan Dinant, Eric Tetteroo, Annechien Beumer, Joost B van Broekhoven, Marcel Heijmans
BACKGROUND: Shoulder pain is disabling and has a considerable socio-economic impact. Over 50% of patients presenting in primary care still have symptoms after 6 months; moreover, prognostic factors such as pain intensity, age, disability level and duration of complaints are associated with poor outcome. Most shoulder complaints in this group are categorized as non-specific. Musculoskeletal ultrasound might be a useful imaging method to detect subgroups of patients with subacromial disorders...
February 11, 2013: BMC Musculoskeletal Disorders
Andreas M Mueller, Claudio Rosso, Vahid Entezari, Brett McKenzie, Andrew Hasebroock, Andrea Cereatti, Ugo Della Croce, Ara Nazarian, Arun J Ramappa, Joseph P DeAngelis
BACKGROUND: Supraspinatus tears are common in pitchers. However, the effect of these tears on glenohumeral (GH) mechanics is incompletely understood. PURPOSE/HYPOTHESIS: To describe the effect of supraspinatus tears and repairs on GH kinematics during an abbreviated throwing motion using the intact shoulder girdle. The hypothesis was that supraspinatus tears would lead to an increase of GH translation in the coronal plane and supraspinatus repairs would restore GH kinematics...
October 2014: American Journal of Sports Medicine
Harvinder Pal Singh, Saurabh Sagar Mehta, Radhakant Pandey
BACKGROUND: This study investigated the clinical and radiographic factors that influence outcome after arthroscopic subacromial decompression (ASAD) for shoulder impingement syndrome. The goal was to develop a new preoperative scoring system to identify patients who would have a prompt and sustained benefit from ASAD. METHODS: We prospectively reviewed 112 consecutive patients with impingement syndrome who subsequently underwent ASAD. The Oxford Shoulder Score (OSS) was recorded preoperatively and 3 and 12 months postoperatively...
September 2014: Journal of Shoulder and Elbow Surgery
Giovanna Medina, Guilherme Garofo, Caio O D'Elia, Alexandre C Bitar, Wagner Castropil, Breno Schor
Few complications regarding the use of bioabsorbable suture anchors in the shoulder have been reported. What motivated this case report was the unusual location of the anchor, found in the acromioclavicular joint which, to our knowledge, has never been reported so far. A 53-year old male with previous rotator cuff (RC) repair using bioabsorbable suture anchors presented with pain and weakness after 2 years of surgery. A suspicion of retear of the RC led to request of a magnetic resonance image, in which the implant was found located in the acromioclavicular joint...
2014: Case Reports in Orthopedics
Max E Davis, Patrick L Stafford, Matthew J Jergenson, Asheesh Bedi, Christopher L Mendias
BACKGROUND: Rotator cuff tears are a common source of shoulder pain and disability. Even after surgical repair, some patients continue to have reduced function and progression of fatty degeneration. Because patients with chronic cuff tears often experience muscle shortening, it is possible that repairing the tendon to its anatomic footprint induces a stretch-induced muscle injury that could contribute to failures of the repair and perhaps ongoing pain. QUESTIONS/PURPOSES: We hypothesized that, compared with acutely torn and repaired muscles, the stretch that is required to repair a chronically torn cuff would result in more muscle fiber damage...
January 2015: Clinical Orthopaedics and related Research
Derya Ozer Kaya, Gul Baltaci, Ugur Toprak, Ahmet Ozgur Atay
OBJECTIVE: The purpose of this study was to compare the effects of manual therapy with exercise to kinesiotaping with exercise for patients with subacromial impingement syndrome. METHODS: Randomized clinical before and after trial was used. Fifty-four patients diagnosed as having subacromial impingement syndrome who were referred for outpatient treatment were included. Eligible patients (between 30 and 60 years old, with unilateral shoulder pain) were randomly allocated to 2 study groups: kinesiotaping with exercise (n = 28) or manual therapy with exercise (n = 26)...
July 2014: Journal of Manipulative and Physiological Therapeutics
Benjamin T Busfield, Denise M Romero, Daniel Korshad, F Daniel Kharrazi
BACKGROUND: Intra-articular pain pumps with local anesthetics have been implicated as a potential cause of post-arthroscopic glenohumeral chondrolysis (PAGCL) of the shoulder. In short-term studies, subacromial pain pump use is effective and safe without association with PAGCL. Patients with full thickness rotator cuff tears may be at high risk of PAGCL given disruption of the tendinous integrity which may allow intra-articular infusion of local anesthetics. We hypothesized that subacromial pain pump use after arthroscopic rotator cuff repair would not result in PAGCL...
June 2014: Journal of Orthopaedics
Kirsi Piitulainen, Juha Paloneva, Jari Ylinen, Hannu Kautiainen, Arja Häkkinen
BACKGROUND: The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) is one of the most widely used shoulder outcome tools in clinical work and in scientific studies. However, it has not been validated in the Finnish language. The aims of this study were to cross-culturally adapt the ASES to the Finnish language and to study the psychometric properties of the self-report section of the ASES. METHODS: A total of 105 patients with shoulder symptoms answered the questionnaires of the ASES, a single disability question, the Simple Shoulder Test (SST), and the Short-Form 36 Health Survey (SF-36)...
2014: BMC Musculoskeletal Disorders
Rebekah L Lawrence, Jonathan P Braman, Robert F Laprade, Paula M Ludewig
STUDY DESIGN: Cross-sectional. OBJECTIVES: To compare sternoclavicular, acromioclavicular, and scapulothoracic joint motion between symptomatic and asymptomatic individuals during shoulder motion performed in 3 planes of humerothoracic elevation. BACKGROUND: Differences in scapulothoracic kinematics are associated with shoulder pain. Several studies have measured these differences using surface sensors, but the results of this technique may be affected by skin-motion artifact...
September 2014: Journal of Orthopaedic and Sports Physical Therapy
Rebekah L Lawrence, Jonathan P Braman, Justin L Staker, Robert F Laprade, Paula M Ludewig
STUDY DESIGN: Cross-sectional. OBJECTIVES: To compare differences in glenohumeral joint angular motion and linear translations between symptomatic and asymptomatic individuals during shoulder motion performed in 3 planes of humerothoracic elevation. BACKGROUND: Numerous clinical theories have linked abnormal glenohumeral kinematics, including decreased glenohumeral external rotation and increased superior translation, to individuals with shoulder pain and impingement diagnoses...
September 2014: Journal of Orthopaedic and Sports Physical Therapy
Mark Laslett, Michael Steele, Wayne Hing, Peter McNair, Angela Cadogan
OBJECTIVE: Measure changes in pain and disability of primary care shoulder pain patients over a 12-month period. DESIGN: A non-randomized audit with repeated measures of pain and disability at 3 weeks, 3, 6 and 12 months. PATIENTS: Of 208 patients, 161 agreed to participate with 96.9%, 98.1%, 86.3%, 83.9% follow-up at 3 weeks, at 3, 6 and 12 months, respectively. Mean age was 44 years, mean symptom duration 3.6 months. METHODS: PATIENTS were treated with protocol driven corticosteroid injection and community based care...
October 2014: Journal of Rehabilitation Medicine
Yon Sik Yoo, Hyun Seok Song
A patient who underwent manipulation for stiffness accompanying a rotator cuff tear experienced a complication consisting of a bony Bankart lesion connected to the superior and inferior labrum. This lesion was displaced posteriorly, locked behind the humeral head and blocking the reduction. Attachment of the labrum to this fragment made reduction and fixation easier. This bony Bankart lesion was fixed successfully by arthroscopic placement of knotless suture anchors. Level of evidence Case report, Level IV.
June 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Job Hermans, Jolanda J Luime, Duncan E Meuffels, Max Reijman, David L Simel, Sita M A Bierma-Zeinstra
IMPORTANCE: Rotator cuff disease (RCD) is the most common cause of shoulder pain seen by physicians. OBJECTIVE: To perform a meta-analysis to identify the most accurate clinical examination findings for RCD. DATA SOURCES: Structured search in MEDLINE, EMBASE, and CINAHL from their inception through May 2013. STUDY SELECTION: For inclusion, a study must have met the following criteria: (1) description of history taking, physical examination, or clinical tests concerning RCD; (2) detailing of sensitivity and specificity; (3) use of a reference standard with diagnostic criteria prespecified; (4) presentation of original data, or original data could be obtained from the authors; and (5) publication in a language mastered by one of the authors (Danish, Dutch, English, French, German, Norwegian, Spanish, Swedish)...
August 28, 2013: JAMA: the Journal of the American Medical Association
Kelton M Burbank, J Herbert Stevenson, Gregory R Czarnecki, Justin Dorfman
Shoulder pain is defined as chronic when it has been present for longer than six months. Common conditions that can result in chronic shoulder pain include rotator cuff disorders, adhesive capsulitis, shoulder instability, and shoulder arthritis. Rotator cuff disorders include tendinopathy, partial tears, and complete tears. A clinical decision rule that is helpful in the diagnosis of rotator cuff tears includes pain with overhead activity, weakness on empty can and external rotation tests, and a positive impingement sign...
February 15, 2008: American Family Physician
T W Woodward, T M Best
Fractures of the humerus, scapula and clavicle usually result from a direct blow or a fall onto an outstretched hand. Most can be treated by immobilization. Dislocation of the humerus, strain or sprain of the acromioclavicular and sternoclavicular joints, and rotator cuff injury often can be managed conservatively. Recurrence is a problem with humerus dislocation, and surgical management may be indicated if conservative treatment fails. Rotator cuff tears are often hard to diagnose because of muscle atrophy that impairs the patient's ability to perform diagnostic maneuvers...
June 1, 2000: American Family Physician
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