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At least 271 records · Page 15Linked to original sources
PubMed1995

Shoulder arthroscopy and nerve injury: pitfalls and prevention.

Shoulder arthroscopy has become a very useful diagnostic and therapeutic modality. Unfortunately, like many other invasive procedures it can have complications. One of the most worrisome complications, for both the patient and surgeon, is that of nerve injury. Nerve injury during shoulder arthroscopy is often a transient phenomenon although a more severe injury has been documented. We review much of the literature on this subject and discuss some of the many pitfalls and preventative strategies that have been reported.

Arthroscopy↗
PubMed1988

[Rehabilitation treatment of injuries of the shoulder joint].

The authors share their experience with treatment of injuries of the humeral articulation and their consequences. Main diseases of the articulation such as scapulohumeral periarthritis, habitual dislocation of the shoulder, fractures of the proximal end of the humeral bone are described. Original methods of conservative and operative treatment are proposed.

Fracture Fixation, Internal↗
PubMed1989

Epidemiology of injuries in Danish championship tennis.

During the outdoor tennis season of 1984 a prospective injury registration was done in 104 randomly chosen elite tennis players, of whom 86% could be followed. We found 46 injuries: an incidence of 2.3 injuries/player/1000 tennis hours. Men were more frequently injured than women. The prevalence was 0.3 injury/player. Upper extremity injuries were most frequent - 45.7% (21/46). Shoulder injuries were the single most frequent injury - 17% (8/46). The pathophysiology was overuse in 67% (28/42), strains in 14% (6/42), sprains in 17% (7/42), fractures in 2% (1/42), and blisters in 5% (2/42). Players using conventional rackets had more injuries to the upper extremity compared with players using mid/oversized rackets, though the difference was nonsignificant. The importance of impact forces from the tennis stroke in the mechanism of upper extremity injuries is discussed.

Cross-Sectional Studies↗
PubMed2002

Test-retest reliability of glenohumeral internal and external rotator strength.

OBJECTIVE: To establish test-retest reliability for a strength testing protocol of the glenohumeral internal and external rotator muscles using a KinCom (Chattanooga Group, Hixson, TN) isokinetic dynamometer. DESIGN: Prospective test-retest reliability study. SETTING: Rehabilitation research laboratory. PARTICIPANTS: Fourteen volunteers between the ages of 27 and 35 years participated in the study. Subjects had no history of traumatic shoulder injury and no overuse-based shoulder pain interfering with activity within the last 6 months. Nine of the 14 subjects were not participating in more than 6 hours weekly of arm-based sporting activities, while the remaining five subjects were involved in swim training at workout volumes of no greater than 3000 m per week. INTERVENTION: Subjects performed three test sessions of four maximal repetitions each of concentric and eccentric shoulder internal and external rotation bilaterally in a standardized sitting position. An average of 5.9 days occurred between consecutive test sessions (range, 2-21 days). MAIN OUTCOME MEASURES: Average torque data were collected for concentric and eccentric internal and external rotation tests bilaterally. Intraclass correlation coefficients were calculated to compare the data across sessions. Pearson product moment correlation coefficients were calculated to assess reliability between sessions. RESULTS: High test-retest reliability, ranging from 0.82 to 0.97, was demonstrated for all tests. CONCLUSIONS: The results indicate that a reliable test protocol has been determined for shoulder internal and external rotation strength testing on the KinCom isokinetic dynamometer.

Adult↗
PubMed1998

[Histological and electron microscopic study of rotator cuff tear].

OBJECTIVE: To understand the changes of rotator cuff during tear and observe the pathologic and ultramicroscopic structure of rotator cuff. METHOD: Histological and ultra thin slides of samples of 36 cases of rotator cuff were made. RESULT: The degeneration of rotator cuff happened in synovium side, and then extended to the middle and deep sides of tendon. The deep side of cuff tendon could degenerate without synovium. The repair of tendon could be achieved with two types of healing. CONCLUSION: It would be difficult to achieve full repair when complete tear and deep side tear occurred to the rotator cuff.

Adult↗
PubMed1993

Neurovascular injuries to the shoulder complex.

The shoulder complex is particularly vulnerable to neurovascular injuries due to its intimate anatomical relationship with the brachial plexus and axillary vessels. Therapists, trainers, and physicians who cover athletic events witness the violence of injury to the neck and shoulder. Fortunately, permanent neurovascular deficits are rare, and many are subtle. However, tragically, some can be career-ending and even life-threatening. Neurovascular injuries may occur in association with musculoskeletal injury or as an isolated finding. Symptoms may present on an acute basis or in a chronic fashion. On the playing field or in the emergency room, focus is often placed on the obvious musculoskeletal injury, ie., dislocation or fracture. Medical personnel must always have a high index of suspicion of neurovascular injuries to the shoulder complex to avoid misdiagnosis. They must consider that failure to progress in rehabilitation for musculoskeletal injuries may be secondary to a previously unrecognized neurovascular lesion. The purpose of this review is to provide a basic reference for diagnosis and treatment of neurovascular injuries to the shoulder complex for therapists, trainers, and physicians. Also, we hope to raise the index of suspicion for neurovascular injuries during evaluation of patients with common shoulder injuries. The review is organized by location and association with specific musculoskeletal injuries.

Athletic Injuries↗
PubMed1988

Sonographic evaluation of the rotator cuff.

This article emphasizes the utility of ultrasound examination in the diagnosis of rotator cuff disease. A complete description is given of the way in which ultrasound examination of the shoulder is performed, the illustrations demonstrating normal anatomy as well as staging of the disease. The use of ultrasound in this setting can help to prevent a great deal of the pain associated with shoulder injury by establishing the nature and stage of injury before rotator cuff tear occurs.

Humans↗
PubMed1984

[Soft tissue injuries of the shoulder joint].

In contrast to rare occurrence of blood vessel and nerve injuries the frequency of tendinous lesions of the shoulder is high. The clinical diagnosis of the ruptured tendon of the M. biceps brachii is obvious. On the other hand only arthrography or arthroscopy can verify the diagnosis of a ruptured supraspinatus tendon. The best access for tenosuture and tenoplasty of the latter is the transacromeal method.

Axillary Artery↗
PubMed1995

The clinical presentation of shoulder instability including on field management.

In the athlete, shoulder instability may result from external high-energy trauma or repetitive overuse. Our understanding of how shoulder instability may contribute to and result from shoulder injury has improved considerably during the past decade. In addition, the delicate balance between mobility and stability and the interrelationship between instability and rotator cuff disease make the clinical management of the unstable shoulder and its field treatment a challenge for physicians, therapists, trainers, and others responsible for the care of injured athletes.

Arm Injuries↗
PubMed1983

Thoracic outlet syndrome and the shoulder.

Thoracic outlet syndrome may be the cause of symptoms wrongly attributed to shoulder pathology, or it may accompany or result from shoulder injury. If misdiagnosed, it may leave the physician wondering why relevant shoulder therapy fails to result in a return to full potential, but if correctly diagnosed, it can be cured or ameliorated.

Adolescent↗
PubMed2000

Neuromusculoskeletal syndromes in wheelchair athletes.

With the growth of wheelchair athletics at both grassroots and national levels, there has been an increased incidence of sports-related and overuse syndromes in the wheelchair-user population. This article provides an overview of the available literature on the incidence, prevalence, evaluation, prevention, and rehabilitative management of these types of clinical syndromes.

Athletic Injuries↗