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At least 793 records · Page 44Linked to original sources
PubMed1998

Solitary scapula mass: atypical presentation of esophageal adenocarcinoma.

Adenocarcinoma of the esophagus is an aggressive malignancy that frequently occurs with lymph node involvement. Current management strategies may incorporate adjuvant therapeutic modalities in an attempt to improve the typical dismal outcome. There is frequent association of esophageal adenocarcinoma with Barret's metaplasia. Isolated bone and soft tissue metastases are rare and may present a diagnostic challenge in asymptomatic patients.

Adenocarcinoma↗
PubMed1998

The effects of concentric versus eccentric isokinetic strength training of the rotator cuff in the plane of the scapula at various speeds.

This study compares the effects of three modes of isokinetic resistance training at the shoulder--concentric, eccentric, and a combination of both concentric and eccentric, with a group that received no training at all. Twenty-eight healthy volunteers (male and females), 18 to 36 years of age, with no history of shoulder pathology, were randomly assigned to one of four groups; concentric training, eccentric training, a combination of both concentric and eccentric training, or control (no training). Testing and training of the dominant shoulder was performed on an isokinetic dynamometer. All subjects were pretested and post-tested both concentrically and eccentrically for humeral internal/external rotation and abduction at speeds of 60 degrees/sec and 120 degrees/sec. Each training session consisted of a total of twelve sets of ten maximal repetitions, and was repeated three times a week for four weeks. The absolute and percent difference in peak force and peak torque for each group between the pretest and post-test was calculated for each combination of position, mode, and speed. A significant difference between the concentric/eccentric group and the eccentric group was found for abduction (p < 0.05). The eccentric group showed a significantly greater increase from the pretest to post-test for absolute differences in peak force and peak torque compared to the concentric/eccentric group (p < 0.05).

Adolescent↗
PubMed2001

[Defect coverage of the hand and forearm with a free scapula-parascapula flap].

BACKGROUND: Complex defects of the forearm and hand are associated with the loss of important structures. Single-stage reconstruction of these defects requires composite tissue transplantations. The subscapular region offers various components for the coverage of complex defects. The scapular and the parascapular flaps can be used each as cutaneous, fasciocutaneous and osteocutaneous or as a combined flap as well. The purpose of this study was to present our experience with the combined scapular-parascapular free flap for defect coverage of the forearm and hand in 13 patients. PATIENTS AND METHOD: Evaluation of 12 patients who underwent coverage of forearm and hand defects with the combined scapular-parascapular free flap during a five-year period. Other treatment options are discussed. RESULTS: Average age of the patients was 39 years, there were ten male and two female patients. Average follow-up was 20 months. Eleven patients suffered from massive trauma, one patient from severe infection of the forearm and hand. The defect size varied from 12 x 8 cm to 45 x 20 cm. In nine cases, a cutaneous and/or fasciocutaneous scapular-parascapular flap was used, two patients underwent defect coverage with an osteocutaneous scapular-parascapular flap, and in one patient, a "four-flap-mega-flap" was transplanted. One flap developed a partial necrosis. Eight patients developed a good or very good functional outcome with their hand and forearm, two patients have a moderate degree of disability. Two patients can use their hand as a supporting hand. CONCLUSION: This study demonstrates that the combined scapular-parascapular free flap is a reliable treatment choice for early coverage of defects of the forearm and hand. The advantages are the long, large and consistent vascular pedicle, the possibility of combination with other flaps and "custom-tailoring", including whatever component is necessary to close the particular defect.

Adult↗
PubMed2001

Elastofibroma scapulae.

The cases of five patients with subscapular elastofibroma are reported. The age of the patients ranged from 53 to 74 years (mean, 61.8 years). All patients had periscapular pain and discomfort. There were two men and three women. The symptoms had lasted from 2 to 5 years. The diagnosis was clinical in every case, based on a subscapular firm mass. Four patients were operated on; one woman had bilateral surgery. On gross examination, the lesions were firm, rubbery, and approximately 2 x 8 x 10 cm. All patients were symptom-free after surgical removal of the tumor. An elastofibroma cannot be detected clinically when the patient is standing in a normal position. When the patient stands with the arms slightly elevated forward and adducted so the tumor protrudes, a palpable and visible mass appears.

Aged↗
PubMedDate not supplied

[Facio-scapula-humeral muscular dystrophy: clinical picture and molecular genetics].

Facioscapulohumeral muscular dystrophy (FSHD) is a disorder of muscle with a progressive, often asymmetric wasting and weakness of facial, shoulder girdle and lower limbs muscles. No FSHD gene has been identified so far. The FSHD locus is known to be 4q35. The paper presents the clinical picture of FSHD including atypical cases, as well as its inter- and intrafamilial clinical variability. Molecular pathology and diagnostics of the condition are discussed, with particular attention paid to DNA analysis in FSHD.

Adolescent↗