Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Rotation”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,207 records · Page 67Linked to original sources
PubMedDate not supplied

[Medial rotation deformity of the hip in cerebral palsy: surgical treatment by transposition of gluteal muscles].

INTRODUCTION: Medial rotation deformity of the hip is a problem to patients who are handicapped by cerebral palsy but able to walk, because the knees point inward during gait ("kissing patellae") and cause falls and frequent injuries. Knees and ankles are subject to stress and, therefore, they assume compensating positions. Lower legs assume position of valgus and external rotation, whereas feet rotate either inwards or outwards. Secondary deformities make gait more difficult and cause rapid tear of footwear. AIM: The purpose of the paper was to retrospectively analyze the effects of transposition of the gluteus medius and minimus muscles, a procedure introduced for the first time in our country in order to correct the deformity. A new method of binding the muscles by wire was described. There had been no previous experience with this method. METHOD: This operation was indicated in patients with spastic form of cerebral palsy, who were able to walk, who had difficulties in gait and whose lateral rotation was less than 10 degrees along with the medial rotation of over 70 degrees of the hip on the side of the deformity. Additional prerequisite for the operation was the absence of flexion contracture of more than 15 degrees of either the hip or the knee on the side of deformity, as there is possibility of aggravation of the flexion hip deformity due to transposed gluteal muscles (now in front of the hip joint). Fifteen hips of 10 patients were operated on. Five patients were operated on bilaterally at one time. The average age was 8 (6-12) years. The majority of patients, 8 (80%) were aged between 6 and 8. The average follow-up was 5 years (3-8). The assessment of the results was based on the comparison of rotational abilities of both hips before and after the operation (in unilateral and bilateral deformities), as well as on individual complaints before and after the operation. In patients with unilateral deformity, their "healthy" hips were the control hips. The analysis of the femoral neck anteversion before and after operation was performed. RESULTS: Average values of medial and lateral rotation of the deformed hips before operation exhibited significant statistical difference when compared to control hips. The difference of average values of rotatory movements of control and operated hips was not statistically significant after operation. The difference of average preoperative values of the femoral neck anteversion in hips with deformity was statistically significant (49.40+/-4.63 degrees compared to 32.8+/-3.11 degrees ). Postoperative average values of anteversion in operated and control hips were not statistically significant. The difference between average preoperative (49.40+/-4.63 degrees ) and postoperative (35.80+/-7.66 degrees ) values of the femoral neck anteversion was statistically significant. Excellent results were achieved in 5 (50%) patients, i.e. 8 (53.3%) hips; good results were achieved in 3 (30%) patients, i.e. 5 (33.3%) hips; poor result in 2 (20%) patients, i.e. 2 (13.3%) hips. All 5 patients who had undergone surgery of both hips had symmetric outcome. Three patients had excellent results, while two had good results. Patients with excellent and good results (80% of patients, 86.6% of hips) showed neither weakening of the operated hip abduction nor pelvic instability (positive Trendelenburgh hip test). No complications were recorded postoperatively. CONCLUSION: Transposition of gluteal muscles can be recommended in patients under 10 years of age as there is still a chance for their femoral neck to change orientation, to decrease the anteversion and thus to achieve long-lasting effect. Fixation of transposed muscles by wire proved to be effective.

Buttocks↗
PubMed2006

Endogenous testosterone concentration, mental rotation, and size of the corpus callosum in a sample of young Hungarian women.

In the present study brain laterality, hemispheric communication, and mental rotation performance were examined. A sample of 33 women were tested for a possible linear relationship of testosterone level and mental rotation with structural background of the brain. Subjects with a smaller splenial area of corpus callosum tended to have lower levels of testosterone (r =.37, p<.05). However, there were no significant differences in mean scores of mental rotation of object and hand between groups with high and low levels of testosterone. There was a significant difference in relative size of the 6th area (slice) of the corpus callosum between groups with good and poor scores on mental rotation of an object and also in relative size of the 4th and 5th slices of the corpus callosum between groups on mental rotation of the hand. The good and poor scorers' show different relations with the measures of the corpus. The mental rotation of hand was associated with the parietal areas of the corpus callosum, while the mental rotation of object was associated only with the occipital area. These observations suggest that higher testosterone levels may be associated with a larger splenial area, which represents an important connection between the parieto-occipitocortical areas involved in activation of mental images. Further srudy is encouraged.

Adult↗
PubMed1990

Sex differences and the role of figural complexity in determining the rate of mental rotation.

Two experiments were conducted to investigate the effects of figural complexity on the rate of mental rotation of 3-dimensional figures and to compare the performance of men and women. Complexity was manipulated in three ways: by changing the number of blocks in the figure (7 or 10), by altering the number of turns (2 or 3), and by using outline or solid figures. In the first study, these factors were manipulated between groups of subjects. Women showed steeper slopes than men, but none of the complexity variables affected either slope or intercept for the mental rotation function. In the second study, number of turns and number of blocks were manipulated within-subjects, using only the solid figures. There were significant sex differences in both slope and intercept, and the number of blocks affected the slope of the rotation function. In both studies, a small percentage of the subjects showed nonlinear functions relating angular rotation to response time. Although the women consistently showed slower rotation functions, rate of rotation did not relate either to figural complexity or to nonlinearity. The results suggest that the rate of mental rotation is not affected by figural complexity, at least at the levels used in the present study, and that men and women employ essentially similar strategies.

Adult↗
PubMed2003

Covariation of sex differences in mental rotation with body size.

Sex difference in mental rotation ability was reconsidered. The Vandenberg-Kuse figures were administered to 120 male and 76 female students from the Medical School of BlackSea Technical University in Trabzon, Turkey to assess the mental rotation ability. Students' height and weight were measured. As expected, men outperformed women on this test and had greater height and weight. Number correct on mental rotation test significantly correlated with height and weight for the total sample and for men, but only with weight for women. Using weight as covariate, the sex difference was no longer significant. The mean mental rotation score was significantly higher for heavy women than for light men. There was a positive correlation between weight and mental rotation test scores for heavy women, but height and weight were negatively correlated with mental rotation test scores for light men. These results suggest that there is no sex difference in mental rotation ability as measured.

Adolescent↗
PubMed2001

Determination of functional rotation axes during elevation of the shoulder complex.

STUDY DESIGN: A cross-sectional, descriptive study of shoulder movements conducted on nonimpaired subjects. OBJECTIVE: To investigate whether a single functional rotation axis about the shoulder complex can be determined during elevation in the coronal or sagittal planes, and to identify their location. BACKGROUND: Accurate measurement of isokinetic torques about a joint requires alignment of the dynamometer axis with an assumed rotation axis of the joint. To assess shoulder function on a dynamometer, the location of a single rotation axis is not evident because the shoulder joint motion is based on several anatomical joints. Therefore, the rotation axis where humerothoracic movements occur should be judged as a functional rotation axis. METHODS AND MEASURES: During slow elevation movements in the sagittal and coronal plane, the position of the epicondyle and acromion were recorded with a motion analysis system. The motion trajectory of the elbow coordinates was fitted to a circle and considered an estimate of the functional shoulder joint rotation axis in the specified plane. RESULTS: The fitted trajectory appeared to be very accurate (root-mean-square error < 2%; N = 7). In the sagittal plane, the estimated functional rotation axis was found at the humeral head; in the coronal plane, it was located about 13 centimeters medial relative to the acromion. CONCLUSION: The shoulder complex of nonimpaired subjects can act as a hinge joint of the upper arm relative to the thorax during elevation in each measured plane.

Adult↗
PubMed1987

Periodic rotational crosses. I. Breed and heterosis utilization.

Periodic rotational crosses differ from conventional rotations by using sire breeds an unequal number of generations but in a regular sequence. Formulas for breed composition and heterosis in offspring from periodic rotations at equilibrium averaged over all generations of a cycle and for each generation of the cycle are presented. Coefficients of squares and products of breed differences and heterosis used to calculate inter-generational variance are also derived. Several specific periodic rotations utilizing a range of breed proportions were found to use from 70 to 95% as much heterosis as conventional rotations using the same number of breeds equally. Estimates of swine and cattle additive breed and heterosis effects taken from the literature were applied to the formulas. In both the swine and cattle examples, periodic rotations were found that equaled or exceeded the conventional rotations using the same number of breeds and also had lower inter-generational variance.

Animal Husbandry↗
PubMed2000

[Does negative priming occur by rotated characters?].

We conducted three experiments in order to investigate the effect of stimulus orientation on negative priming (NP). Using the picture naming task, Murray (1995) reported the occurrence of semantic NP by rotated distractors. As the rotation of picture stimuli seems to have little effect to reduce distractor interference, in the present study we used the character (katakana) identification task to ensure the effect of stimulus rotation. When the distractors were rotated (180 degrees), no NP was observed whether the targets were upright (Experiment 1) or rotated (Experiment 2). On the other hand, significant NP was observed when the distractors were upright and the targets were rotated (Experiment 3). These results suggest that the inhibitory mechanism of attention may not operate on the rotated distractor characters.

Adult↗
PubMed2004

Direction of shift rotation among three-shift workers in relation to psychological health and work-family conflict.

OBJECTIVES: The aim of the present study was to investigate whether the direction of shift rotation was related to the need for recovery, fatigue, sleep quality, work-family conflict, and leisure time among three-shift workers. METHODS: Data of 95 workers in forward-rotating three-shift work and 681 workers in backward-rotating three-shift work, with 32 months of follow-up, in the Maastricht cohort study (N=12,095) were used. Both cross-sectional and longitudinal analyses were carried out. RESULTS: A backward rotation schedule was prospectively related to an increased need for recovery [relative risk (RR) 2.88, 95% confidence interval (95% CI) 1.06-7.81] and poor general health (RR 3.21, 95% CI 1.32-7.83), as compared with a forward rotation schedule. Adjustment for demographic and health variables and the characteristics of the work environment did not alter these relations considerably. Furthermore, a forward rotation schedule was prospectively related to less work-family conflict and better sleep quality over the 32 months of follow-up. Finally, high levels of fatigue, need for recovery, poor sleep quality, poor general health, insufficient leisure time, and work-family conflict at first measurement were associated with an increased risk of leaving shiftwork during the follow-up. CONCLUSIONS: Optimization of shiftwork schedules, in terms of shift rotation, seems a promising method for decreasing the negative impact accompanying shiftwork. Future studies should investigate whether these findings for three-shift workers are applicable to other shiftwork schedules as well. Furthermore, this study clearly illustrates the existence of secondary selection processes among shiftworkers and thereby emphasizes the complexity of valid shiftwork research.

Adult↗
PubMed2003

Clockwise and counterclockwise rotating shifts: effects on sleep duration, timing, and quality.

INTRODUCTION: Many air traffic control specialists (ATCS) work relatively unique counterclockwise, rapidly rotating shift schedules. Researchers recommend, however, that if rotating schedules are to be used, they should rotate in a clockwise (CW), rather than a counterclockwise (CCW) direction. Unfortunately, few studies have examined CW and CCW rapidly rotating shifts. This study was designed to partially remedy this lack by examining the effects of both types of schedules on sleep duration, timing, and quality. METHODS: Participants (n = 28) worked a week of day shifts (0800-1600 h) followed by two weeks of either a CW (n = 14) or CCW (n = 14) shiftwork schedule, including early morning (0600-1400 h), afternoon (1400-2200 h), and midnight shifts (2200-0600 h). Participants recorded sleep data and subjective ratings of sleep quality, sleepiness, and mood in daily logbooks and wore wrist activity sensors to provide an objective source of sleep/wake data. RESULTS: There was no effect of rotation condition for any of the sleep measures. A main effect for Sleep Period (F (5,16) = 40.9, p < 0.05) indicated that both groups received less sleep prior to the early morning shifts than before the afternoon and midnight shifts. Sleepiness ratings were highest at the end of the midnight shift. DISCUSSION: Rotation condition did not play a significant role in the results of any of the sleep or subjective measures. The results of this study indicate that two problem areas in both CW and CCW rapidly rotating shift schedules are early morning and midnight shifts.

Aviation↗
PubMed2002

[Measurement of rotational temperature in N2 DC glow discharge by optical emission spectroscopy].

Measurements of rotational temperature as low as several hundred Kelvin have been achieved using optical emission spectroscopy (OES) in nitrogen DC glow discharge. The strongest band of the first negative system of nitrogen molecule ion was chosen to determine the rotational temperature of nitrogen DC glow discharge at 4 different positions in the discharge area: back of the cathode; cathode sheath; positive column and anode glow region. In positive column the rotational temperature of N2+ increases apparently with the increasing discharge voltage from 500-1,100 V when the pressure is 10 Pa. However at pressure of 20 Pa the rotational temperature in positive column increases slightly with the increase of discharge voltage. On the contrary, the rotational temperature in cathode sheath takes reverse tendency when the discharge voltage varies from 500-1,100 V. As regard the anode glow region, the rotational temperature at 10 Pa decreases with the increase of discharge voltage, but that at the 20 Pa increases. We attribute the different changing tendencies of the rotational temperature to the different discharge status at different pressure. When the discharge voltage varies from 500 to 1,100 V, the discharge at pressure of 10 Pa is normal glow and that at 20 Pa is abnormal glow.

Electricity↗
PubMed2001

Circadian temperature rhythms in clockwise and counter-clockwise rapidly rotating shift schedules.

The purpose of this study was to examine the circadian temperature rhythm in clockwise (CW) and counter-clockwise (CCW) rapidly rotating shift schedules. Arguments against the CCW rotation of shifts are that they result in shortened sleep and promote greater disruption of circadian rhythms. The 3-week study included a week of day shifts (0800-1600) and 2 weeks of shiftwork. The CW 2-2-1 schedule rotated from two early mornings (0600-1400) to two evenings (1400-2200) to one midnight shift (2200-0600) allowing 24 hours off at each shift rotation and a 48-hour weekend. The CCW schedule rotated from two evenings to two early mornings to one midnight shifts allowing only 8 hours off at each shift rotation and an 80-hour weekend. Analysis of the 72-hr periods at the end of each workweek, including the midnight shifts and recovery periods during weeks 2 and 3 were compared to the same 72-hour period at the end of week 1 (baseline). A cosine function that fit the temperature curves by minimizing the sums of squares produced parameters that underwent analysis of covariance procedures. Significant differences were found between rotation conditions for amplitude and acrophase. An attenuation of amplitude and a delay in the acrophase was the found for the counter-clockwise condition. Features inherent in this schedule might explain these effects, particularly, the increased opportunity for "sleeping in" at the beginning of the week and an expanded (2-shift) workday at the end of the week.

Adult↗
PubMed2004

[Comparison of preventive effects of two kinds of dental handpieces on viral contamination at different rotating times].

OBJECTIVE: It has been demonstrated that when a high-speed handpiece stops rotating, negative pressure will form. Thus, contaminating fluid in which there are many kinds of bacteria and viruses from the external environment will retract into various compartments of the handpiece and the dental unit. The purpose of the study is to compare the preventing effect of antisuction designed handpiece and conventional handpiece on viral contamination at different rotating times. METHODS: Twenty handpieces with or without antisuction device (10 of each) were used in the study. Each handpiece was submerged into 10(-6) microg/microl HBV particle solution rotating 5 and 10 times respectively (every time rotating for 10 seconds). Samples were obtained from the water line and chip air line of the handpieces and examined by RT-PCR. RESULTS: At the same rotating times, there was statistical significance of the viral concentration between the two kinds of handpieces (P < 0.05) . However, there was no statistical significance of the viral concentration between different rotating times in each group (P > 0.05). CONCLUSION: Contamination taking place in both water and air lines of dental handpiece was not enhanced by increasing the number of rotating times of the handpiece. The antisuction devices installed into the water line and chip air line were demonstrated to prevent viral contamination effectively.

Dental High-Speed Equipment↗
PubMed1992

Transtrochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head. Indications and long-term results.

From 1972 until 1988, transtrochanteric rotational osteotomy was used to treat 474 hips in 378 patients with idiopathic and steroid-induced osteonecrosis of the femoral head. Two hundred twenty-nine of 295 hips with anterior rotation and follow-up periods ranging from three to 16 years had excellent surgical results (success rate, 78%). Outcome was chiefly dependent on the ratio of transposed intact posterior articular surface to the acetabular weight-bearing area after osteotomy. This relationship suggested that the transposed intact area should occupy more than 36% of the acetabular weight-bearing area by adequate rotation and intentional varus position in addition to rotation, especially for extensive lesions. Salvage operations, such as total hip arthroplasty, were performed on 18 hips, of which ten hips were cases of either relative indication for extensive lesions in young patients or other misindications for rotational osteotomy. Four hips sustained neck fracture, including three hips after 180 degrees of posterior rotation; two hips were complicated with avascular necrosis, and another two hips developed osteoarthrosis. Histologically, femoral heads with osteoarthrosis removed at the time of salvage operation showed complete healing of the necrotic lesion. The overall findings indicate that healing of the necrotic lesion of the femoral head may be brought about by rotational osteotomy if it spares the vulnerable site from the brunt of mechanical stress.

Acetabulum↗
PubMed2005

Effect of rotational atherectomy on the coronary microcirculation in patients with angina pectoris.

OBJECTIVES: The coronary microcirculation can be impaired by ablated debris just after a rotational atherectomy procedure, but the specific effects of rotablation on the microcirculation have not been investigated. The present study examined the effects of rotational atherectomy on the coronary microcirculation by analyzing coronary flow reserve (CFR) and the component parameters of the coronary flow-pressure loop. METHODS: This study included 31 patients with angina pectoris who underwent stent implantation after rotational atherectomy and with < 50% diameter stenosis at 6-month follow-up (i.e. without clinical restenosis). The CFR, the flow-pressure slope index (FPSI) and zero-flow pressure were measured using the FloWire Doppler guidewire in both treated and untreated reference vessels without stenosis immediately after and on 6 months from the rotational atherectomy procedure. RESULTS: CFR and FPSI in the treated vessels were significantly lower than in the untreated reference vessels without stenosis just after rotational atherectomy (CFR: 2.1 +/- 0.5 vs 2.6 +/- 0.7, p < 0.05; FPSI: 1.61 +/- 0.8 vs 2.35 +/- 0.9 cm/sec/mmHg, p < 0.05), but no significant differences were observed in CFR or FPSI between these same sets of arteries at follow-up. There was also a significant correlation between the extent of attenuation of CFR and total ablation time (r = - 0.54, p < 0.01). CONCLUSIONS: Rotational atherectomy attenuates CFR by reducing coronary artery conductance, probably due to coronary microvessel obstruction with the debris ablated during the procedures of rotational atherectomy.

Aged↗
PubMed2005

Rotation direction change hastens motion sickness onset in an optokinetic drum.

BACKGROUND: Many stationary subjects who view the patterned interior of a rotating cylinder (optokinetic drum) experience motion sickness (MS) symptoms. An experiment was conducted to investigate the effects of rotation direction change on MS onset and severity. It was predicted that intermittently changing rotation direction would hasten MS onset due to an increased degree of visual/vestibular sensory conflict. METHODS: There were 12 individuals who participated in the experiment (4 men, 8 women, mean age = 24.4 yr). Subjects viewed the interior of an optokinetic drum that rotated at 5 rpm (30 degrees x s(-1)). Drum rotation was either consistently in the same direction or rotation direction changed every 30 s. Eight MS symptoms were assessed at 2-min intervals using a subjective scale (0 = none, 1 = slight, 2 = moderate, 3 = severe). RESULTS: Overall, MS onset was fastest when drum rotation direction changed. Specific MS symptoms significantly affected were dizziness, stomach awareness, and nausea. CONCLUSIONS: These results suggest that a lack of correlation between the sensed and expected effects of motion alone can lead to MS. These results cannot be accounted for by a lack of correlation between sensed and expected gravitational vertical given that these were held constant across conditions.

Adult↗
PubMed2005

[External rotation osteotomy of the humerus for the treatment of shoulder problems secondary to obstetric brachial plexus palsy].

OBJECTIVES: We evaluated the results of external rotation osteotomy of the humerus for the treatment of shoulder problems secondary to obstetric brachial plexus palsy. METHODS: Forty children (24 boys, 16 girls; mean age 7.5 years; range 23 months to 14.8 years) underwent external rotation osteotomy of the humerus. Involvement was at the C5-6 roots in 11 patients, C5-6-7 roots in 19 patients, and at all the roots in 10 patients. Twenty-six patients had humeral head deformity and eight patients had posterior subluxation. The shoulder was ankylosed in one patient. Zancolli and Putti signs were positive in six and eight patients, respectively. The mean active shoulder abduction was 80 degrees (range 0 to 170 degrees ) and the mean internal rotation contracture was 27 degrees (range 10 degrees to 50 degrees ). Fourteen patients, all of whom were beyond five years of age, had an abduction contracture. Preoperative and postoperative functional evaluations were made with the use of the Mallet scale. Preoperatively, 35 shoulders had a score of II, five had a score of III. Osteotomies were performed in the proximal humerus in patients older than five years and in the mid-humerus in those without a contracture or younger than five years. RESULTS: The mean postoperative shoulder abduction was 95.7 degrees (range 30 degrees to 170 degrees ). Internal rotation contractures improved in all the patients. Abduction contractures did not resolve in two patients in whom a mid-humeral osteotomy was performed. Postoperative Mallet scores ranged from II to V in five, six, 15, and 14 shoulders, respectively. Rotation provided by the osteotomy was lost in one patient because of a humerus fracture that occurred in a traffic accident. Passive total shoulder rotation remained unchanged following surgery. Patients having better preoperative range of motion and who were at younger ages benefited the most from surgical treatment. CONCLUSION: External rotation osteotomy of the humerus must be performed at early ages before the shoulder gets stiffer.

Adolescent↗
PubMed2005

[Clinical study on the rotational deformity after interlocking nailing in femur shaft fracture].

OBJECTIVE: To explore the approach to accurately judge the degree of rotational deformity in femur shaft fracture. METHODS: 110 patients with femur shaft fracture were divided into 3 groups: Group A (n = 62) with the distal end of the fractured femur at the traumatic side at neutral position so as to fix the fracture, Group B (n = 27), with both the distal and proximal ends of the fractured femur at the neutral position so as to fix the femur at an antiversion angle of 15 degrees d, and Group C (n = 21), with the degree of antiversion angle to be controlled to that on the intact side. X ray examination and CT scanning were conducted 3 days after intramedullary nailing to measure the degree of the antiversion angle on both sides. The difference between the degrees of antiversion angle at the 2 sides was considered the rotational deformity of the femur shaft after the nailing. The antiversion angles of the femurs at both sides of 11 healthy persons were measured as controls. RESULTS: The biggest value of antiversion angle was 26 degrees , the smallest value was 8 degrees , the average value at the left side was 12.8 degrees , and the average value at the right side was 12.45, and the biggest difference between the 2 side was 7 degrees in the control group. The average antiversion angle of the femur was 14.67 degrees , the biggest value was 51 degrees , and the smallest value was -24 degrees at the traumatic side; and the average antiversion angle of the femur was 14.27 degrees , the biggest value was 40 degrees , and the smallest value was -23 degrees at the intact side in the treatment groups. 53% and 52% of the patients in Groups A and B showed a rotational deformity < 10 degrees , and 9% and 11% of them showed a rotational deformity > 20 degrees , significantly different from those in the control group (all P < 0.05). The rotational deformity was < 10 degrees in all patients of Group C, not significantly different from that of the control group (P > 0.05). CONCLUSION: Clinically about half of the femur shaft fractures are fixed in the position of rotational deformity > 10 degrees after nailing. The rotational deformity of femur shaft fracture should be prevented by comparing the antiversion angle on the intact side so as to achieve more reliable adequate reduction.

Adult↗
PubMed2000

Management of rotator cuff and impingement injuries in the athlete.

OBJECTIVE: To review current concepts of the pathophysiology, diagnosis, and treatment of rotator cuff and impingement injuries in the athlete. DATA SOURCES: The information we present was compiled from a review of classic and recently published material regarding rotator cuff and impingement injuries. These materials were identified through a search of a personal literature database compiled by the authors, as well as by selective searching of the MEDLINE. In addition, much of the information presented represents observations and opinions of the authors developed over 8 to 10 years of treating shoulder injuries in athletes. DATA SYNTHESIS: Biomechanics of the normal shoulder and pathophysiology of rotator cuff injuries in the athletic population are discussed, followed by a summary of the important diagnostic features of rotator cuff and impingement injuries. The principles of rehabilitation are extensively presented, along with indications and important technical aspects of selected surgical procedures. General principles and specific protocols of postoperative rehabilitation are also summarized. CONCLUSIONS/RECOMMENDATIONS: Rotator cuff and impingement injuries in the athletic population are multifactorial in etiology, exhibiting significant overlap with glenohumeral instability. Nonoperative treatment is successful in most athletic patients with rotator cuff and impingement injuries. When nonoperative treatment fails, arthroscopic surgical techniques such as rotator cuff repair and subacromial decompression may be successful in returning the athlete to competition.

Journal Article↗