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Results for “Shoulder Injuries”

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At least 127 records · Page 7Linked to original sources
PubMed1996

Handedness as a predictor of increased risk of knee, elbow, or shoulder injury, fractures and broken bones.

Several recent studies suggest that left-handers have higher susceptibility to accidental injury. Two studies investigated the suggested link between sinistrality and accidental injury by assessing the prevalence of joint problems, bone breaks, and fractures, which may be the sequelae of such mishaps. Study 1 used retrospective responses on medical history checklists completed by 1064 males on active duty with the United States Air Force. It found that left-handers were at significantly higher risk for knee problems (RR = 2.74), elbow and shoulder problems (RR = 3.03), and also swollen and painful joints (RR = 1.87), although there was no difference in the incidence of broken bones. Study 2 used an expanded handedness scale and retrospective reports of both bone breaks and fractures in a predominantly university sample of 1716 (975 women, 741 men) with median age of 20 years, and demonstrated that non-right-handers were at greater risk for bone breaks and fractures (RR = 1.24). As joint problems, as well as bone breaks and fractures, are often the aftermath of accidents that result in falls or collisions with unyielding objects, the fact that left-handers are more likely to suffer from these problems is consistent with the suggestion that sinistrals are more susceptible to accident-related injuries.

Journal Article↗
PubMedDate not supplied

[Comparative study of surgically treated shoulder injuries with or without metal implants].

In 36 patients with acromioclavicular fracture type III, IV and V following the Rockwood classification, different surgical procedures without using metal implants were compared. Augmentation of both, the coracoclavicular and acromioclavicular ligaments was done by Vicryl-threads (5 mm) in 26 cases (group I). Solitary augmentation of coracoclavicular ligaments were done in 6 cases (group II), of acromioclavicular ligaments in 4 cases (group III). Twenty-four patients underwent follow-up regarding clinical, ultrasonic and radiological results after 30 month in average. Dislocations of more than 10 mm we found once in group I and II, three times in group III. Using the Taft score, regarding clinical, ultrasonic and radiological findings, five patients had an excellent, 15 a good five patients a satisfying result and the remaining patient had a poor reconstruction of the acromioclavicular joint. Comparing these results with previous 75 patients who underwent surgical reconstruction of acromioclavicular joint, using metal implants between 1980 and 1985, the results were nearly equal. Although severe complications like migration or fracture of the implant and the necessity for another surgical intervention for explantation were not given in patients who were treated without using metal implants. Solitary augmentation of acromioclavicular ligament showed insufficient results, therefore this therapy should not be recommended anymore.

Acromioclavicular Joint↗
PubMed1990

Sporting injuries to the shoulder.

Injuries to the shoulder form 7% of all sports injuries and commonly limit the athlete in his or her ability to continue with their chosen sport. Careful management of these injuries, combined with a better knowledge of which soft tissue injuries are most common, is likely to be associated with a better quality of medical and physiotherapy management for the athlete, a reduction in disability, and will ultimately result in the athlete avoiding long-term lay-offs and returning to his or her sporting activities more quickly. This paper summarizes the more common injuries to the shoulder which occur in sporting activities in the UK. The unstable or subluxing shoulder problem has been emphasized because the author believes this is the most common, and the most commonly missed, lesion in the shoulder in the athlete.

Acromioclavicular Joint↗
PubMedDate not supplied

Ultrasonographic evaluation of birth injury to the shoulder.

Injuries of the proximal humerus in infants are often missed or misinterpreted because the humeral epiphysis is frequently nonossified. Ultrasonography enables direct visualization of the proximal humeral epiphysis, metaphysis, joint space, and relationship of the epiphysis with the glenoid cavity. We describe an infant with unexplained agitation and ventilatory difficulty related to a fracture of the proximal right humerus that was not appreciable on plain film radiographs. Sonographic imaging of the shoulder, with use of the opposite side for comparison, clearly demonstrated a Salter I proximal humeral fracture with marked metaphyseal displacement and preservation of the normal epiphyseal-glenoid relationship.

Birth Injuries↗
PubMed1992

[Ultrasonic examination of soft tissue injuries in the shoulder region].

Authors call attention with the demonstration of pictures of a few cases of their own to the significance of the ultrasound examination in cases of shoulder injuries. They stress that beside the demonstration of rotator cuff injuries the examination of the surrounding muscles and the labrum glenoidale should not be forgotten either. The modernization of the ultrasound devices, the improvement of the methods of examination and the obtaining of the necessary practice ensure a more and more important place to echography in the diagnosis of traumas of the motion organs.

Humans↗
PubMed1990

Transfer of the trapezius for flail shoulder after brachial plexus injury.

Shoulder arthrodesis is often used to treat flail shoulder after a brachial plexus injury, but has a high complication rate and entails loss of passive mobility. We have reviewed 27 patients with brachial plexus injury treated by transfer of the trapezius to the proximal humerus at an average time from injury of 31.3 months. Pre-operatively, all 27 shoulders were subluxated, with an average abduction of 3.5 degrees. Postoperatively, shoulder abduction averaged 45.4 degrees, and subluxation was abolished. All patients were satisfied with their improvement in function. Trapezius transfer is recommended as a simple procedure that requires only a brief period in hospital, allows early rehabilitation, and gives a satisfactory outcome, while retaining passive mobility of the shoulder.

Adolescent↗
PubMed2006

[Complex injuries of the shoulder - floating shoulder].

Complex injuries of the shoulder are comparatively rare. Within the field of complex shoulder injuries this article particularly deals with the diagnosis and therapy of the "floating shoulder injury" as a review article. This term describes a discontinuation of the osseus and soft tissue suspension of the upper extremity from the axial skeleton. By literature review and involvement of recent biomechanical studies this article will show the injury patterns that lead to instability of the shoulder girdle and the therapeutic to be employed in respective cases. Key words: shoulder, floating shoulder, clavicle fracture, scapula fracture.

Acromioclavicular Joint↗
PubMed1995

Arthroscopic rotator cuff repairs using suture anchors.

Arthroscopic rotator cuff repairs using titanium-alloy suture anchors are a new treatment option for active patients with shoulder injuries. Shoulder arthroscopy and arthroscopic repair procedures are alternative treatments to traditional open surgical procedures for Bankart lesions and rotator cuff tears. Distinct advantages of arthroscopic repair techniques include decreased patient tissue trauma and morbidity rates and shortened recovery and rehabilitation periods.

Alloys↗
PubMed2005

Complications associated with the use of corticosteroids in the treatment of athletic injuries.

BACKGROUND: The potent anti-inflammatory pharmacologic effects of the corticosteroids (cortisone and synthetic derivatives) has led to their extensive usage in the management of rheumatologic diseases and athletic musculoskeletal injuries. The efficacy and risks of locally injected or systemically administered corticosteroids in the treatment of athletic injuries are unclear. OBJECTIVE: To review critically the medical literature and determine complications and risks associated with corticosteroid treatment of athletic injuries. DATA SOURCES: A search of 3 databases-MEDLINE, CINAHL, and Cochrane Clinical Trial Register-was performed using the OVID interface for all years between 1966 and 2003. The search first combined all references under the medical subject headings adrenal cortex hormones, glucocorticoids, and glucocorticoids, synthetic. A second search combined all references under the medical subject headings athletic injuries, sprains and strains, tendon injuries, shoulder injuries, rotator cuff disease, tennis elbow, and lateral epicondylitis. The references identified by these 2 searches were intersected and limited to human only to produce 130 articles. Relevant review articles were scanned, references reviewed, and additional articles retrieved for consideration of inclusion. STUDY SELECTION: For inclusion in this critical review, articles must meet the following criteria: (1) subjects were human, (2) subjects had athletic-related injuries, and (3) subjects received corticosteroid treatment. Ultimately, 43 studies met inclusion criteria. DATA EXTRACTION AND SYNTHESIS: Selected articles were then categorized as to whether the primary focus was usage/efficacy of corticosteroid injection therapy, occurrence of complications of corticosteroid injection therapy, or usage or complications of systemic corticosteroid therapy. MAIN RESULTS: Twenty-five selected studies primarily examined the usage/efficacy of corticosteroid injections in the treatment of various athletic injuries. Of the 983 total subjects who received corticosteroid injections among these studies, only minor complications of treatment were reported. Eighteen selected studies primarily described complications of corticosteroid injections in the treatment of athletic injuries. Of these, tendon and fascial ruptures were the predominant complications reported. The search identified no articles that addressed the usage of or complications of systemic corticosteroids in the treatment of athletic injuries, although tibial stress fracture and multifocal osteonecrosis occurred in individuals being treated for nonathletic injury conditions. CONCLUSIONS: This critical review reveals that the existing medical literature does not provide precise estimates for complication rates following the therapeutic use of injected or systemic corticosteroids in the treatment of athletic injuries. Tendon and fascial ruptures are often reported complications of injected corticosteroids, whereas tibial stress fractures and multifocal osteonecrosis were described with systemic corticosteroids.

Administration, Oral↗
PubMed1991

Weight lifting. Risks and injuries to the shoulder.

The weight lifter's desire to achieve higher limits of performance coupled with the rotator cuff's unfavorable position during lifting often leads to shoulder injury. Proper lifting techniques and training habits could reduce the risk of injury. When chronic symptoms occur, however, arthroscopy can help diagnose the injury, and arthroscopic procedures for injuries such as rotator cuff chronic tendinitis and incomplete tears, and biceps tenosynovitis can be performed.

Arthroscopy↗
PubMed1953

Injuries of the musculotendinous cuff of the shoulder.

Injuries of the musculotendinous cuff are frequent and often cause long periods of disability. The cuff is subject to progressive degenerative changes which are visible microscopically in most persons past 30 years of age, and visible grossly in those past 40. The cuff ruptures through areas of degeneration.A great majority of patients recover good shoulder function under conservative treatment. Operation is not urgent. Accurate diagnosis of a complete tear of the cuff cannot be made until the acute phase of injury has passed, and delay in operating does not decrease chances of good results.

Persons with Disabilities↗
PubMed1997

[Vienna Shoulder Score (VSS) and Vienna Shoulder Formula (VSF) for follow-up and assessment of shoulder and shoulder girdle injuries].

The Vienna Shoulder Score (VSS) was screened by two groups of patients for use in medical expertises and follow-up examinations. One group (n = 157) consisted of patients with healed clavicular bone fractures, the other group (n = 130) consisted of healthy individuals. The study proved that the VSS is a useful, exact and fast method of shoulder evaluation after injuries to the shoulder and shoulder girdle. The side dominance is of no influence to the outcome of the VSS. The Vienna Shoulder Formula (VSF) helps to equalize the age factor in shoulder examinations.

Activities of Daily Living↗