MDCT demonstration of intraarticular gas in the glenohumeral joint and sternoclavicular joint with reference to arm position

2008 ◽  
Vol 26 (7) ◽  
pp. 422-426 ◽  
Author(s):  
Haruhiko Ito ◽  
Takeharu Yoshikawa ◽  
Naoto Hayashi ◽  
Kuni Ohtomo
Keyword(s):  
Glenohumeral Joint ◽  
Sternoclavicular Joint ◽  
Arm Position

scholarly journals Effect of Arm Position on Visualization of Target Zone for Posterior Glenohumeral Joint Injection

2020 ◽  
Vol 2 ◽  
pp. 104-107
Author(s):  
James Kho ◽  
Ghassan Almeer ◽  
Christine Azzopardi ◽  
Ravneet Singh ◽  
Steven James ◽  
...  
Keyword(s):  
Posterior Approach ◽  
Glenohumeral Joint ◽  
Contralateral Side ◽  
Patient Comfort ◽  
Joint Injection ◽  
Target Zone ◽  
Arm Position ◽  
Orthopedic Hospital ◽  
Flexion And Extension

Objectives: Glenohumeral injections can be performed using a variety of approaches. We hypothesize that the position of the ipsilateral arm affects the target zone for posterior approach of glenohumeral joints. Material and Methods: We performed ultrasound on three volunteers with arm with in neutral and varying degrees of flexion and extension. Results: We found that target zone is increased on flexion and decreased with arm in extension. Conclusion: Considering patient comfort, target zone, and operator ergonomics, we conclude that the posterior glenohumeral US-guided injections should be performed with patient lying on the contralateral side with the ipsilateral arm in neutral, and hand rested on the thigh (Birmingham Royal Orthopedic Hospital (BROH) position).

Extended sternoclavicular joint infections – long term results

2017 ◽  
Author(s):  
DI Trufa ◽  
W Schreiner ◽  
RE Horch ◽  
H Sirbu
Keyword(s):  
Sternoclavicular Joint ◽  
Long Term Results ◽  
Joint Infections

Sternoclavicular joint infection: a single center experience

2019 ◽  
Author(s):  
W Schreiner ◽  
W Dudek ◽  
I Mykoliuk ◽  
R Horch ◽  
H Sirbu
Keyword(s):  
Joint Infection ◽  
Sternoclavicular Joint ◽  
Single Center ◽  
Single Center Experience

Vertical and horizontal barbell kinematics indicate differences in mechanical advantage between using an arched or flat back posture in the barbell bench press exercise

2021 ◽  
pp. 174795412098295
Author(s):  
Brendan L Pinto ◽  
Clark R Dickerson
Keyword(s):  
Repeated Measures ◽  
Bench Press ◽  
Glenohumeral Joint ◽  
Statistical Significance ◽  
Vertical Displacement ◽  
Moment Arm ◽  
Mechanical Advantage ◽  
Strength Performance ◽  
Flat Back ◽  
And Training

Employing an arched back posture during the bench press exercise is increasingly popular. Vertical displacement of the barbell is commonly believed to be the key difference influencing strength performance between an arched and flat back bench press technique. However, comparisons between these back postures using a free weight barbell are lacking. Directly comparing performance between each posture is confounded by many variables such as proficiency and fatigue. This investigation aimed to investigate whether changing back posture alone can influence barbell kinematics, to indirectly assess potential performance differences. Twenty males performed one repetition of the bench press exercise using either an arched or flat back posture, at 25%, 50% and 75% of their one repetition maximum, in a repeated measures study design. Statistical significance was considered at p < 0.05. Changing back posture alone, reduced vertical displacement (approximately 11% average difference across all load conditions) and barbell to glenohumeral joint moment arm (approximately 20% difference) in the arched posture compared to the flat posture. These changes occurred without any specific cueing of the barbell motion and may increase the potential for lifting higher loads and decrease cumulative joint exposure. Additional cueing and training may be required to maximize the mechanical advantage available with each back posture. The arched posture appears to have an increased potential for further improvements in vertical displacement and moment arm through specific cueing. Future comparisons should consider if each back posture’s potential mechanical advantage has been maximized when assessing differences between techniques.

scholarly journals Factors related to large bone defects of bipolar lesions and a high number of instability episodes with anterior glenohumeral instability

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Noboru Matsumura ◽  
Kazuya Kaneda ◽  
Satoshi Oki ◽  
Hiroo Kimura ◽  
Taku Suzuki ◽  
...  
Keyword(s):  
Humeral Head ◽  
Glenohumeral Joint ◽  
Three Dimensional ◽  
Clinical Results ◽  
Bone Defects ◽  
Symptom Duration ◽  
Glenohumeral Instability ◽  
Explanatory Variables ◽  
Large Bone ◽  
Large Bone Defects

Abstract Background Significant bone defects are associated with poor clinical results after surgical stabilization in cases of glenohumeral instability. Although multiple factors are thought to adversely affect enlargement of bipolar bone loss and increased shoulder instability, these factors have not been sufficiently evaluated. The purpose of this study was to identify the factors related to greater bone defects and a higher number of instability episodes in patients with glenohumeral instability. Methods A total of 120 consecutive patients with symptomatic unilateral instability of the glenohumeral joint were retrospectively reviewed. Three-dimensional surface-rendered/registered models of bilateral glenoids and proximal humeri from computed tomography data were matched by software, and the volumes of bone defects identified in the glenoid and humeral head were assessed. After relationships between objective variables and explanatory variables were evaluated using bivariate analyses, factors related to large bone defects in the glenoid and humeral head and a high number of total instability episodes and self-irreducible dislocations greater than the respective 75th percentiles were evaluated using logistic regression analyses with significant variables on bivariate analyses. Results Larger humeral head defects (P < .001) and a higher number of total instability episodes (P = .032) were found to be factors related to large glenoid defects. On the other hand, male sex (P = .014), larger glenoid defects (P = .015), and larger number of self-irreducible dislocations (P = .027) were related to large humeral head bone defects. An increased number of total instability episodes was related to longer symptom duration (P = .001) and larger glenoid defects (P = .002), and an increased number of self-irreducible dislocations was related to larger humeral head defects (P = .007). Conclusions Whereas this study showed that bipolar lesions affect the amount of bone defects reciprocally, factors related to greater bone defects differed between the glenoid and the humeral head. Glenoid defects were related to the number of total instability episodes, whereas humeral head defects were related to the number of self-irreducible dislocations.

scholarly journals Cadaveric evaluation of the feasibility of glenohumeral joint denervation

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Amr M. Aly
Keyword(s):  
Muscle Weakness ◽  
Shoulder Joint ◽  
Glenohumeral Joint ◽  
Axillary Nerve ◽  
Low Risk ◽  
Dorsal Approach ◽  
Articular Branch ◽  
Pectoral Nerve ◽  
Teres Minor

Abstract Purpose To assess the feasibility of total shoulder denervation through two proposed incisions. Methods Total shoulder denervation was performed through an extended delta-pectoral approach and a transverse dorsal approach at the spine of the scapula. The study involved six cadavers. Course and number of articular branches from the lateral pectoral, axillary and supra-scapular nerve were documented. Results All shoulder joint articular branches were accessible through the proposed anterior and posterior approaches. The articular branch of the lateral pectoral nerve and supra scapular nerve were present in all the specimen. Axillary nerve articular branches were variable in number but when present anteriorly were proximal to the deltoid muscular branches and posteriorly proximal to the muscular branches to the teres minor. Conclusion Total glenohumeral denervation was feasible through our proposed anterior and posterior approaches. Enhanced knowledge of articular nerve branches could provide interventional targets for joint and ligament pain, with low risk of muscle weakness.

scholarly journals Utilisation of musculoskeletal ultrasonography for the evaluation of septic arthritis in a patient presenting to the emergency department with fever during the era of COVID-19

2021 ◽  
Vol 14 (4) ◽  
pp. e242370
Author(s):  
Jiodany Perez ◽  
Stefani Sorensen ◽  
Michael Rosselli
Keyword(s):  
Emergency Department ◽  
Septic Arthritis ◽  
Glenohumeral Joint ◽  
Imaging Modality ◽  
Point Of Care ◽  
Significant Morbidity ◽  
Anchoring Bias ◽  
Septic Bursitis ◽  
Musculoskeletal Ultrasonography ◽  
Point Of Care Ultrasonography

Prompt recognition and treatment of septic arthritis are crucial to prevent significant morbidity and mortality in affected patients. During the current COVID-19 pandemic, anchoring bias may make an already challenging diagnosis like septic arthritis more difficult to diagnose quickly and efficiently. Musculoskeletal (MSK) point of care ultrasonography (POCUS) is an imaging modality that can be used to quickly and efficiently obtain objective findings that may help a clinician establish the diagnosis of septic arthritis. We report a case where MSK POCUS was a key element in establishing the diagnosis of glenohumeral joint septic arthritis and subdeltoid septic bursitis for a patient that presented to the emergency department with a fever during the era of the COVID-19 pandemic.

scholarly journals Sensory feedback-dependent coding of arm position in local field potentials of the posterior parietal cortex

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Paul VanGilder ◽  
Ying Shi ◽  
Gregory Apker ◽  
Christopher A. Buneo
Keyword(s):  
Local Field ◽  
Sensory Feedback ◽  
Posterior Parietal Cortex ◽  
Spectral Power ◽  
Field Potential ◽  
Beta Activity ◽  
Beta Band ◽  
Arm Position ◽  
Multisensory Interactions ◽  
Spiking Activity

AbstractAlthough multisensory integration is crucial for sensorimotor function, it is unclear how visual and proprioceptive sensory cues are combined in the brain during motor behaviors. Here we characterized the effects of multisensory interactions on local field potential (LFP) activity obtained from the superior parietal lobule (SPL) as non-human primates performed a reaching task with either unimodal (proprioceptive) or bimodal (visual-proprioceptive) sensory feedback. Based on previous analyses of spiking activity, we hypothesized that evoked LFP responses would be tuned to arm location but would be suppressed on bimodal trials, relative to unimodal trials. We also expected to see a substantial number of recording sites with enhanced beta band spectral power for only one set of feedback conditions (e.g. unimodal or bimodal), as was previously observed for spiking activity. We found that evoked activity and beta band power were tuned to arm location at many individual sites, though this tuning often differed between unimodal and bimodal trials. Across the population, both evoked and beta activity were consistent with feedback-dependent tuning to arm location, while beta band activity also showed evidence of response suppression on bimodal trials. The results suggest that multisensory interactions can alter the tuning and gain of arm position-related LFP activity in the SPL.

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