scholarly journals Kinematics and biomechanical validity of shoulder joint laxity tests as diagnostic criteria in multidirectional instability

2021 ◽  
Author(s):  
Justin L. Staker ◽  
Jonathan P. Braman ◽  
Paula M. Ludewig
Keyword(s):  
Diagnostic Criteria ◽  
Shoulder Joint ◽  
Joint Laxity ◽  
Multidirectional Instability

scholarly journals Does the Beighton Score Correlate With Specific Measures of Shoulder Joint Laxity?

2018 ◽  
Vol 6 (5) ◽  
pp. 232596711877063 ◽  
Author(s):  
Noah A. Whitehead ◽  
Khalid D. Mohammed ◽  
Mark L. Fulcher
Keyword(s):  
Shoulder Joint ◽  
External Rotation ◽  
Joint Laxity ◽  
Poor Correlation ◽  
Continuous Variables ◽  
Beighton Score ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Predictive Values ◽  
Shoulder Laxity

Background: Evaluation of shoulder joint laxity is an important component of the shoulder examination, especially in the setting of shoulder instability. Measures of generalized joint laxity, particularly the Beighton score, are often recorded and used to help make management decisions in these cases. However, no evidence is available to show that the Beighton score corresponds to specific measures of shoulder joint laxity. Purpose: To assess the correlation between the Beighton score and validated measures of shoulder joint laxity. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 160 participants (age range, 16-35 years) with no history of shoulder joint abnormality were examined. The Beighton score, glenohumeral external rotation (standing and lying), glenohumeral abduction, and the sulcus sign were recorded. The relationship between the Beighton score and each measure of shoulder joint laxity was assessed. Results: A high proportion of participants (34%) had a Beighton score of 4 or higher. Rates of positive shoulder laxity tests were lower (11%-19%). A positive Beighton score was a poor predictor of abnormal shoulder laxity, with low sensitivity (range, 0.40-0.48) and low positive predictive values (range, 0.13-0.31). Spearman correlation coefficients demonstrated poor correlation between the Beighton score and all measures of shoulder joint laxity when assessed as continuous variables (range, 0.29-0.45). Conclusion: The Beighton score has poor correlation with specific measures of shoulder joint laxity and should not be considered equivalent to these tests as a method of clinical assessment.

scholarly journals DIAGNOSTIC CRITERIA FOR RADIOGRAPHY AND COMPUTED TOMOGRAPHY IN ASSESSING SHOULDER JOINT PATHOLOGIES IN DOGS

2021 ◽  
Vol 245 (1) ◽  
pp. 144-149
Author(s):  
E.A. Pavlovskaya ◽  
◽  
C.V. Pozyabin ◽  
V.S. Starynina ◽  
◽  
...  
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Ct Scan ◽  
Bone Tissue ◽  
Diagnostic Criteria ◽  
Shoulder Joint ◽  
Tissue Structure ◽  
3D Image ◽  
Surgical Operation ◽  
X Ray

CT-scan can often be a method, which complements the information gaining from X-ray film deciphering because it allows to see a 3D image of bone tissue defect and soft tissue structure. In many arthropathies, which need a surgical operation, CT-scan is rather ordered after an X-ray for a surgical appointment.

scholarly journals A case of multidirectional instability of the shoulder joint after the first traumatic dislocation in childhood.

1988 ◽  
Vol 37 (1) ◽  
pp. 256-258
Author(s):  
Juji Nishi ◽  
Keizo Morisawa ◽  
Makio Yamaga ◽  
Takashi Ohira ◽  
Takao Tsuruta ◽  
...  
Keyword(s):  
Shoulder Joint ◽  
Multidirectional Instability ◽  
Traumatic Dislocation

scholarly journals Generalized joint laxity and multidirectional instability of the shoulder

Joints ◽  
2013 ◽  
Vol 01 (04) ◽  
pp. 171-179 ◽  
Author(s):  
Maristella Saccomanno ◽  
Mario Fodale ◽  
Luigi Capasso ◽  
Giampiero Cazzato ◽  
Giuseppe Milano
Keyword(s):  
Shoulder Instability ◽  
Clinical Symptoms ◽  
Wide Spectrum ◽  
Joint Laxity ◽  
Capsular Shift ◽  
Multidirectional Instability ◽  
High Prevalence ◽  
Generalized Joint Laxity ◽  
Surgical Options ◽  
Surgical Treatments

Generalized joint laxity and shoulder instability are common conditions that exhibit a wide spectrum of different clinical forms and may coexist in the same patient. Generalized joint laxity can be congenital or acquired. It is fundamental to distinguish laxity from instability. Laxity is a physiological condition that may predispose to the development of shoulder instability. A high prevalence of generalized joint laxity has been identified in patients with multidirectional instability of the shoulder. Multidirectional instability is defined as symptomatic instability in two or more directions. The diagnosis and treatment of this condition are still challenging because of complexities in its classification and etiology. These complexities are compounded when multidirectional instability and laxity exist in the same patient. With an improved understanding of the clinical symptoms and physical examination findings, a successful strategy for conservative and/or surgical treatments can be developed. Conservative treatment is the first-line option. If it fails, different surgical options are available. Historically, open capsular shift has been considered the gold standard in the surgical management of these patients. Nowadays, advanced arthroscopic techniques offer several advantages over traditional open approaches and have shown similar outcomes. The correct approach to the management of failed stabilization procedures has not been yet defined.

scholarly journals Study About the Cases with Multidirectional Instability of the Shoulder Joint Associated with Neurological or Vascular Disorders.

1991 ◽  
Vol 39 (3) ◽  
pp. 1013-1015
Author(s):  
Keizo Morisawa ◽  
Yasufumi Kataoka ◽  
Makio Yamaga ◽  
Osamu Mori ◽  
Kazuyuki Takeshita ◽  
...  
Keyword(s):  
Shoulder Joint ◽  
Vascular Disorders ◽  
Multidirectional Instability

An adrenocortical oncocytoma with unusual mitochondrial inclusions and cytoplasmic crystals

1994 ◽  
Vol 52 ◽  
pp. 250-251
Author(s):  
W.T. Gunning ◽  
G.D. Haselhuhn ◽  
E.R. Phillips ◽  
S.H. Selman
Keyword(s):  
Adrenal Gland ◽  
Salivary Glands ◽  
Mitotic Activity ◽  
Diagnostic Criteria ◽  
Vascular Invasion ◽  
Benign Neoplasm ◽  
Benign Tumors ◽  
Nuclear Morphology ◽  
Case Presentation ◽  
Microscopic Evidence

Within the last few years, adrenal cortical tumors with features concordant with the diagnostic criteria attributed to oncocytomas have been reported. To date, only nine reported cases exist in the literature. This report is the tenth case presentation of a presumptively benign neoplasm of the adrenal gland with a rare differentiation. Oncocytomas are well recognized benign tumors of the thyroid, parathyroid, and salivary glands and of the kidney. Other organs also give rise to these types of tumors, however with less frequency than the former sites. The characteristics generally used to classify a tumor as an oncocytoma include the following criteria: the tumor is 1) usually a solitary circumscribed mass with no gross nor microscopic evidence of metastasis (no tissue nor vascular invasion), 2) fairly bland in terms of mitotic activity and nuclear morphology, and 3) composed of large eosinophillic cells in which the cytoplasm is packed full of mitochondria (Figure 1).

An Introductory Examination of Speech Disfluencies in Spanish–English Bilingual Children Who Do and Do Not Stutter During Narratives

2020 ◽  
Vol 5 (1) ◽  
pp. 131-141
Author(s):  
Cristina Rincon ◽  
Kia Noelle Johnson ◽  
Courtney Byrd
Keyword(s):  
Diagnostic Criteria ◽  
Preliminary Data ◽  
Diagnostic Information ◽  
English Speakers ◽  
Bilingual Children ◽  
English Bilingual ◽  
Developmental Stuttering ◽  
Mean Length Of Utterance

Purpose The purpose of this study is to examine the frequency and type of speech disfluencies (stuttering-like and nonstuttering-like) in bilingual Spanish–English (SE) children who stutter (CWS) to SE children who do not stutter (CWNS) during narrative samples elicited in Spanish and English to provide further diagnostic information for this population and preliminary data toward an expansion of this study. Method Participants included six bilingual SE children (three CWS, three CWNS) ranging in age from 5 years to 7;5 (years;months) and recruited from the surrounding Houston, Texas area. Participants provided a narrative sample in English and Spanish. The frequency of speech disfluencies was tabulated, and mean length of utterance was measured for each sample. Results Results indicate that both talker groups exceed the diagnostic criteria typically used for developmental stuttering. Regardless of the language being spoken, CWS participants had a frequency of stuttering-like speech disfluencies that met or exceeded the diagnostic criteria for developmental stuttering that is based on monolingual English speakers. The CWNS participants varied in meeting the criteria depending on the language being spoken, with one of the three CWNS exceeding the criteria in both languages and one exceeding the criteria for percentage of stuttering-like speech disfluencies in one language. Conclusion Findings from this study contribute to the development of more appropriate diagnostic criteria for bilingual SE-speaking children to aid in the reduction of misdiagnoses of stuttering in this population.

1278: The Role of Diagnostic Criteria of Obstruction in Patients with High Grade Cystocele: Correlation to Subjective Symptoms

2007 ◽  
Vol 177 (4S) ◽  
pp. 421-421
Author(s):  
Veronica Triaca ◽  
Christian O. Twiss ◽  
Ramdev Konijeti ◽  
Larissa V. Rodriguez ◽  
Shlomo Raz
Keyword(s):  
Diagnostic Criteria ◽  
High Grade ◽  
Subjective Symptoms
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