Unilateral Shoulder Pain: No History of Trauma

2020 ◽  
Author(s):  
Stephen McGhee ◽  
Juan M. Gonzalez ◽  
Johis Ortega
Keyword(s):  
Shoulder Pain ◽  
History Of

scholarly journals Ultrasonographic Evaluation of the Shoulders and Its Associations with Shoulder Pain, Age, and Swim Training in Masters Swimmers

Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 29
Author(s):  
Yuta Suzuki ◽  
Noriaki Maeda ◽  
Junpei Sasadai ◽  
Kazuki Kaneda ◽  
Taizan Shirakawa ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Structural Changes ◽  
Partial Tear ◽  
Increased Risk ◽  
High Prevalence ◽  
History Of ◽  
Long Head ◽  
Competitive Swimmers ◽  
Rotator Cuff Tendinopathy

Background and objectives: The long head of the biceps (LHB) and rotator cuff tendinopathy is the major cause of shoulder pain in competitive swimmers. The risk of tendinopathy increases with aging; however, the structural changes of LHB and rotator cuff in populations of masters swimmers have not been well examined. The purpose of this study was to investigate the prevalence of ultrasonographic abnormalities of the shoulders in masters swimmers, and the association of pain, age, and swim training with structural changes in this population. Materials and Methods: A total of 60 subjects participated in this study, with 20 masters swimmers with shoulder pain, 20 asymptomatic masters swimmers, and 20 sex- and age-matched controls. All swimmers completed a self-reported questionnaire for shoulder pain, their history of competition, and training volume. Each subject underwent ultrasonographic examination of both shoulders for pathologic findings in the LHB tendon, rotator cuff (supraspinatus (SSP) and subscapularis (SSC)) tendons, and subacromial bursa (SAB) of both shoulders and had thickness measured. Results: The prevalence of tendinosis (LHB, 48.8%; SSP, 17.5%; SSC, 15.9%), partial tear (SSP, 35.0%), and calcification (SSC, 10.0%) were higher in swimmers than in controls. LHB and SSP tendinosis were associated with shoulder pain. Older age and later start of competition were associated with an increased risk of LHB tendinosis and SSC calcification. Earlier initiation of swimming and longer history of competition were associated with an increased risk of SSP and SSC tendinosis. The thicker SSP tendon significantly increased the risk of tendinosis and partial tear. Conclusions: A high prevalence of structural changes in the rotator cuff and biceps tendons in masters swimmers reflects the effect of shoulder symptoms, aging, and swim training.

Acute Effects of Posture Shirts on Rounded-Shoulder and Forward-Head Posture in College Students

2016 ◽  
Vol 25 (4) ◽  
pp. 309-314 ◽  
Author(s):  
John Manor ◽  
Elizabeth Hibberd ◽  
Meredith Petschauer ◽  
Joseph Myers
Keyword(s):  
College Students ◽  
Shoulder Pain ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Acute Effects ◽  
Contributing Factors ◽  
Student Body ◽  
Forward Head Posture ◽  
Head Posture ◽  
History Of

Context:Rounded-shoulder and forward-head posture can be contributing factors to shoulder pain. Corrective techniques such as manual therapy and exercise have been shown to improve these altered postures, but there is little evidence that corrective garments such as posture shirts can alter posture.Objectives:To determine the acute effects of corrective postureshirt use on rounded-shoulder and forward-head posture in asymptomatic college students.Design:Repeated-measures intervention study with counterbalanced conditions.Setting:Research laboratory.Participants:24 members of the general student body of a university, 18–25 y old, with a forward shoulder angle (FSA) >52° and no history of upper-extremity surgery, scoliosis, active shoulder pain, or shoulder pain in the previous 3 mo that restricted participation for 3 consecutive days.Interventions:Photographic posture assessment under a control condition, under a sham or treatment condition (counterbalanced), under another control condition, and treatment or sham.Main Outcome Measures:FSA and forward head angle (FHA) calculated from a lateral photograph.Results:FSA decreased relative to the control condition while participants wore the sham shirt (P = .029) but not the corrective posture shirt (P = 1.00). FHA was unchanged between groups (P = .371).Conclusions:Application of a corrective posture shirt did not acutely alter FSA or FHA, while application of a sham shirt may decrease FSA at rest.

scholarly journals Clavicle Pseudarthrosis: A Rare Cause of Thoracic Outlet Syndrome

2010 ◽  
Vol 37 (6) ◽  
pp. 863-865 ◽  
Author(s):  
Kathleen Joy Khu ◽  
Rajiv Midha
Keyword(s):  
Physical Examination ◽  
Shoulder Pain ◽  
Thoracic Outlet Syndrome ◽  
Clinical Findings ◽  
Radial Pulse ◽  
History Of ◽  
Arm Elevation ◽  
One Year ◽  
The Right ◽  
Intrinsic Muscles

A 22-year-old man presented with a one year history of rightsided shoulder pain, hand weakness and tingling, and purplish discoloration of the upper extremity upon abduction. He had congenital pseudarthrosis of the right clavicle since childhood. Aside from an obvious deformity characterized by asymmetry of the shoulders and a palpable bony depression over the right clavicle, the patient had been previously asymptomatic. Physical examination revealed the musculoskeletal deformities as described, as well as prominent veins over his right shoulder, arm, and chest. With arm elevation, his right arm became dusky and his radial pulse diminished. Neurologically, the patient had no deficits except for mild weakness (Grade 4+/5) of the ulnarinnervated intrinsic muscles of the right hand. The clinical findings were consistent with a combined neurogenic and vascular form of thoracic outlet syndrome.

scholarly journals Relationship between shoulder ultrasound findings and disease activity in patients with rheumatoid arthritis: A pilot study

2021 ◽  
Author(s):  
Merve Akdeniz Leblebicier ◽  
Fatıma Yaman ◽  
İsmail Saraçoğlu ◽  
Vural Kavuncu ◽  
Meltem İmal Kızılkaya
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Shoulder Pain ◽  
Glenohumeral Joint ◽  
Low Disease Activity ◽  
Moderate Disease ◽  
Ultrasound Findings ◽  
History Of ◽  
Us Findings ◽  
Moderate Disease Activity

Objectives: The aim of this study was to investigate whether shoulder ultrasound (US) findings were associated with disease activity and pain level in rheumatoid arthritis (RA) patients. Patients and methods: Between April 2019 and November 2019, a total of 60 shoulders of 30 female patients with RA (mean age: 53.8±12.0 years; range, 30 to 65 years) were included. The patients were questioned about shoulder pain and their Disease Activity Score-28 (DAS28) was estimated. After clinical examination with shoulder impingement tests, both shoulders were evaluated by US. Results: Of 60 shoulders examined by shoulder US, the most common shoulder pathology was supraspinatus tendinopathy (n=33, 55%). The prevalence of subdeltoid bursitis on US was significantly higher in the group with moderate disease activity, compared to the group with low disease activity (p<0.05). There were no significant differences in the physical examination findings of patients with low and moderate disease activity. In terms of US findings, subscapularis tendinopathy, glenohumeral joint and acromioclavicular joint degeneration, and subacromial bursitis were more common in shoulders with a history of pain, compared to non-painful shoulders. Conclusion: Shoulder US may be useful for demonstrating shoulder involvement in patients with RA, independent of the presence of shoulder pain.

History of Shoulder Pain and Rotator Cuff Pathology

2016 ◽  
pp. 3-23
Author(s):  
Stefano Gumina ◽  
Daniele Passaretti ◽  
Vittorio Candela
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
History Of

Sonographic Stress Measurement of Glenohumeral Joint Laxity in Collegiate Swimmers and Age-Matched Controls

2005 ◽  
Vol 33 (7) ◽  
pp. 1077-1084 ◽  
Author(s):  
Paul A. Borsa ◽  
Jason S. Scibek ◽  
Jon A. Jacobson ◽  
Keith Meister
Keyword(s):  
Shoulder Pain ◽  
Glenohumeral Joint ◽  
Stress Measurement ◽  
Objective Assessment ◽  
Joint Laxity ◽  
Quantitative Evidence ◽  
Significant Difference ◽  
Elite Swimmers ◽  
History Of ◽  
Joint Displacement

Background Glenohumeral laxity that is greater than normal has been implicated as a causal factor in the development of shoulder pain and dysfunction in elite swimmers; however, quantitative evidence demonstrating greater-than-normal glenohumeral joint laxity in swimmers is lacking. Objective To quantify glenohumeral joint laxity in elite swimmers and nonswimming controls using stress sonography. Study Design Controlled laboratory study. Methods Force-displacement measures were performed bilaterally in 42 National Collegiate Athletic Association Division I swimmers and 44 age-matched controls. Of the 42 swimmers, 27 (64%) reported a history of unilateral or bilateral shoulder pain resulting from swimming. Ultrasound imaging was used to measure glenohumeral joint displacement under stressed and non-stressed conditions. Results An analysis of variance revealed no significant difference in glenohumeral joint displacement between swimmers (anterior, 2.82 ± 1.7 mm; posterior, 5.30 ± 2.4 mm) and age-matched controls (anterior, 2.74 ± 1.7 mm; posterior, 4.90 ± 2.7 mm). No significant difference in glenohumeral joint displacement was found between swimmers with a history of shoulder pain (anterior, 2.90 ± 1.6 mm; posterior, 5.42 ± 2.3 mm) versus swimmers without a history of shoulder pain (anterior, 2.74 ± 1.8 mm; posterior, 5.14 ± 2.6 mm). Shoulders displayed significantly more glenohumeral joint displacement in the posterior direction compared to the anterior direction (P <. 001). Conclusions Our instrumented technique was unable to identify significantly greater glenohumeral joint displacement in elite swimmers compared to nonswimming controls, and elite swimmers with a history of shoulder pain were not found to have significantly more glenohumeral joint displacement compared to swimmers without a history of shoulder pain. Clinical Relevance Objective assessment of glenohumeral joint displacement in athletes participating in overhead-motion sports may be important for injury prevention and management.

Efficacy of dry needling on latent myofascial trigger points in male subjects with neck/shoulders musculoskeletal pain. A case series

2017 ◽  
Vol 16 (1) ◽  
pp. 174-174
Author(s):  
A.M. Heredia-Rizo ◽  
I. Navarro-Carmona ◽  
F. Piña-Pozo
Keyword(s):  
Grip Strength ◽  
Shoulder Pain ◽  
Upper Limb ◽  
Radial Nerve ◽  
Case Series ◽  
Trigger Points ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
History Of ◽  
Male Subjects

Abstract Aims To assess the impact of dry needling on neural mechanosensitivity and grip strength in male subjects with a history of persistent pain in the neck/shoulder area. Methods Case series study. Eight male subjects (mean age 25±6.24 years) with a recurrent history of bilateral neck/shoulder pain for at least 6 months, and with symptoms provoked by neck/shoulder postures or movement were recruited from a University-based clinical research center. Measurements were taken at baseline, immediately after intervention, and fifteen days later, of the pressure pain threshold (PPT) over the median, ulnar, and radial nerves, and the tibialis anterior (TA) muscle. Secondary measures included free-pain grip strength with a hydraulic dynamometer. A therapist assessed the presence of latent (not spontaneously painful, but painful upon palpation) myofascial trigger points (MTrP) over the scalene, subclavius, pectoralis minor, infraspinatus and serratus posterior superior muscles, on the most painful side. Deep dry needling was then performed on the latent MtrP by quickly inserting and partially removing the needle from the MTrP until 2 local twitch responses were provoked. Results PPT over the nerve trunks significantly increased after intervention (p < 0.05 for all locations). These changes remained constant in the second assessment, both in the treated (p < 0.001 for median and ulnar nerves, and p = 0.004 for radial nerve), and the non-treated upper limb (median nerve p < 0.001, ulnar nerve p = 0.003, and radial nerve p = 0.006). No statistical significance was found for PPT over the TA muscle (p > 0.05) or for grip strength (p = 0.153 on the treated side, and p = 0.564 on the non-treated upper limb). Conclusions Dry needling on the cervicothoracic and shoulder areas may help to improve peripheral neural features over the brachial plexus nerve trunks in subjects with recurrent neck/shoulder pain. No effect was observed for grip strength.

scholarly journals Health, work and demographic factors associated with a lower risk of work disability and unemployment in employees with lower back, neck and shoulder pain

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Lisa Mather ◽  
Annina Ropponen ◽  
Ellenor Mittendorfer-Rutz ◽  
Jurgita Narusyte ◽  
Pia Svedberg
Keyword(s):  
Sick Leave ◽  
Shoulder Pain ◽  
Work Disability ◽  
Lower Risk ◽  
Adult Population ◽  
Job Control ◽  
Familial Factors ◽  
Self Rated Health ◽  
History Of ◽  
The Impact

Abstract Background Chronic musculoskeletal pain affects over 20% of the adult population and is one of the most common reasons for sick leave in Sweden. The aim of this study was to investigate which demographic, health and psychosocial work environment factors are of importance for a lower risk of future work disability and unemployment among workers with low back pain (LBP) and/or neck shoulder pain (NSP), and if familial factors influence these associations. Methods All 5556 persons that reported having LBP and/or NSP in a web-based questionnaire study in 2004–2006 were included. They were followed up for work disability (sick leave > 90 days or disability pension), and unemployment (> 180 days in a year) until 31 December 2013. Hazard ratios (HR) with 95% confidence intervals were calculated using cox proportional hazard models of the whole sample, adjusting for covariates. In addition, co-twin analyses of outcome discordant twin pairs were conducted to assess the impact of familial confounding on the associations. Results Being male, 19–28 years old, having higher education, only NSP, no history of depression or anxiety, good self-rated health, low job demands and high job control were associated with a lower risk of work disability (adjusted HR ranging between 0.29–0.85). No history of anxiety and depression and high job control was associated with a lower risk of unemployment (adjusted HR ranging from 0.53 and 0.67). Familial factors were found to affect the association between education and work disability, but none of the other associations investigated. Conclusions Among those with LBP or NSP, good health in terms of mental- and self-rated health, few pain sites, as well as good psychosocial working conditions seem to indicate a lower risk for work disability.

Sign in / Sign up

Export Citation Format

Share Document