scholarly journals Subacromial impingement by a lipoma arborescens

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 12
Author(s):  
Mohamed Elamin ◽  
Venkatramana Yeluri ◽  
Hisham Khatir ◽  
Paul O’Grady ◽  
Fadel Bennani
Keyword(s):  
Shoulder Pain ◽  
Conservative Management ◽  
Unusual Case ◽  
Impingement Syndrome ◽  
Systemic Approach ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Lipoma Arborescens ◽  
Arthroscopic Synovectomy

Subacromial impingement syndrome (SIS) is the leading cause of shoulder pain. A systemic approach for abnormal causes of SIS is recommended to avoid misdiagnosing rare or sinister pathologies. To our knowledge, only nine cases of subacromial lipoma arborescens associated with impingement syndrome have been reported in the literature. In this report, we briefly discuss histopathologic and radiological signs of an unusual case of impingement syndrome caused by subacromial “lipoma arborescens” and describe arthroscopic synovectomy after the failure of conservative management. The patient remains symptom-free five years after surgery.

scholarly journals How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e052092
Author(s):  
Joshua R Zadro ◽  
Zoe A Michaleff ◽  
Mary O'Keeffe ◽  
Giovanni E Ferreira ◽  
Romi Haas ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Rotator Cuff Tear ◽  
Poor Prognosis ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Rotator Cuff Disease ◽  
Cuff Tear ◽  
Randomised Controlled

ObjectivesExplore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed.SettingWe performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment.Participants1308 people with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomised to one of six labels: subacromial impingement syndrome, rotator cuff tear, bursitis, rotator-cuff-related shoulder pain, shoulder sprain and episode of shoulder pain.Primary and secondary outcomesParticipants answered two questions (free-text response) about: (1) words or feelings evoked by the label; (2) what treatments they feel are needed. Two researchers iteratively developed coding frameworks to analyse responses.Results1308/1626 (80%) complete responses for each question were analysed. Psychological distress (21%), uncertainty (22%), serious condition (15%) and poor prognosis (9%) were most often expressed by those labelled with subacromial impingement syndrome. For those labelled with a rotator cuff tear, psychological distress (13%), serious condition (9%) and poor prognosis (8%) were relatively common, while minor issue was expressed least often compared with the other labels (5%). Treatment/investigation and surgery were common among those labelled with a rotator cuff tear (11% and 19%, respectively) and subacromial impingement syndrome (9% and 10%) compared with bursitis (7% and 5%).ConclusionsWords or feelings evoked by certain labels for rotator cuff disease and perceived treatment needs may explain why some labels drive management preferences towards surgery and imaging more than others.

scholarly journals Efficiency of local hyaluronic acid injections in subacromial impingement syndrome

2019 ◽  
Vol 57 (3) ◽  
pp. 345-348
Author(s):  
V. A. Nesterenko ◽  
A. E. Karateev ◽  
E. I. Byalik ◽  
M. A. Makarov ◽  
S. A. Makarov ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Shoulder Pain ◽  
Tendon Injury ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Serious Adverse Events ◽  
Subacromial Injection ◽  
The Mean ◽  
Chronic Shoulder Pain

Chronic shoulder pain associated with subacromial impingement syndrome (SIS) is a common pathology that causes suffering and disability. One of the treatments for SIS is the local injection of hyaluronic acid (HA) preparations.Objective:to evaluate the efficiency of subacromial injection of HA in chronic shoulder pain associated with SIS.Subjects and methods.A study group consisted of 31 patients (48.4% of women and 51.6% of men; mean age 53.8±15.2 years) with chronic shoulder pain (>3 months) that had occurred after rotator tendon injury confirmed by ultrasound and/or magnetic resonance imaging. All the patients received two subacromial injections of 40 mg HA in 2 ml at a 7-day interval. The efficacy criteria were the changes of pain during movement (100-mm visual analogue scale (VAS)) and functional ability according to the ASES and CSC questionnaires at 1, 3 and 6 months.Results and discussion.During the treatment, there was a considerable improvement in all measures. At baseline and 1, 3, and 6 months, the mean pain severity measured on VAS was 60.0±20.0, 40.0±25.4, 31.6±26.0, and 32.2±26.5 mm (p<0.001), the mean ASES scores were 53.64±16.43, 70.08±17.70, 86.13±12.86, and 82.69±27.88 (p<0.001); the mean CSC scores were 52.38±21.1, 66.26±20.83, 73.9±24.14, and 76.1±25.02 (p<0.001) respectively. No serious adverse events were noted.Conclusion.Subacromial injection of HA is an effective and safe treatment for chronic shoulder pain associated with SIS.

scholarly journals VALIDATION OF THE RUSSIAN SHOULDER PAIN LEVEL TEST-QUESTIONARY FOR DETECTION OF PATIENTS WITH SUBACROMIAL IMPINGEMENT SYNDROME

2018 ◽  
Vol 24 (2) ◽  
pp. 80-94
Author(s):  
M. V. Emel’yanenko ◽  
F. L. Lazko ◽  
V. E. Gazhonova
Keyword(s):  
Correlation Coefficient ◽  
Shoulder Pain ◽  
Shoulder Joint ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Short Version ◽  
Clinical Use ◽  
Subacromial Impingement ◽  
Intra Class Correlation ◽  
Intra Class Correlation Coefficient

Despite multiple available international scales for assessment of anatomical and functional features of shoulder joint, no unified Russian survey for shoulder joint assessment in patients with subacromial impingement syndrome (SIS) has been developed so far.Purpose — to develop and validate a test-questionary for shoulder pain (SSp) to diagnose SIS in patients with chronic pain syndrome in the shoulder joint.Material and Methods. Score for shoulder pain (SSp) was validated based on 252 questionnaires including the group of 144 patients with SIS and control group of 108 patients without SIS. age of patients ranged from 50 to 80 years. clinical diagnosis was established using integral clinical and imaging examinations. Internal consistency of survey was evaluated by calculating the cronbach’s alpha. Significance of each question was assessed by calculation of odds ratio (OR). Sensitivity, specificity, accuracy and validation threshold for SIS diagnostics were determined by measuring the area under curve (auc). Re-testing reliability was evaluated by intra-class correlation coefficient (Icc) in 60 patients with an interval of 1–3 days. convergent validity was assessed with aSeS and VaS scores. Results. Informative value of the full version of SSp was as follows: 97% sensitivity, 90% specificity, 0.96% auc (95% cI 0,93–0,98), р<0,0001. youden’s index (j) equaled 0.88. Validity threshold for SIS diagnostics was above 18. Intra-class correlation coefficient (Icc) was 0,98 (95% cI 0,98–0,99). The authors reported a high inverse correlation with aSeS scale ρ = -0,9498 (r = -0,95; p<0,001) and direct correlation with VaS scale ρ = 0,8279 (r = 0,83; p<0,001). application of a logic regression resulted in a suggested short version of survey which included 13 questions with threshold for SIS diagnosis above 14 scores. This provided for improvement of intra-test reliability up to 0,93 (95% cI up to 0,91) and the level of clinical use of the short survey version.Conclusion. Short version of survey for shoulder pain (SSp) consisting of 13 questions was validated for clinical use and SIS diagnostics in patients of elderly and middle age with chronic shoulder pain. 

Efficacy of high-intensity laser therapy in subacromial impingement syndrome: a three-month follow-up controlled clinical trial

2019 ◽  
Vol 33 (5) ◽  
pp. 894-903 ◽  
Author(s):  
Javier Aceituno-Gómez ◽  
Juan Avendaño-Coy ◽  
Julio Gómez-Soriano ◽  
Venancio Miguel García-Madero ◽  
Gerardo Ávila-Martín ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Shoulder Pain ◽  
High Intensity ◽  
Impingement Syndrome ◽  
Subacromial Impingement Syndrome ◽  
Control Group ◽  
Subacromial Impingement ◽  
High Intensity Laser ◽  
Intensity Laser ◽  
Experimental Group

Objectives: To evaluate the effectiveness of high-intensity laser therapy on shoulder pain and function in subacromial impingement syndrome. Design: Clinical controlled trial with alternate allocation. Setting: Hospital Department of Rehabilitation. Subjects: A total of 46 participants with subacromial impingement syndrome. Intervention: Participants were sequence allocated to an intervention group (high-intensity laser therapy + exercise therapy) and control group (sham-laser + exercise therapy) and received 15 sessions (five days a week during three weeks). Main measures: Patiens were evaluated at baseline, after 15 sessions, and at one month and at three months after completing the intervention. The main outcome variables were pain and functionality as measured by visual analogue scale; pressure pain threshold; Shoulder Pain and Disability Index; Constant-Murley Score; and QuickDASH. Secondary outcomes were number of sessions at discharge and drug use. Results: A total of 21 patients in high-intensity laser therapy group (56.7 ± 8.9 years) and 22 patients in sham-laser group (61.3 ± 8.9 years) concluded the study. Visual analogue scale (cm) at baseline, one-month, and three-months were 6.2 ± 0.5, 3 ± 2.6, and 2.6 ± 2.4 for the control group and 5.4 ± 1.5, 3.6 ± 1.3, and 1.8 ± 1.7 for experimental group, respectively. Shoulder Pain and Disability Index (points) at baseline, one-month, and three-monts were 51.8 ± 16.1, 16.3 ± 16.1, and 13.6 ± 17.1 in the control group and 41.8 ± 20.6, 20.5 ± 19.7, 11 ± 14.5 in experimental group, respectively. No differences were found between groups ( P > 0.05). Conclusion: The effect of high-intensity laser therapy plus exercise is not higher than exercise alone to reduce pain and improve functionality in patients with subacromial syndrome.

scholarly journals Effectiveness of Passive Physical Modalities for Shoulder Pain: Systematic Review by the Ontario Protocol for Traffic Injury Management Collaboration

2015 ◽  
Vol 95 (3) ◽  
pp. 306-318 ◽  
Author(s):  
Hainan Yu ◽  
Pierre Côté ◽  
Heather M. Shearer ◽  
Jessica J. Wong ◽  
Deborah A. Sutton ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Risk Of Bias ◽  
Impingement Syndrome ◽  
Low Risk ◽  
Low Level Laser Therapy ◽  
Subacromial Impingement Syndrome ◽  
Subacromial Impingement ◽  
Shock Wave Therapy ◽  
Level Laser ◽  
Physical Modalities

BackgroundShoulder pain is a common musculoskeletal condition in the general population. Passive physical modalities are commonly used to treat shoulder pain. However, previous systematic reviews reported conflicting results.PurposeThe aim of this study was to evaluate the effectiveness of passive physical modalities for the management of soft tissue injuries of the shoulder.Data SourcesMEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials were searched from January 1, 1990, to April 18, 2013.Study SelectionRandomized controlled trials (RCTs) and cohort and case-control studies were eligible. Random pairs of independent reviewers screened 1,470 of 1,760 retrieved articles after removing 290 duplicates. Twenty-two articles were eligible for critical appraisal. Eligible studies were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. Of those, 11 studies had a low risk of bias.Data ExtractionThe lead author extracted data from low risk of bias studies and built evidence tables. A second reviewer independently checked the extracted data.Data SynthesisThe findings of studies with a low risk of bias were synthesized according to principles of best evidence synthesis. Pretensioned tape, ultrasound, and interferential current were found to be noneffective for managing shoulder pain. However, diathermy and corticosteroid injections led to similar outcomes. Low-level laser therapy provided short-term pain reduction for subacromial impingement syndrome. Extracorporeal shock-wave therapy was not effective for subacromial impingement syndrome but provided benefits for persistent shoulder calcific tendinitis.LimitationsNon-English studies were excluded.ConclusionsMost passive physical modalities do not benefit patients with subacromial impingement syndrome. However, low-level laser therapy is more effective than placebo or ultrasound for subacromial impingement syndrome. Similarly, shock-wave therapy is more effective than sham therapy for persistent shoulder calcific tendinitis.

Sign in / Sign up

Export Citation Format

Share Document