THU0634-HPR An Investigation of an Exercise Class Versus Individual Exercise Sessions in the Management of Rotator Cuff Impingement Syndrome

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 1320.2-1320
Author(s):  
N. Walsh ◽  
M. Phelan
Keyword(s):  
Rotator Cuff ◽  
Impingement Syndrome ◽  
Class Versus ◽  
Exercise Class

Attrition of rotator cuff without progression to tears during 2–5 years of conservative treatment for impingement syndrome

2018 ◽  
Vol 139 (3) ◽  
pp. 377-382 ◽  
Author(s):  
Tae-Hwan Yoon ◽  
Chong-Hyuk Choi ◽  
Sung-Jae Kim ◽  
Yun-Rak Choi ◽  
Soon-Phil Yoon ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Conservative Treatment ◽  
Impingement Syndrome

scholarly journals Impact of symptom bilaterality and hand dominance on patient-reported disability outcomes

2018 ◽  
Vol 6 ◽  
pp. 205031211879756
Author(s):  
Helen Razmjou ◽  
Tim Dwyer ◽  
Richard Holtby
Keyword(s):  
Risk Factors ◽  
Rotator Cuff ◽  
Outcome Measures ◽  
Rotator Cuff Tear ◽  
Glenohumeral Joint ◽  
Impingement Syndrome ◽  
Older Age ◽  
Hand Dominance ◽  
Cuff Tear ◽  
Dominant Side

Objectives: It is not clear if using patients with bilateral symptoms would impact the level of disability reported in orthopaedic research. The purposes of this study were to (1) examine the prevalence of bilateral shoulder symptoms (significant pain, stiffness or weakness affecting function) in patients with rotator cuff impingement syndrome, rotator cuff tear and osteoarthritis of the glenohumeral joint, (2) explore risk factors associated with bilateral shoulder symptoms, and (3) examine the impact of symptom bilaterality and hand dominance on pre- and post-operative patient-oriented disability outcomes. Methods: This study involved secondary analysis of prospectively collected data of patients who had undergone shoulder surgery and had returned for their 1-year follow-up. Two outcome measures were collected prior to surgery and at 1-year following surgery: the American Shoulder and Elbow Surgeons and the Constant–Murley Score. Results: Data of 772 patients, 376 (49%) females, 396 males (51%); 288 (impingement syndrome), 332 (rotator cuff tear), and 152 (osteoarthritis) were included in the analysis. There was a statistically significant difference in the prevalence of bilateral symptoms being 44%, 28%, and 22% in the osteoarthritis, impingement syndrome, and rotator cuff tear groups, respectively (p < 0.0001). The prevalence of dominant side involvement was 71%, 67%, and 53% in the rotator cuff tear, impingement syndrome, and osteoarthritis groups (p < 0.0001). Older age and female sex were risk factors for development of bilateral symptoms only in patients with rotator cuff tear. Neither symptom bilaterality nor dominant arm involvement had a negative impact on patient-oriented disability outcome measures prior to or after surgery (p > 0.05). Conclusion: This study shows that patients with osteoarthritis of the glenohumeral joint have the highest prevalence of bilateral shoulder complaints. The older age and the female sex increased the risk of having bilateral symptoms in patients with rotator cuff tear. Having bilateral shoulder symptoms or dominant side involvement was not associated with higher level of disability prior or after surgery.

Shoulder impingement syndrome: influence of shoulder position on rotator cuff impingement--an anatomic study.

1996 ◽  
Vol 167 (6) ◽  
pp. 1511-1515 ◽  
Author(s):  
J Brossmann ◽  
K W Preidler ◽  
R A Pedowitz ◽  
L M White ◽  
D Trudell ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Impingement Syndrome ◽  
Shoulder Impingement Syndrome ◽  
Anatomic Study ◽  
Shoulder Impingement ◽  
Shoulder Position

Roentgenographic assessment of acromial morphologic condition in rotator cuff impingement syndrome

1995 ◽  
Vol 4 (6) ◽  
pp. 441-448 ◽  
Author(s):  
Garry S. Kitay ◽  
Joseph P. Iannotti ◽  
Gerald R. Williams ◽  
Tamara Haygood ◽  
Bruce J. Kneeland ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Impingement Syndrome

scholarly journals Subacromial Tenoxicam Injection in the Treatment of Impingement Syndrome

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0019
Author(s):  
Hakan Çift ◽  
Feyza Ünlü Özkan ◽  
Ali Şeker ◽  
Mehmet İşyar ◽  
Erman Ceyhan ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Adhesive Capsulitis ◽  
Adhesion Formation ◽  
Impingement Syndrome ◽  
Therapeutic Effects ◽  
Women Patients ◽  
Alternative Treatment Option ◽  
Vas Scores ◽  
The Mean

Objectives: As subacromial bursa injection is widely used for pain relief and functional improvements in patients with periarticular shoulder disorder, we aimed to present our results of subacromial tenoxicam injection in the treatment of impingement syndrome. Methods: Patients presented to the Department of Orthopaedics and Traumatology, Istanbul Medipol University with the primary complaints of shoulder pain from January 2012 to June 2013 were selected. Those who met the following inclusion criteria were finally considered: 1) who had a clinical sign of a painful arc and positive in Hawkins test and/or Neer impingement sign; 2) who had a precise rotator cuff injury including partial cuff tears, or subacromial bursitis detected during ultrasonography or MRI. The exclusion criteria were as follows: 1) who underwent shoulder surgery; 2) who had full thickness rotator cuff rupture; 3) who had hemiplegic shoulder pain; and 4) who displayed any suspected fracture on X-ray or had a recent shoulder trauma; 5) who showed limited active ROM and stiffness due to adhesive capsulitis. Thirty one shoulders out of thirty patients were treated with subacromial tenoxicam injection. Ten of them were left shoulders. Fifteen of the patients were women.. Patients had a mean age of 51.6 (30-73). Patients were evaluated 4 times. Before the first injection, 1 week after the first injection, 2 weeks after the second injection and 3 weeks after the third injection. In every injection 20 mg tenoxicam was performed. Results: In order to relieve the pain; two patients were given only one injection, thirteen patients were given two injections and “3 injections protocol” were done to fifteen patients. The mean pre- and posttreatment VAS scores were 7.9 (between, 7-9) and 2.7 (between, 2-4) points respectively. The average pre and posttreatment DASH scores were 59.41 (between, 45-80) and 14 (between, 8.3-25.8) points respectively. The mean pre and posttreatment range of motion were 106.1 (between, 80-130 and 170i7 (between, 140-180) degrees respectively. Differences between all pre- and post-treatment parameters were statistically significant (p<0.05). Conclusion: Tenoxicam is a cheap NSAID and an analgesic of the oxicam class, is closely related to proxicam, and has a long half-life, which enables it to be administrated once daily. It also readily penetrates the synovial fluid and intraarticular intravenous administration provides superior postoperative analgesic benefits. Tenoxicam also has the ability to prevent adhesion formation. Besides it has no detrimental effect on cartilage structure. It can be safely administrated intraarticularly. Given the positive therapeutic effects of subacromial tenoxicam injection, it can be used as an alternative treatment option.

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