scholarly journals Role of high-frequency USG in rotator cuff injury and its comparison with MRI

2020 ◽  
Vol 8 (6) ◽  
pp. 438-448
Author(s):  
Dr. Poornima Maravi ◽  
◽  
Dr. Ajay Khadiya ◽  
Dr. Lovely Kaushal ◽  
Dr. Swati Goyal ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
High Frequency ◽  
Glenohumeral Joint ◽  
Signs And Symptoms ◽  
Joint Injury ◽  
Rotator Cuff Injuries ◽  
Partial Tears ◽  
Common Causes ◽  
Rotator Cuff Injury

Introduction: Rotator cuff injury is one of the common causes of long-term shoulder pain anddisability encountered in the orthopedic clinic. The spectrum of rotator cuff injury includestendonitis, partial tears, and complete tears. They also may influence the development of thedegenerative disease of glenohumeral joint and rotator cuff arthropathy. Material and Methods:The present, prospective study entitled “Role of high-frequency USG in rotator cuff injury and itscomparison with MRI” was conducted in the Department of Radiodiagnosis on a total of 100 patientswho presented with signs and symptoms of shoulder joint injury in Department of Orthopedic whowere then referred for USG and MRI examination to the Department of Radiodiagnosis. Result:Mean age of the patients was 38.26±14.51 years and the majority of patients belonged to the 3rddecade (34%). About 7% of patients belonged to the 2nd decade, 18% of patients each belonged tothe 4th and 5th decades of age group. Only 8% and 7% of patients in the present study belonged toextremes of age i.e. >60 years and <20 years respectively. Conclusion: Based on the findings ofthe present study, it is concluded that rotator cuff injuries are commonly encountered conditions inroutine practice, and males are commonly affected as compared to females.

The Regenerative Role of Gelatin in PLLA Electrospun Membranes for the Treatment of Chronic Massive Rotator Cuff Injuries

2021 ◽  
pp. 2100281
Author(s):  
Chang Liu ◽  
Shihai Jiang ◽  
Yu Wu ◽  
Libiao Liu ◽  
Shouwen Su ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Injuries ◽  
Electrospun Membranes

ULTRASOUND AS PRIME MODALITY OF CHOICE FOR EVALUATION OF BREAST LESIONS.

2021 ◽  
pp. 37-38
Author(s):  
Snehal Santosh Rathi ◽  
Sonali Mhaske Kadam
Keyword(s):  
High Frequency ◽  
Breast Imaging ◽  
Nipple Discharge ◽  
Signs And Symptoms ◽  
Breast Ultrasound ◽  
Breast Lesions ◽  
Medical College ◽  
Primary Screening ◽  
High Frequency Probe

INTRODUCTION: The four main roles of ultrasound in Breast imaging are-primary screening, supplemental screening, diagnosis and Interventional procedures. Palpable masses, abnormal nipple discharge and mammographic abnormalities constitute the most common indication for targeted Breast Ultrasound. AIM: To study the role of Ultrasound in evaluating Breast lesions and characterising them as Benign or Malignant. MATERIAL AND METHODS:This is a Retrospective analysis conducted in Department of Radiology, MGM Medical College and Hospital, Kamothey, Navi Mumbai from February 2021 to June 2021. A total of 136 patients with signs and symptoms related to breast lesions were screened. CONCLUSION: The advent of high frequency probe, easy accessibility, cost effectiveness, reliability and relatively easy to perform makes ultrasound as the prime modality of choice for screening breast lesions.

scholarly journals Prevalence and Grading of Rotator Cuff and Labral Injuries in Shoulder Pain and Instability using MRI: ACross-sectional Study

2021 ◽  
Author(s):  
Ashok Srikar Chowdhary ◽  
Naresh Babu Lakshmipathi Nikhil ◽  
Nidhi Hemendra Chandrakar ◽  
Nidhi Raj Buddaraju
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Biceps Tendon ◽  
Supraspinatus Tendon ◽  
Sectional Study ◽  
Rotator Cuff Injuries ◽  
Rotator Cuff Injury ◽  
Biceps Pulley ◽  
Study Population ◽  
Long Head

Introduction: Shoulder joint is a highly mobile joint but is prone for rotator cuff injuries and dislocations. It is necessary to accurately diagnose rotator cuff and labral injuries so that appropriate plan of action for treatment can be taken. Magnetic Resonance Imaging (MRI) can be used to diagnose and describe the extent of rotator cuff tendon and labral injuries and any secondary rotator cuff muscle abnormalities. Aim: To study the demographic profile of patients presenting with shoulder pain and instability, identify the various rotator cuff injuries causing shoulder pain, identify the rotator cuff interval lesions causing microinstability, identify the various labral and bony pathologies in instability, describe the MRI features of the rotator cuff, rotator cuff interval, labral and bony injuries. Materials and Methods: This study was a cross-sectional study of patients with symptoms of either shoulder pain or instability who underwent MRI evaluation of the shoulder in the Department of Radiodiagnosis, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India, from July 2018 to December 2020. The study population consisted of 54 patients with either shoulder pain or instability who underwent MRI of shoulder. All the MRI scans of the shoulder in this study were performed using 1.5 Tesla Siemens Magnetom Avanto (Tim 76x18) MR machine using a flex coil. Results: The study population consisted of 54 patients comprising of 38 males and 16 females. The age of the patients ranged from 20-77 years. Majority of the patients were older than 50 years constituting about 33.33% of the total study population. Rotator cuff injury was the commonest cause of pain. Tendinosis was the commonest type of rotator cuff injury followed by partial-thickness and full-thickness tendon tears. The commonest grade of tendinosis was mild or grade 1. Supraspinatus tendon was the most commonly affected tendon followed by subscapularis and infraspinatus tendons. Teres minor tendon was normal in all the cases. Anterior instability was the commonest type of instability with equal prevalence of soft tissue Bankart, bony Bankart and Perthes lesions. Biceps pulley lesions resulted in long head of biceps tendon instability, microinstability and internal impingement. Conclusion: Rotator cuff injuries are the commonest cause of shoulder pain and are seen more frequently after the fifth decade. Shoulder instability is most commonly seen in young male adults. Tendinosis is the commonest type of rotator cuff injury. Supraspinatus tendon is the most commonly injured tendon. Anterior instability is the commonest type of shoulder instability. Biceps pulley lesions result in long head of biceps tendon instability, microinstability and internal impingement. MRI can diagnose interstitial or intrasubstance tendon tears which are not visualised on arthroscopy. MRI description of tendon and labral tears, tendon retraction and muscle atrophy can guide the orthopaedician during arthroscopy and in treatmentplanning.

Role of Panchakarma intervention in Amlapitta (Gastritis): A Critical Review

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Kaushal Kumar Sinha ◽  
Sahu Lalravi ◽  
S. Shruthi ◽  
B. A. Lohith ◽  
Imli Kumba
Keyword(s):  
Medical Science ◽  
Signs And Symptoms ◽  
The Body ◽  
Common Disease ◽  
Essential Components ◽  
Common Causes ◽  
Purification Methods ◽  
Inflammatory Drugs ◽  
H Pylori

Amlapiita is a very common disease of present era and a disease of Annavaha Strotas, and is commonly observed in these days of modernization and industrialization. 30% of the general population is suffering from gastro-oesophageal reflux and gastritis resulting in heartburn. It is very troublesome disease and can give rise to many serious problems if not treated in time. Signs and symptoms of Amlapiita are very similar to gastritis or hyperacidity. According to conventional medical science the most common causes of gastritis are H. pylori infections and prolonged use of Non-Steroidal Anti Inflammatory Drugs (NSAIDS). Gastritis is believed to affect about half of people worldwide. In 2015 there were approximately 90 million new cases of this condition. As people get older the disease becomes more common. It, along with a similar condition in the first part of the intestines known as duodenitis, resulted in 50,000 deaths in 2017. The five procedure of Panchakarma done through several procedures purify the body system by removing morbid Doshas from the body. These purification methods are essential components of the curative management of these diseases that are not controlled by palliative management.

Nonoperative Treatment of Rotator Cuff Injuries in Throwing Athletes

1992 ◽  
Vol 1 (3) ◽  
pp. 197-222 ◽  
Author(s):  
James J. Irrgang ◽  
Susan L. Whitney ◽  
Christopher D. Harner
Keyword(s):  
Rotator Cuff ◽  
Nonoperative Management ◽  
Nonoperative Treatment ◽  
Glenohumeral Instability ◽  
Comprehensive Review ◽  
Rotator Cuff Injuries ◽  
Treatment Considerations ◽  
Underlying Causes ◽  
And Function

Shoulder pain in throwing athletes is reviewed. The anatomy and function of the rotator cuff and the biomechanics of the throwing mechanism are described. Physical examination for rotator cuff injuries, treatment considerations, and a protocol are presented. Failure to recognize glenohumeral instability may limit the success of nonoperative management of rotator cuff injuries in throwing athletes. This article provides a comprehensive review of some of the underlying causes of rotator cuff pathology in throwing athletes. Rotator cuff injuries in throwing athletes are closely associated with glenohumeral instability. The role of glenohumeral instability in the pathogenesis of rotator cuff injuries is described.

scholarly journals EMG-Assisted Algorithm to Account for Shoulder Muscles Co-Contraction in Overhead Manual Handling

2020 ◽  
Vol 10 (10) ◽  
pp. 3522 ◽  
Author(s):  
Najoua Assila ◽  
Claudio Pizzolato ◽  
Romain Martinez ◽  
David G. Lloyd ◽  
Mickaël Begon
Keyword(s):  
Rotator Cuff ◽  
Glenohumeral Joint ◽  
Static Optimization ◽  
Shoulder Muscles ◽  
Antagonist Muscles ◽  
Key Factor ◽  
Manual Handling ◽  
Muscle Activations ◽  
Ergonomic Interventions

Glenohumeral stability is essential for a healthy function of the shoulder. It is ensured partly by the scapulohumeral muscular balance. Accordingly, modelling muscle interactions is a key factor in the understanding of occupational pathologies, and the development of ergonomic interventions. While static optimization is commonly used to estimate muscle activations, it tends to underestimate the role of shoulder’s antagonist muscles. The purpose of this study was to implement experimental electromyographic (EMG) data to predict muscle activations that could account for the stabilizing role of the shoulder muscles. Kinematics and EMG were recorded from 36 participants while lifting a box from hip to eye level. Muscle activations and glenohumeral joint reactions were estimated using an EMG-assisted algorithm and compared to those obtained using static optimization with a generic and calibrated model. Muscle activations predicted with the EMG-assisted method were generally larger. Additionally, more interactions between the different rotator cuff muscles, as well as between primer actuators and stabilizers, were predicted with the EMG-assisted method. Finally, glenohumeral forces calculated from a calibrated model remained within the boundaries of the glenoid stability cone. These findings suggest that EMG-assisted methods could account for scapulohumeral muscle co-contraction, and thus their contribution to the glenohumeral stability.

scholarly journals The effect of physiotherapy in rotator cuff injury patients with platelet-rich plasma: study protocol of a non-randomized controlled trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chi Zhang ◽  
Jianxiong Wang ◽  
Li Wang ◽  
Yujie Xie ◽  
Fuhua Sun ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rotator Cuff ◽  
Platelet Rich Plasma ◽  
Short Form ◽  
Controlled Trial ◽  
Control Group ◽  
Rotator Cuff Injuries ◽  
Rotator Cuff Injury ◽  
Tear Size

Abstract Background The study aims to identify whether Platelet-rich plasma (PRP) combined with early physiotherapy has an advantage over PRP alone for rotator cuff injury patients, regarding pain release, function score, tear size, and quality of life improvement. Methods This is a single-center prospective non-randomized study implemented in July 2019 at the Affiliated Hospital of Southwest Medical University in Sichuan. Three hundred-forteen patients with rotator cuff injury aged over 18 years were recruited. Participants were assigned to the experiment group (PRP plus physiotherapy) or control group (PRP) by their desire. We used the Constant-Murley score to assess the shoulder function, the Visual Analogue Scale to evaluate shoulder pain, and the MOS Item Short-form Health Survey (SF-12) to measure the quality of life. MRI was applied to measure tear size, and the follow-up duration is 12 months. Discussion Our findings will give information on the effects of PRP and physiotherapy on rotator cuff injuries. Physiotherapy might be added to improve the effects of PRP in patients with rotator cuff injuries. Trial registration This study was registered in the Chinese clinical trial registry on September 1st, 2019 (ChiCTR1900025563).

scholarly journals Surgical treatment of shoulder rotator cuff injuries

2014 ◽  
Vol 67 (7-8) ◽  
pp. 239-245 ◽  
Author(s):  
Srdjan Ninkovic ◽  
Marko Simnjanovski ◽  
Vladimir Harhaji ◽  
Nemanja Kovacev ◽  
Natasa Janjic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Rotator Cuff ◽  
Daily Living ◽  
Clinical Results ◽  
Results Of Treatment ◽  
Rotator Cuff Injuries ◽  
Significant Difference ◽  
Rotator Cuff Injury ◽  
Novi Sad ◽  
Shoulder Score

Introduction. The rotator cuff is the most important functional structure of the shoulder. The aim of this study was to determine which factors contribute to a rotator cuff injury and to evaluate the results of the surgical treatment at the Department of Orthopedic Surgery and Traumatology in Novi Sad since December 2009 until May 2012. Material and Methods. The study sample consisted of 20 patients who had been operated for a shoulder rotator cuff injury. Their mean age was 56.8 ? 9.1. Results. According to the Constant Shoulder Score, 75% of the patients had excellent and good results. A statistically significant difference (p?0.05) was found between Constant Shoulder Score of the operated should and the opposite shoulder as well as between the range of external and internal rotation and abduction. After the surgical treatment, 95% of the patients have no limitations in the activities of daily living and they are satisfied with the results of treatment. Conclusion. Surgical treatment of a shoulder rotator cuff injury is reliable, time-tested and provides good clinical results especially in patients who were operated within the first three weeks after the injury.

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