scholarly journals Anterosuperior Glenoid Impingement Syndrome

2012 ◽  
Vol 5 ◽  
pp. CMAMD.S7880 ◽  
Author(s):  
Shelley S. Bath ◽  
Shaun S. Bath ◽  
Jamshid Tehranzadeh
Keyword(s):  
Shoulder Pain ◽  
Humeral Head ◽  
Impingement Syndrome ◽  
Mri Findings ◽  
Radiologic Literature

Anterosuperior glenoid impingement is a well documented cause of shoulder pain. It occurs when there is deep tearing of the subscapularis, with fibers becoming embedded between the anterosuperior glenoid and humeral head. To our knowledge, this has not been described in radiologic literature and we present MRI findings depicting this entity

scholarly journals Geometric Morphology of the Coracoacromial Ligament: A Cadaveric Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Mehmet Demir ◽  
Bülent Güneri
Keyword(s):  
Statistical Analysis ◽  
Shoulder Pain ◽  
Humeral Head ◽  
Common Knowledge ◽  
Coracoid Process ◽  
Coracoacromial Ligament ◽  
Death Time ◽  
The Mean ◽  
Geometric Morphology ◽  
Digital Caliper

The coracoacromial ligament (CAL), which restrains superior displacement of humeral head, connects the acromion and coracoid process. Due to the ligament’s variations and its role in shoulder pain, CAL was investigated in this study. Sixty shoulders of 34 cadavers, from persons aged 61-98 (80.95 ± 8.81) years at death time, were dissected. The lengths of lateral (LBL) and medial borders (MBL), widths of acromial (AIW) and coracoid insertions (CIW), and thicknesses of lateral (LSTAI) and medial (MSTAI) sides of acromial insertions were measured by digital caliper. The data were subjected to statistical analysis. 24 (40%) V-shaped, 12 (20%) broad-banded, 9 (15%) quadrangular, 9 (15%) Y-shaped, and 6 (10%) multiple-banded types were identified. The mean total LBL, MBL, AIW, CIW, LSTAI, and MSTAI were 34.94 ± 4.59 mm, 33.58 ± 5.31 mm, 29.82 ± 9.48 mm, 12.62 ± 3.95 mm, 1.29 ± 0.17 mm, and 0.90 ± 0.22 mm, respectively. The mean LBL (39.12 ± 4.29 mm), MBL (36.48 ± 3.9 mm), and CIW (37.01 ± 3.39 mm) were significantly greatest in quadrangular type (p<0.001). The mean AIW was slightly greatest in quadrangular type (p=0.069). The mean LSTAI was significantly greatest in multiple-banded type (1.45 ± 0.10 mm, p<0.001) whereas the mean MSTAI was significantly greatest in quadrangular type (1.23 ± 0.23 mm, p<0.001). CAL is quite variable regarding morphology, dimensions, and insertion features. Despite common knowledge, MSTAI and MBL of CAL can be greater than lateral counterparts in some types. To obtain complete release of CAL at acromion, the clearance of ligament fibers in an area with the dimensions of around 16 mm in mediolateral and 15 mm in anteroposterior direction, beginning from the lateral edge of acromial insertion, is recommended.

Radiologic measurement of superior displacement of the humeral head in the impingement syndrome

1996 ◽  
Vol 5 (3) ◽  
pp. 186-193 ◽  
Author(s):  
Allen Deutsch ◽  
David W. Altchek ◽  
Evan Schwartz ◽  
James C. Otis ◽  
Russell F. Warren
Keyword(s):  
Humeral Head ◽  
Impingement Syndrome ◽  
Radiologic Measurement

scholarly journals Rapid Destruction of the Humeral Head Caused by Subchondral Insufficiency Fracture: A Report of Two Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Kenichi Goshima ◽  
Katsuhiko Kitaoka ◽  
Junsuke Nakase ◽  
Hiroyuki Tsuchiya
Keyword(s):  
Shoulder Pain ◽  
Humeral Head ◽  
Elderly Women ◽  
Total Shoulder Arthroplasty ◽  
Insufficiency Fracture ◽  
Joint Destruction ◽  
Acute Onset ◽  
Joint Effusion ◽  
Left Shoulder ◽  
Rapid Destruction

Rapidly destructive arthritis (RDA) of the shoulder is a rare disease. Here, we report two cases, with different destruction patterns, which were most probably due to subchondral insufficiency fractures (SIFs). Case 1 involved a 77-year-old woman with right shoulder pain. Rapid destruction of both the humeral head and glenoid was seen within 1 month of the onset of shoulder pain. We diagnosed shoulder RDA and performed a hemiarthroplasty. Case 2 involved a 74-year-old woman with left shoulder pain. Humeral head collapse was seen within 5 months of pain onset, without glenoid destruction. Magnetic resonance imaging showed a bone marrow edema pattern with an associated subchondral low-intensity band, typical of SIF. Total shoulder arthroplasty was performed in this case. Shoulder RDA occurs as a result of SIF in elderly women; the progression of the joint destruction is more rapid in cases with SIFs of both the humeral head and the glenoid. Although shoulder RDA is rare, this disease should be included in the differential diagnosis of acute onset shoulder pain in elderly female patients with osteoporosis and persistent joint effusion.

Assessment of dynamic humeral centering in shoulder pain with impingement syndrome: a randomised clinical trial

2011 ◽  
Vol 70 (9) ◽  
pp. 1613-1618 ◽  
Author(s):  
J. Beaudreuil ◽  
S. Lasbleiz ◽  
P. Richette ◽  
G. Seguin ◽  
C. Rastel ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Shoulder Pain ◽  
Randomised Clinical Trial ◽  
Impingement Syndrome

scholarly journals THU0487 DIAGNOSTIC DILEMMA: WHICH CLINICAL TEST IS MOST ACCURATE FOR DIAGNOSING SUPRASPINATUS MUSCLE TEARS AND TENDINOSIS?

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 481.3-481
Author(s):  
E. Balevi Batur ◽  
Z. Bekin Sarikaya ◽  
M. E. Kaygisiz ◽  
İ. Albayrak Gezer ◽  
F. Levendoğlu
Keyword(s):  
Shoulder Pain ◽  
Lower Sensitivity ◽  
Clinical Test ◽  
Clinical Tests ◽  
Mri Findings ◽  
Diagnostic Dilemma ◽  
Test Drop ◽  
Magnetic Resonance Imaging Mri ◽  
Sensitivity Specificity ◽  
Higher Sensitivity

Background:Supraspinatus tears and tendinosis are the most common pathology that cause shoulder pain to approximately half of the patients presenting clinically.1Objectives:To investigate the diagnostic accuracy of five clinical tests in the diagnosis of supraspinatus tears and tendinosis compared with magnetic resonance imaging (MRI).Methods:A total of 116 painful shoulders of 106 consecutive patients were examined. Patients were assessed using the most commonly used special clinical tests including the Jobe test (empty can), Neer test, drop arm test, Hawkins test and full can tests to identify supraspinatus tears and tendinosis. A visual analogue scale (VAS) was used for pain detection, and the Shoulder Pain and Disability Index (SPADI) questionnaire was administered. MRI examinations were performed on 1.5 Tesla MR system and images were assessed by a blinded radiologist. The primary outcomes were to determine the sensitivity, specificity, and accuracy of the five clinical tests, and to establish their correlation with MRI for supraspinatus tears and tendinosis.Results:The mean age was 55.10 ± 10.20 years, and 32.08% of the patients were female. The Hawkins test had a higher sensitivity and accuracy in tears (sensitivity 89.66%, accuracy 56.03%, respectively) and higher sensitivity in tendinosis (79.07%). The drop arm test had a lower sensitivity but higher specificity in both tendinosis and tears (sensitivity 0%, 12.07%, respectively, and specificity 87.67%, 96.5%, respectivelyConclusion:The Hawkins test was the most sensitive in both supraspinatus tendinosis and tears compared with MRI findings.References:[1]Yamaguchi K, Ditsios K, Middleton WD, Hildebolt CF, Galatz LM, Teefey SA,The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg Am, 2006. 88(8): p. 1699-704.Disclosure of Interests: :None declared

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.

Can scapular and humeral head position predict shoulder pain in adolescent swimmers and non-swimmers?

2012 ◽  
Vol 30 (16) ◽  
pp. 1767-1776 ◽  
Author(s):  
Leanda McKenna ◽  
Leon Straker ◽  
Anne Smith
Keyword(s):  
Shoulder Pain ◽  
Humeral Head ◽  
Head Position

scholarly journals Prognostic value of magnetic resonance imaging in the evaluation of physical therapy outcomes in patients with adhesive capsulitis

2021 ◽  
Vol 67 (2) ◽  
pp. 146-154
Author(s):  
Sacide Nur Saraçgil Coşar ◽  
Selin Ozen ◽  
Ali Niyazi Kurtcebe ◽  
Mehmet Coşkun ◽  
Oya Ümit Yemişci
Keyword(s):  
Magnetic Resonance Imaging ◽  
Physical Therapy ◽  
Magnetic Resonance ◽  
Shoulder Pain ◽  
Clinical Diagnosis ◽  
Adhesive Capsulitis ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Group 2 ◽  
Group 1

Objectives: This study aims to investigate whether the treatment outcomes of patients with a clinical diagnosis of adhesive capsulitis (AC) and magnetic resonance imaging (MRI) findings consistent with AC undergoing physical therapy (PT) differs to those with AC in the absence of these MRI findings. Patients and methods: Between January 2012 and October 2012, a total of 30 patients (8 males, 22 females; mean age 55.6±12.1 years; range, 35 to 85 years) with a clinical diagnosis of AC underwent MRI of the index shoulder. The MRI scans were evaluated for findings associated with AC: intensity of the inferior glenohumeral ligament (IGHL) and rotator interval (RI). All patients received a total of 15 sessions of PT: hot pack, transcutaneous electrical nerve stimulation, ultrasound, and shoulder exercises. The patients were assessed for shoulder range of motion (ROM) using the Visual Analog Scale (VAS) for shoulder pain, Quick Disabilities of the Arm Shoulder and Hand (Q-DASH), and Health Assessment Questionnaire (HAQ) prior to and following completion of PT. Results: Of the patients, 21 had no MRI findings consistent with AC (Group 1), nine patients had changes in the IGHL and/or RI characteristic of AC (Group 2). In both groups, there was a significant improvement in active and passive shoulder ROM and VAS scores for shoulder pain at rest (Group 1: p<0.001, Group 2: p=0.017) with movement (Group 1: p<0.001, Group 2: p=0.007) and at night (Group 1: p<0.001, Group 2: p=0.012) following PT. However, there was no significant inter-group difference in scores. Similar findings were recorded for Q-DASH and HAQ. Conclusion: Based on these study findings, the presence of characteristic MRI findings of AC with a clinical diagnosis do not predict clinical response to physical therapy.

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