- Arthroscopic excision of wrist ganglions: does trans-cystic or cystic-sparing portal technique affect clinical outcomes? [Journal Article]
- AOArch Orthop Trauma Surg 2018 Sep 17
- CONCLUSIONS: For performing arthroscopic resection of wrist ganglions, both techniques are safe regarding the complication rates. In recurrence rate, no significant difference was found between the two groups, but no recurrence was observed when the TCP technique was used.
- Left Right Judgement Task and Sensory, Motor, and Cognitive Assessment in Participants with Wrist/Hand Pain. [Journal Article]
- RRRehabil Res Pract 2018; 2018:1530245
- The Left Right Judgement Task (LRJT) involves determining if an image of the body part is of the left or right side. The LRJT has been utilized as part of rehabilitation treatment programs for person...
The Left Right Judgement Task (LRJT) involves determining if an image of the body part is of the left or right side. The LRJT has been utilized as part of rehabilitation treatment programs for persons with pain associated with musculoskeletal injuries and conditions. Although studies often attribute changes and improvement in LRJT performance to an altered body schema, imaging studies suggest that the LRJT implicates other cortical regions. We hypothesized that cognitive factors would be related to LRJT performance of hands and feet and that sensory, motor, and pain related factors would be related to LRJT in the affected hand of participants with wrist/hand pain. In an observational cross-sectional study, sixty-one participants with wrist/hand pain participated in a study assessing motor imagery ability, cognitive (Stroop test), sensory (Two-Point Orientation Discrimination, pressure pain thresholds), motor (grip strength, Purdue Pegboard Test), and pain related measures (West Haven Yale Multidimensional Pain Inventory) as well as disability (Disability of the Arm, Shoulder and Hand). Multiple linear regression found Stroop test time and motor imagery ability to be related to LRJT performance. Tactile acuity, motor performance, participation in general activities, and the taking of pain medications were predictors of LRJT accuracy in the affected hand. Participants who took pain medications performed poorly in both LRJT accuracy (p=0.001) and reaction time of the affected hand (p=0.009). These participants had poorer cognitive (p=0.013) and motor function (p=0.002), and higher pain severity scores (p=0.010). The results suggest that the LRJT is a complex mental task that involves cognitive, sensory, motor, and behavioural processes. Differences between persons with and without pain and improvement in LRJT performance may be attributed to any of these factors and should be considered in rehabilitation research and practice utilizing this task.
- Outcomes of shoulder replacement in humeral head avascular necrosis. [Journal Article]
- JSJ Shoulder Elbow Surg 2018 Sep 14
- CONCLUSIONS: Our outcomes demonstrate that in the short- to midterm follow-up, TSA or hemiarthroplasty is a safe and equally effective treatment for patients diagnosed with HHAVN regardless of etiology and radiographic staging.
- Latissimus dorsi muscle transfer reduces external rotation deficit at the cost of internal rotation in reverse shoulder arthroplasty patients: a cohort study. [Journal Article]
- JSJ Shoulder Elbow Surg 2018 Sep 14
- CONCLUSIONS: Patients with RCA and an active ERD seem to benefit from an LDT, although this is accompanied by the potential loss of internal rotation. This additional procedure is associated with an extended surgical time as well as a possible increase in the risk of a complication occurring.
- Practicing Cost-Conscious Shoulder Surgery. [Review]
- OCOrthop Clin North Am 2018; 49(4):509-517
- Second only to the knee, the shoulder is the most commonly reported area of chronic joint pain. By practicing evidence-based methods for improved outcomes at lower costs, providers can increase both ...
Second only to the knee, the shoulder is the most commonly reported area of chronic joint pain. By practicing evidence-based methods for improved outcomes at lower costs, providers can increase both efficiency and margin, while patients experience better care and higher satisfaction. Current cost studies on shoulder care provide a base for improving evidence-based care and improving value.
- Comparison of Scapular Manipulation With External Rotation Method of Reduction of Acute Anterior Shoulder Dislocation for Sedation Requirements and Success Rates. [Journal Article]
- JSJ Spec Oper Med 2018; 18(3):34-37
- CONCLUSIONS: The SMM required less sedation and had higher first-pass success rates than ERM for reduction of anterior shoulder dislocation. The SMM is thus likely to be of advantage in resource-limited austere settings.
- Clinical Outcomes and Central Pain Mechanisms are Improved after Upper Trapezius Eccentric Training in Female Computer Users with Chronic Neck/Shoulder Pain. [Journal Article]
- CJClin J Pain 2018 Sep 15
- CONCLUSIONS: Eccentric training improved pain and disability, reduced sensitization and enhanced CPM efficiency in female computer users with NSP.
- Comparing the Effects of SUREE Programs on People With Scapular Downward Rotation Syndrome: Randomized Clinical Trial. [Journal Article]
- JSJ Sport Rehabil 2018 Sep 17; :1-30
- CONCLUSIONS: The results suggest that the 6-week SUREE with and without visual feedback programs result in decreased neck pain and improved flexion ROM, and JPE during active neck motions in subjects with unilateral SDRS. However, the 6-week SUREE with visual feedback may improve the neck rotation ROM in subjects with unilateral SDRS. However, further studies are needed to confirm the results of this study.
- Risk factors of occurrence of failed interscalene brachial plexus blocks for shoulder arthroscopy using 20 mL 0,5% ropivacaine: a randomised trial. [Journal Article]
- AIAnaesthesiol Intensive Ther 2018 Sep 17
- CONCLUSIONS: In our study, patients received satisfactory analgesia in the post-operational period no matter what technique was used regardless of their age, gender or potentially uncommon anthropometry.
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- An unusual cause of shoulder pain and weakness. [Journal Article]
- AJAm J Emerg Med 2018 Sep 07
- Shoulder pain and weakness are common presenting Emergency Department complaints. Patients are often diagnosed with fractures, dislocations, bursitis, and muscle strain. Here we present an unusual ca...
Shoulder pain and weakness are common presenting Emergency Department complaints. Patients are often diagnosed with fractures, dislocations, bursitis, and muscle strain. Here we present an unusual cause of shoulder pain in an athletic and otherwise healthy young patient that does not respond to typical treatments for musculoskeletal pain.