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[PMID]:28566400
[Au] Autor:Ketola S; Lehtinen JT; Arnala I
[Ad] Endereço:Coxa Hospital for Joint Replacement, Biokatu 6b, 33101 Tampere, Finland.
[Ti] Título:Arthroscopic decompression not recommended in the treatment of rotator cuff tendinopathy: a final review of a randomised controlled trial at a minimum follow-up of ten years.
[So] Source:Bone Joint J;99-B(6):799-805, 2017 Jun.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: Rotator cuff tendinopathy has a multifactorial origin. Rejecting the mechanistic theory has also led to abandoning operative treatment at initial presentation in the first line. Physiotherapy exercise programmes are the accepted first line treatment. The aim of this study was to assess the long-term additional benefits of subacromial decompression in the treatment of rotator cuff tendinopathy. PATIENTS AND METHODS: This randomised controlled trial of 140 patients (52 men, 88 women, mean age 47.1 years; 18 to 60) with rotator cuff tendinopathy extended previous work up to a maximum of 13 years. The patients were randomised into two treatment groups: arthroscopic acromioplasty and a supervised exercise treatment and a similar supervised exercise treatment alone. Self-reported pain on a visual analogue scale (VAS) was the primary outcome measure. Secondary measures were disability, working ability, pain at night, Shoulder Disability Questionnaire score and the number of painful days during the three months preceding the final assessment. RESULTS: A total of 90 patients (64%) returned questionnaires at a mean 12 years after randomisation. On an intention-to-treat basis, both treatment groups reached statistically significant improvement compared with the initial VAS for pain, but there was no significant difference between groups. The same was true in the secondary outcome measures. Due to group changes, the results were also analysed per protocol: operated or not. No significant differences between the groups were found. CONCLUSION: The natural history of rotator cuff tendinopathy probably plays a significant role in the results in the long-term. Even though the patients who underwent operative treatment had a stronger belief in recovery, which is likely to be surgical and the effect of placebo, the exercise group obtained similar results. In the future, an optimum exercise regime should be searched for, as the most clinically and cost-effective conservative treatment for rotator cuff tendinopathy. Cite this article: 2017;99-B:799-805.
[Mh] Termos MeSH primário: Artroscopia/métodos
Descompressão Cirúrgica/métodos
Manguito Rotador/cirurgia
Tendinopatia/cirurgia
[Mh] Termos MeSH secundário: Acrômio/cirurgia
Adolescente
Adulto
Artroscopia/efeitos adversos
Descompressão Cirúrgica/efeitos adversos
Avaliação da Deficiência
Terapia por Exercício/métodos
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Dor Pós-Operatória
Retorno ao Trabalho/estatística & dados numéricos
Autorrelato
Dor de Ombro/etiologia
Método Simples-Cego
Tendinopatia/reabilitação
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B6.BJJ-2016-0569.R1


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[PMID]:28441418
[Au] Autor:Li X; Xu W; Hu N; Liang X; Huang W; Jiang D; Chen H
[Ad] Endereço:Department of Pharmacy, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
[Ti] Título:Relationship between acromial morphological variation and subacromial impingement: A three-dimensional analysis.
[So] Source:PLoS One;12(4):e0176193, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To evaluate the association of acromial morphology and subacromial impingement. METHODS: Bilateral shoulder computed tomography was performed in 138 patients who received shoulder arthroscopy. Measured parameters included: acromial tilt (AT), modified acromial tilt (mAT), acromial slope (AS), acromiohumeral interval (AHI), lateral acromial angle (LAA), acromial index (AI), critical shoulder angle (CSA), acromial anterior protrusion (AAP), and acromial inferior protrusion (AIP). Acromial morphological characteristics were compared between groups. Side-to-side differences were assessed between affected and non-affected shoulders. Intra- and inter-observer agreements for each parameter were calculated. RESULTS: AT (25.90 vs. 29.41°), mAT (18.88 vs. 22.64°), and AHI (5.46 vs. 6.47 mm) were significantly smaller in impinged patients. The impingement group demonstrated significantly larger AI (63.50 vs. 59.84%), CSA (31.78 vs. 28.74°), AAP (7.13 vs. 5.32 mm), and AIP (5.51 vs. 4.04 mm). Regarding side-to-side comparison, the acromial morphology was significantly different between the affected and non-affected shoulders in impinged patients, while the difference was slight and insignificant in control patients. All, except AS and LAA, measured parameters demonstrated good intra- and inter-observer agreements. CONCLUSIONS: Three-dimensional reconstructed CT scan is a reliable method to measure shoulder morphology. The acromial morphological variation is related with sub acromial impingement, however, the causal relationship of them should be further explored.
[Mh] Termos MeSH primário: Acrômio/diagnóstico por imagem
Síndrome de Colisão do Ombro/diagnóstico por imagem
Articulação do Ombro/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Imagem Tridimensional
Masculino
Meia-Idade
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170426
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0176193


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[PMID]:28235504
[Au] Autor:Torres K; Blonski M; Pietrzyk L; Piasecka-Twaróg M; Maciejewski R; Torres A
[Ad] Endereço:Department of Didactics and Medical Simulation, Chair of Anatomy, Medical University of Lublin, Poland. Electronic address: kamiltorres@wp.pl.
[Ti] Título:Usefulness and diagnostic value of the NEMA parameter combined with other selected bedside tests for prediction of difficult intubation.
[So] Source:J Clin Anesth;37:132-135, 2017 Feb.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY OBJECTIVE: To assess the usefulness of the new NEMA (Neck Circumference Minus Acromion-Acromion Distance) parameter, in preoperative identification of patients' difficult intubation and compare it with other commonly used scales and tests. DESIGN: Prospective study. SETTING: District Specialist Hospital of Lublin, Poland. PATIENTS: Six hundreds twenty-nine patients underwent nonemergency surgical interventions. MEASUREMENTS: The NEMA parameter was confronted with: Modified Mallampati classification, TMD, RHTMD, NC, MPND, SMD, I-I D, A-AD, and medical history of difficult intubation and diagnosed obstructive sleep apnea syndrome or snoring. MAIN RESULTS: Higher medians of NEMA and Mallampati parameters were reported in patients with difficult intubation. AUC for Mallampati parameter was 0.733 while the NEMA parameter's AUC was 0.625. Sensitivity and specificity for Mallampati and NEMA parameter were respectively 0.79; 0.55 and 0.42; 0.75. Significantly higher MPN, RHTMD, Mallampati, and NEMA parameter were observed in patients in whom the BURP was used. Easy intubation occurs more frequently in patients with a history of OSAS or snoring than in those with difficult intubation. CONCLUSION: It seems that none of the known bedside tests for predicting difficult intubation have a discriminating power sufficient for clinicians. Our study draws attention to a novel parameter, called NEMA, which appears to be a strong predictor of DEI, especially in combination with the Mallampati scale.
[Mh] Termos MeSH primário: Pesos e Medidas Corporais/métodos
Intubação Intratraqueal/efeitos adversos
Apneia Obstrutiva do Sono/complicações
Ronco/complicações
[Mh] Termos MeSH secundário: Acrômio/anatomia & histologia
Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Viabilidade
Feminino
Seres Humanos
Masculino
Meia-Idade
Pescoço/anatomia & histologia
Valor Preditivo dos Testes
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170226
[St] Status:MEDLINE


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[PMID]:28188359
[Au] Autor:Leschinger T; Wallraff C; Müller D; Hackenbroch M; Bovenschulte H; Siewe J
[Ad] Endereço:Center for Orthopedic and Trauma Surgery, University Medical Center, Joseph-Stelzmann-Str. 24, 50937, Cologne, Germany. tim.leschinger@uk-koeln.de.
[Ti] Título:In vivo analysis of coracoid and subacromial shoulder impingement mechanism during clinical examination.
[So] Source:Eur J Orthop Surg Traumatol;27(3):367-372, 2017 Apr.
[Is] ISSN:1633-8065
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Understanding the mechanisms of shoulder impingement created by clinical tests is crucial to accurately evaluate the condition. The objective of this study was to relate mechanisms of subacromial and coracoid impingement occurring in positions of the shoulder during clinical examination, in quantitative and qualitative terms. METHODS: A 1.0T open magnetic resonance imaging system was used in 18 female and 19 male subjects, to determine the distances between the humeral head and the acromion or coracoid, and contact with the rotator cuff (RC). Measurements were taken with the shoulder in neutral, "Hawkins", "Neer", and 90° abduction/15° internal rotation (horizontal impingement test) positions. Additionally, impingement was classified based on the grade of RC contact with the acromion or coracoid. RESULTS: In the Hawkins position, distance between the supraspinatus and the coracoid was closest (14.5 ± 4.5 mm), while the coracohumeral distance (CHD) narrowed (p < 0.001). In the horizontal impingement test position, the minimum distance between the subscapularis and coracoid was found, whereas the CHD increased (27.4 ± 5.7 mm). In the Neer and Hawkins positions, the space between the greater tuberosity and acromion was significantly narrowed, which was also the case in the horizontal impingement test position compared to neutral position (p < 0.001). CONCLUSION: Shoulder movements of forward flexion and internal rotation (Hawkins test) and abduction and internal rotation (horizontal impingement test) can lead to different coracoid impingement mechanisms during clinical examination. The Hawkins, Neer, and horizontal impingement tests lead to comparable narrowed acromiohumeral distances and subacromial contact of the RC. LEVEL OF EVIDENCE: Therapeutic level III.
[Mh] Termos MeSH primário: Movimento/fisiologia
Síndrome de Colisão do Ombro/diagnóstico por imagem
Síndrome de Colisão do Ombro/fisiopatologia
[Mh] Termos MeSH secundário: Acrômio/diagnóstico por imagem
Adulto
Fenômenos Biomecânicos
Processo Coracoide/diagnóstico por imagem
Feminino
Seres Humanos
Cabeça do Úmero/diagnóstico por imagem
Imagem por Ressonância Magnética
Masculino
Posicionamento do Paciente
Rotação
Manguito Rotador/diagnóstico por imagem
Fatores Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170212
[St] Status:MEDLINE
[do] DOI:10.1007/s00590-017-1919-7


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[PMID]:28137900
[Au] Autor:Gorter J; Rykov K; Ott P; van Raay JJ
[Ad] Endereço:Department of Orthopaedic Surgery, Martini Ziekenhuis, Groningen, The Netherlands.
[Ti] Título:Rare presentation of Brodie's abscess in the acromion process and the value of the penumbra sign.
[So] Source:BMJ Case Rep;2017, 2017 Jan 30.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A 17-year-old male patient presented with a swelling on his right shoulder 1 week after a fall. MRI revealed a superficial fluid collection of the acromion and trapezius muscle, with slight enhancement of the wall. The swelling burst open spontaneously after failed conservative therapy and was treated with surgical drainage and antibiotics. Tissue cultures showed a Staphylococcus aureus 1 year later, he presented with local red discolouration and a recurrent painful swelling that fluctuated at palpation. Radiographs showed a lytic lesion of the acromion process. MRI showed a sinus in the lytic cavity and a penumbra sign, which helped to identify this extremely rare occurrence of Brodie's abscess in the acromion process that was breaking through to the subcutaneous fat. The abscess was treated successfully with surgical drainage and intravenous antibiotics. In retrospect, the first MRI showed a small cortical indentation, with slight oedema of the acromion process.
[Mh] Termos MeSH primário: Abscesso/diagnóstico por imagem
Acrômio/diagnóstico por imagem
Osteomielite/diagnóstico por imagem
Infecções Estafilocócicas/diagnóstico por imagem
[Mh] Termos MeSH secundário: Abscesso/complicações
Abscesso/terapia
Adolescente
Antibacterianos/uso terapêutico
Drenagem
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Osteomielite/complicações
Osteomielite/terapia
Radiografia
Infecções Estafilocócicas/complicações
Infecções Estafilocócicas/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170306
[Lr] Data última revisão:
170306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170201
[St] Status:MEDLINE


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[PMID]:28042977
[Au] Autor:Timmons MK; Yesilyaprak SS; Ericksen J; Michener LA
[Ad] Endereço:School of Kinesiology, College of Health Professions, Marshall University, Huntington, WV 25703, USA. Electronic address: timmonsm@marshall.edu.
[Ti] Título:Full can test: Mechanisms of a positive test in patients with shoulder pain.
[So] Source:Clin Biomech (Bristol, Avon);42:9-13, 2017 Feb.
[Is] ISSN:1879-1271
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The full can test is theorized to produce compressive loads on the supraspinatus tendon within the subacromial space. Characterizing the width of the subacromial outlet, scapular orientation, and shoulder pain during the full can test will improve the mechanistic understanding of the positive full can test. METHODS: Cross-sectional repeated measures design. Participants with subacromial pain syndrome (n=30) were compared to a matched control group (n=30) during 2 conditions: passive support, and the full can test. The full can test was performed with the arm elevated to 90° in the scapular plane. In both conditions, measurements were taken of acromiohumeral distance with ultrasonography, scapular position using electromagnetic tracking, shoulder strength using a dynamometer, and shoulder pain with the 11-point rating scale. FINDINGS: During the full can test, both groups had a decreased acromial humeral distance, scapular upward rotation, posterior tilt, external rotation and clavicular protraction as compared to passive support (p<0.05). The subacromial pain group as compared to the control group reported greater shoulder pain (p<0.001), reduced strength (p=0.002) and greater scapular anterior tilt (p<0.05) during the full can test. INTERPRETATION: This study indicates the mechanisms of a full can test are a reduction in the acromial humeral distance, accompanied by scapular kinematic changes. A positive test of increased pain and reduced strength in those with subacromial pain syndrome can be explained additionally by an increase in scapular anterior tilt. These mechanistic changes may lead to tendon compression, but this cannot be verified as direct tendon compression was not measured.
[Mh] Termos MeSH primário: Síndrome de Colisão do Ombro/diagnóstico
Dor de Ombro/diagnóstico
[Mh] Termos MeSH secundário: Acrômio/fisiopatologia
Adulto
Fenômenos Biomecânicos
Estudos de Casos e Controles
Estudos Transversais
Feminino
Seres Humanos
Úmero/diagnóstico por imagem
Masculino
Meia-Idade
Força Muscular/fisiologia
Manguito Rotador/diagnóstico por imagem
Escápula/diagnóstico por imagem
Síndrome de Colisão do Ombro/fisiopatologia
Articulação do Ombro/diagnóstico por imagem
Articulação do Ombro/fisiopatologia
Dor de Ombro/etiologia
Dor de Ombro/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170103
[St] Status:MEDLINE


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[PMID]:27815011
[Au] Autor:Marchetti DC; Katthagen JC; Mikula JD; Montgomery SR; Tahal DS; Dahl KD; Turnbull TL; Millett PJ
[Ad] Endereço:Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
[Ti] Título:Impact of Arthroscopic Lateral Acromioplasty on the Mechanical and Structural Integrity of the Lateral Deltoid Origin: A Cadaveric Study.
[So] Source:Arthroscopy;33(3):511-517, 2017 Mar.
[Is] ISSN:1526-3231
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To determine whether a 5-mm and/or 10-mm arthroscopic lateral acromioplasty (ALA) would weaken the structural and mechanical integrity of the lateral deltoid. METHODS: The acromion and lateral deltoid origin were harvested from 15 pairs (n = 30) of fresh-frozen human cadaveric shoulder specimens. One side of each specimen pair (left or right) was randomly assigned to either a 5-mm (n = 7) or 10-mm (n = 8) ALA group, and the contralateral sides (n = 15) were used as matched controls. Acromion thickness and width were measured pre- and postoperatively. After ALA, specimens were inspected for damage to the lateral deltoid origin. Each specimen was secured within a dynamic testing machine, and the deltoid muscle was pulled to failure. Statistical analysis was performed to determine whether ALA reduced the lateral deltoid's failure load. RESULTS: There was no significant difference in failure load between the 5-mm ALA group (661 ± 207 N) and its matched control group (744 ± 212 N; mean difference = 83 N; 95% confidence interval [CI], -91 to 258; P = .285) nor between the 10-mm ALA group (544 ± 210 N) and its matched control group (598 ± 157 N; mean difference = 54 N; 95% CI, -141 to 250; P = .532). There was no correlation found between the amount of bone resected (measured by percent thickness and width of the acromion after ALA) and the failure load of the deltoid. Visual evaluation of the acromion after ALA revealed the lateral deltoid origin had no damage in any case. CONCLUSIONS: ALA did not weaken the structural or mechanical integrity of the lateral deltoid origin. Neither a 5-mm nor a 10-mm ALA significantly reduced the deltoid's failure load. The lateral deltoid origin was not macroscopically damaged in any case. CLINICAL RELEVANCE: ALA can be performed without the potential risk of macroscopically damaging the lateral deltoid origin or reducing its failure load.
[Mh] Termos MeSH primário: Acrômio/cirurgia
Artroscopia
Músculo Deltoide/fisiologia
[Mh] Termos MeSH secundário: Adulto
Cadáver
Estudos de Casos e Controles
Feminino
Seres Humanos
Masculino
Meia-Idade
Estresse Mecânico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161106
[St] Status:MEDLINE


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[PMID]:27680413
[Au] Autor:Kadavkolan AS; Lehmann LJ; Reichert M; Lattka K; Moursy M
[Ad] Endereço:From the *Seven Hills Hospital, Mumbai, India; †Department of Traumatology and Sports Injuries, Academic Teaching Hospital of Freiburg University, St Vincentius-Clinic, Karlsruhe; Departments of ‡Shoulder and Elbow Surgery, §Clinical Radiology and Nuclear Medicine, and ∥Orthopedic and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; and ¶Department of Orthopedic Surgery, Paracelsus Medical University Salzburg, Salzburg, Austria.
[Ti] Título:Does Acromion Morphology Depend on the Extremity or on Gender in the Population?
[So] Source:J Comput Assist Tomogr;41(1):121-124, 2017 Jan.
[Is] ISSN:1532-3145
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aims were to study the acromion parameters in the population and to assess the extremity or sex variation in the acromion morphology. METHODS: The lateral acromion angle (LAA) and the acromion index (AI) were assessed in a computed tomographic scan database of 250 individuals in the age group of 20 to 49 years. For the analysis of LAA and AI, 286 and 234 shoulders were available, respectively. RESULTS: The LAA was 73.6 ± 6.6 degrees; 73.7 ± 6.9 and 72.5 ± 6.1 degrees for the right and left shoulder, respectively. The AI was 0.755 ± 0.12; 0.82 ± 0.12 and 0.69 ± 0.12 for the left and the right shoulder, respectively. The AI of the right shoulder was significantly different between the 2 sexes (P = 0.04). The difference in the AI and the LAA of the right and left shoulders was significant (P < 0.0001, P = 0.04). CONCLUSIONS: The morphology of the acromion differs between the right and the left shoulders as well as between sexes.
[Mh] Termos MeSH primário: Acrômio/anatomia & histologia
Acrômio/diagnóstico por imagem
Tomografia Computadorizada por Raios X/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Alemanha/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Distribuição por Sexo
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170130
[Lr] Data última revisão:
170130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160930
[St] Status:MEDLINE
[do] DOI:10.1097/RCT.0000000000000474


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[PMID]:27648574
[Au] Autor:De Beer J; Schaer M; Latendresse K; Raniga S; Moor BK; Zumstein MA
[Ti] Título:BiPOD Arthroscopic Acromioclavicular Repair Restores Bidirectional Stability.
[So] Source:Orthopedics;40(1):e35-e43, 2017 Jan 01.
[Is] ISSN:1938-2367
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Stabilizing the acromioclavicular joint in the vertical and horizontal planes is challenging, and most current techniques do not reliably achieve this goal. The BiPOD repair is an arthroscopically assisted procedure performed with image intensifier guidance that reconstructs the coracoclavicular ligaments as well as the acromioclavicular ligaments to achieve bidirectional stability. Repair is achieved with a combination of 2-mm FiberTape (Arthrex, Naples, Florida) and 20-mm Poly-Tape (Neoligaments, Leeds, England) to achieve rigid repair, prevent bone abrasion, and promote tissue ingrowth. This study is a prospective review of the first 6 patients treated for high-grade acute acromioclavicular injury with the BiPOD technique. The study included 6 men who were 21 to 36 years old (mean, 27 years). At 6-month follow-up, complications were recorded and radiographic analysis was used to determine the coracoclavicular distance for vertical reduction and the amount of acromioclavicular translation on the Alexander axillary view was used to determine horizontal reduction. One patient had a superficial infection over the tape knot. The difference in coracoclavicular distance between the operated side and the uninvolved side was 9±2 mm preoperatively and 0.3±2 mm at 6-month follow-up. On Alexander axillary view, all 6 patients showed stable reduction, which is defined as a clavicle that is in line with the acromion. The findings show that BiPOD acromioclavicular reconstruction restores bidirectional stability of the acromioclavicular joint at 6 months. [Orthopedics. 2017; 40(1):e35-e43.].
[Mh] Termos MeSH primário: Articulação Acromioclavicular/cirurgia
Artroscopia/métodos
Clavícula/cirurgia
Processo Coracoide/cirurgia
Luxações Articulares/cirurgia
Ligamentos Articulares/cirurgia
[Mh] Termos MeSH secundário: Articulação Acromioclavicular/lesões
Acrômio
Adulto
Seres Humanos
Masculino
Estudos Prospectivos
Procedimentos Cirúrgicos Reconstrutivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170602
[Lr] Data última revisão:
170602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160921
[St] Status:MEDLINE
[do] DOI:10.3928/01477447-20160915-01


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[PMID]:27472856
[Au] Autor:Akkaya N; Akkaya S; Gungor HR; Yasar G; Atalay NS; Sahin F
[Ad] Endereço:Department of Physical and Rehabilitation Medicine, Pamukkale University, Denizli, Turkey.
[Ti] Título:Effects of weighted and un-weighted pendulum exercises on ultrasonographic acromiohumeral distance in patients with subacromial impingement syndrome.
[So] Source:J Back Musculoskelet Rehabil;30(2):221-228, 2017.
[Is] ISSN:1878-6324
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although functional results of combined rehabilitation programs are reported, there have been no reports studying the effects of solo pendulum exercises on ultrasonographic measurements of acromiohumeral distance (AHD). OBJECTIVE: To investigate the effects of weighted and un-weighted pendulum exercises on ultrasonographic AHD and clinical symptoms in patients with subacromial impingement syndrome. METHODS: Patients with subacromial impingement syndrome were randomized to performing weighted (1.5 kilograms hand held dumbbell, N= 18) or un-weighted (free of weight, N= 16) pendulum exercises for 4 weeks, 3 sessions/day. Exercises were repeated for each direction of shoulder motion in each session (ten minutes). Clinical situation was evaluated by Constant score and Shoulder Pain Disability Index (SPADI). Ultrasonographic measurements of AHD at 0°, 30° and 60° shoulder abduction were performed. All clinical and ultrasonographic evaluations were performed at the beginning of the exercise program and at end of 4 weeks of exercise program. RESULTS: Thirty-four patients (23 females, 11 males; mean age 41.7 ± 8.9 years) were evaluated. Significant clinical improvements were detected in both exercise groups between pre and post-treatment evaluations (p < 0.05). There was no significant difference for pre and post-treatment AHD measurements at 0°, 30°, and 60° shoulder abduction between groups (p > 0.05). There was no significant difference for pre and post-treatment narrowing of AHD (narrowing of 0°-30°, and 0°-60°) between groups (p > 0.05). CONCLUSION: While significant clinical improvements were achieved with both weighted and un-weighted solo pendulum exercises, no significant difference was detected for ultrasonographic AHD measurements between exercise groups.
[Mh] Termos MeSH primário: Acrômio/diagnóstico por imagem
Terapia por Exercício/métodos
Amplitude de Movimento Articular/fisiologia
Síndrome de Colisão do Ombro/terapia
[Mh] Termos MeSH secundário: Acrômio/fisiopatologia
Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Medição da Dor
Ombro/diagnóstico por imagem
Ombro/fisiopatologia
Síndrome de Colisão do Ombro/diagnóstico por imagem
Síndrome de Colisão do Ombro/fisiopatologia
Resultado do Tratamento
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170530
[Lr] Data última revisão:
170530
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE
[do] DOI:10.3233/BMR-160737



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