Functional Anatomy of the Shoulder Complex

Peat, Malcolm; Culham, Elsie; Wilk, Kevin E.

doi:10.1016/b978-044306701-3.50004-9

Cited by 14 publications

(21 citation statements)

References 61 publications

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“…The humeral head can be dislocated in any direction, most commonly anteriorly and posteriorly, less commonly inferiorly and superiorly, of the glenoid. [1,2] While anterior dislocations comprise 85% of shoulder dislocations, posterior dislocations (comprising less than 5%) are considered to be pathognomonic for epileptic seizures. [3,4] Data regarding surgical relevancies and orthopedic features of dislocations were beyond the scope of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Static (ligaments, labrum, capsule, negative pressure), dynamic (rotator cuff muscles), and proprioceptive factors collectively support joint stability. [1][2][3] While the most common etiology is traumatic injury, in the absence of a history of trauma, joint instability is usually caused by violent muscle contractions in patients with epileptic seizure or in those who have been exposed to electric shock. [4,5] Direction and radiographic measurement of instability are studied in order to determine rate of recurrence and inform choice of therapy.…”

Section: Introductionmentioning

confidence: 99%

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Epilepsy Related Shoulder Dislocation: Demographic and Clinical Analysis of 21 Patients

Yenı¹

2016

Epilepsi

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Amaç: Epilepsi, bireyin hayatını çok yönlü etkileyen bir hastalıktır. Çalışmalarda sıklıkla epilepsinin yol açtığı psikiyatrik sorunlar ön plana çıkmıştır, ancak ortopedik komplikasyonlara çok fazla değinilmemiştir. Çalışmamızda epilepsi ile ilişkili omuz dislokasyonları ele alınmış olup; daha önce ortopedi alanında yayınlanan çalışmalardan farklı olarak, bu eklem hasarına yol açabilecek epilepsi ile ilişkili risk faktörlerinin anlaşılması hedeflenmiştir. Çalışmamızda, 1990-2013 yılları arasında İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Nöroloji Anabilim Dalı'nın Epilepsi Polikliniği'ne başvuran hastalar geriye dönük olarak değerlendirilmiş ve 21 epilepsi ile ilişkili omuz dislokasyonu olgusu saptanmıştır. Hastalara ilişkin demografik ve klinik özellikler olası risk faktörleri kapsamında ele alınmıştır. Epilepsi nöbetleri ve sendromları ILAE-2010'a göre sınıflandırılmıştır. Bulgular: Çalışmamızda; epilepsinin başlangıcı median 20 yaş, omuz dislokasyonunun gelişimi ise median 24 yaş olarak bulunmuştur. Omuz dislokasyonuna en sık neden olan nöbet tipi iki taraflı konvülzif nöbetlerdir (%81). Hastaların %45'inde ilk üç nöbette (erken dönem) dislokasyon gelişmiş olup, bu gruptaki hastaların geç dislokasyon gelişen gruba göre daha yaşlı olduğu gözlenmiştir (p<0.001). Omuz dislokasyonlarındaki tekrar oranı ise; erken yaşta dislokasyon görülen grupta, 20 yaş sonrasında tanı alan gruba göre anlamlı düzeyde artmıştır (p<0.05). Gereç ve Yöntem:Sonuç: İki taraflı konvülzif nöbetler en sık omuz dislokasyonuna neden olan epilepsi tipidir. Ancak sık nöbet tekrarı, status varlığı, bağ dokusu ve kemik metabolizmasını etkileyebilecek antiepileptik ilaçların kullanımı ve tedavi yanıtının azlığı gibi faktörler incelendiğinde; dislokasyonların daha erken dönemde, iki yanlı veya sık tekrarlarla seyretmesi beklenirken, çalışmamızda bu değişkenlere ait anlamlı bir farklılık saptanmamıştır.Anahtar sözcükler: Epilepsi; epilepsi ile ilişkili komplikasyonlar; eklem instabilitesi; nöbet; omuz dislokasyonları. Sinem AKKAŞ YAZICI, Ayşegül GÜNDÜZ, Şakir DELİL, Seher Naz YENİ SummaryObjectives: There are multiple consequences of epilepsy that impact quality of life. While psychiatric comorbidities are some of the most commonly studied aspects, orthopedic complications are less frequently documented. The focus of the present study was shoulder dislocation related to epilepsy, and, unlike that of previous studies, the aim was to identify epilepsy-dependent risk factors in the development of joint disability. Methods:Twenty-one patients of the Cerrahpaşa Faculty of Medicine epilepsy outpatient clinic were retrospectively identified as having had epilepsy-related shoulder dislocation between 1990 and 2013. Probable risk factors were evaluated in terms of demographic and clinical features. A report published by the International League Against Epilepsy (ILAE) in 2010 was used to classify seizure and epilepsy syndromes. Results:Median age at onset of epilepsy was 20 years, while median age at shoulder dislocation was 24. The seizure type that...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Epilepsy Related Shoulder Dislocation: Demographic and Clinical Analysis of 21 Patients

Yenı¹

2016

Epilepsi

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“…Відомо, що стабільність плечового суг-лоба в реальних рухах переважно зумовлена м'язовою активністю [3,6,17,18]. В роботі досліджено три м'язи плечового пояса (Pm, D pc, D ps), які виявляли активність тіль-ки в окремих секторах.…”

Section: обговорення результатівunclassified

“…Водночас завдяки функціонуванню м'язів так званої обертової манжетки (від англ. rotator cuff) досягається постійна співосність головки плечової кістки та лопатки [3,18]. Вищезгадані м'язи забез-печують не тільки стабілізацію плечового суглоба, але виявляють значну активність при відведенні плеча [19].…”

Section: обговорення результатівunclassified

The activity of muscles of the shoulder girdle and shoulder during the constant isometric efforts of the wrist

Vereshchaka¹,

Lehedza²,

Dornovs'kyĭ³

et al. 2014

Fiziol Zh

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“…In particular, interrelationships between clavicle, GH and scapulothoracic joint are critical in helping with full functional ROM. (32) Therefore, light effleurage strokes were applied to neck, shoulder, and pectoral regions to warm and prepare the tissues. The scapula was mobilized along with gentle oscillations to the sternoclavicular joint and acromioclavicular joint with the purpose of structurally assisting scapulothoracic movement; similarly, to assist with GH joint ROM, gentle traction was applied (to slightly loosen the joint and decompresses the articular surface) prior to posterior glide mobilization (to assist with ease of movement of the GH joint during flexion) and then long axis traction (to assist with abduction).…”

Section: Informed Consentmentioning

confidence: 99%

Dynamic Angular Petrissage as Treatment for Axillary Web Syndrome Occurring after Surgery for Breast Cancer: a Case Report

Lewis¹,

Cunningham²

2016

IJTMB

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Background: In the context of breast cancer, axillary web syndrome (AWS), also called lymphatic cording, typically presents in the weeks after axillary surgery. This painful condition, likely lymphofibrotic in origin, restricts upper extremity range of motion (ROM). There is no established treatment, although physical therapy and other approaches have been used to variable effect. This report describes treatment of a female client with AWS, who had recently undergone a unilateral simple mastectomy with sentinel node biopsy plus axillary dissection.Methods: The client presented with pain upon movement (self-reported as 5 on the 0-10 Oxford Pain Scale), visible cording and restricted use of the ipsilateral upper extremity. Clinical assessment included determining the extent of AWS cording (taut, from axilla to wrist) and measuring glenohumeral joint ROM (140° flexion by goniometer). A therapeutic massage with movement protocol, termed dynamic angular petrissage, was administered over two sessions: Swedish massage combined with dynamically taking the limb through all possible angles of movement (passive ROM), controlling stretch and tension while simultaneously and segmentally applying petrissage and non-petrissage techniques to the underlying soft tissue. Careful attention was taken to not break the cord. Home care consisted of prescribed exercises performed by the patient.Results: After Session One, pain was reduced (to 0/10), ROM improved (to 170° flexion), and cording was visibly reduced. After Session Two the cord was residually apparent only on hyperextension, with no ROM restrictions in glenohumeral joint flexion. Follow-up at three months revealed absence of visual or palpable evidence of cording, unrestricted glenohumeral joint ROM, and absence of movement-associated pain.Conclusion: The signs and symptoms of AWS were quickly and effectively eliminated, without causing any pain or discomfort to the client. We propose that dynamic angular petrissage may be an efficient and safe treatment approach for reducing the pain, mobility restrictions, and cording of AWS.

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Functional Anatomy of the Shoulder Complex

Cited by 14 publications

References 61 publications

Epilepsy Related Shoulder Dislocation: Demographic and Clinical Analysis of 21 Patients

Epilepsy Related Shoulder Dislocation: Demographic and Clinical Analysis of 21 Patients

The activity of muscles of the shoulder girdle and shoulder during the constant isometric efforts of the wrist

Dynamic Angular Petrissage as Treatment for Axillary Web Syndrome Occurring after Surgery for Breast Cancer: a Case Report

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