Physical Examination of the Shoulder

King, Joseph J.; Wright, Thomas W.

doi:10.1016/j.jhsa.2014.04.024

Cited by 9 publications

(8 citation statements)

References 46 publications

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“…The test was considered positive when the patient was unable to perform the maneuver. [18][19][20] The presence of positive IR lag sign during the Gerber's lift-off test was verified when the patient was unable to maintain the hand away from the lower back, even when assisted by the examiner. [18][19][20] The abdominal compression test was performed by asking the patient to press the abdomen with the palm of the hand while maintaining the arm at the maximum IR and maintaining the wrist in neutral flexion.…”

Section: Methodsmentioning

confidence: 99%

“…The test was considered positive when the elbow moved posteriorly. 11,[18][19][20] The evaluations of FF and ER mobility were performed by goniometry.…”

Section: Methodsmentioning

confidence: 99%

“…5,[7][8][9][10][11][12][13][14] Some authors argue that the reintegration of the SST may improve anterior stability, 5,[7][8][9][10] whereas other surgeons do not report any correlation between pain, movement, and stability scores regardless of whether patients are submitted to SST repair. [15][16][17][18][19] Routmann et al, 15 concluded that, in certain RSA models, the reintegration of the SST might have negative biomechanical consequences.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Radiological Evaluation of Subscapular Suture Integrity in Reverse Shoulder Arthroplasty

Agostini

Raymondi

Guarise

et al. 2019

Journal of Shoulder and Elbow Arthroplasty

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The aim was to establish a correlation between the integrity of a suture made in the subscapular tendon (SST), as assessed by an ultrasound examination, and its functionality, as assessed by clinical tests during the postoperative period following reverse shoulder arthroplasty (RSA). A secondary goal is to evaluate the presence and viability of the sutured SST. Methods: This is a retrospective study of 18 RSA patients in whom the SST was repositioned to the anterior face of the humeral osteotomy. The median time of the postoperative evaluation was 31 months. The clinical evaluation consisted of the Gerber lift-off test, the internal rotation (IR) lag sign test, and the abdominal compression test, as well as forward flexion (FF), external rotation (ER), and IR. All patients underwent shoulder ultrasounds to evaluate the SST presence and viability. Results: The SST was visualized in 13 patients (72.2%; 95% confidence interval [CI], 51.5-92.9). Of these 13 patients, the SST presented an altered fibrillar pattern in 5 patients (38.4%; 95% CI, 12.0-64.9) and was considered nonviable. There were no associations between SST viability and a positive Gerber's lift-off test (P ¼.480), a positive IR lag sign test (P ¼.480), or a positive abdominal compression test (P ¼.618). There were no significant differences in FF (P ¼.104), ER (P ¼.196), or IR (P ¼.374) mobility between patients with viable SSTs and those without viable SSTs. Conclusion: It was not possible to demonstrate a correlation between the integrity of the SST repair based on the ultrasound and its functionality as assessed by clinical tests in the postoperative period following an RSA. The SST repair has a high failure rate, as demonstrated by the high incidence of nonviable or absent tendons.

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Section: Methodsmentioning

confidence: 99%

“…The test was considered positive when the elbow moved posteriorly. 11,[18][19][20] The evaluations of FF and ER mobility were performed by goniometry.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical and Radiological Evaluation of Subscapular Suture Integrity in Reverse Shoulder Arthroplasty

Agostini

Raymondi

Guarise

et al. 2019

Journal of Shoulder and Elbow Arthroplasty

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“…5 SAI occurs due to the confined anatomy and numerous tendons coursing through a narrow space, often resulting in rotator cuff tendinitis and subacromial bursitis. 25 Specifically, patients describing pain in the deltoid with extension to the deltoid tuberosity with associated tenderness at the Codman point should be examined for SAI. 48…”

Section: Subacromial Impingementmentioning

confidence: 99%

Comprehensive Examination of the Athlete’s Shoulder

Cotter

Hannon

Christian

et al. 2018

Sports Health: A Multidisciplinary Approach

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“…A systematic approach to sensory and motor examination of the shoulder girdle was paramount to ensure that neurological deficits were recognised prior to attempted relocation (see Table 1; Whitaker and Borley, 2010;McFarland et al, 2012;Robinson et al, 2012;Horn and Ufberg 2014;King and Wright 2014;Zdravkovic 2015). Nerve injuries remain underreported (Scully et al, 2013), with between 13.5% and 50% of all patients with an anterior shoulder dislocation reported to demonstrate a neurological deficit associated with the dislocation (Robinson et al, 2012;Visser et al, 1999;Webb, 1999).…”

Section: Relevant Physical Examination Findingsmentioning

confidence: 99%

Shoulder instability: A myriad of decisions for optimal emergency department care

Duignan

2015

International Emergency Nursing

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Physical Examination of the Shoulder

Cited by 9 publications

References 46 publications

Clinical and Radiological Evaluation of Subscapular Suture Integrity in Reverse Shoulder Arthroplasty

Clinical and Radiological Evaluation of Subscapular Suture Integrity in Reverse Shoulder Arthroplasty

Comprehensive Examination of the Athlete’s Shoulder

Shoulder instability: A myriad of decisions for optimal emergency department care

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