Shoulder and Elbow Injuries

Miller, Robert H.; Azar, Frederick M.; Throckmorton, Thomas W.

doi:10.1016/b978-0-323-07243-4.00046-3

Cited by 5 publications

(11 citation statements)

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“…A rotator cuff tear occurs from the mixed effects of various mechanisms such as mechanical impact, degenerative changes, circulatory disorders, and joint abrasion. Miller and Dlabach [ 6 ] contend that the supraspinatus is most susceptible to tear in the rotator cuff. The tearing of the supraspinatus tendon occurs from abrasion by being caught between the humeral head and the acromion or acromioclavicular joint rather than mechanical impact [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…In an infraspinatus tendon tear, when the arm is passively rotated to the maximum range of the external rotation, the patient is not able to hold this position actively and the arm is dropped from body or internally rotated (lag sign). In a subscapularis tendon tear, when the patient's arm is behind the back, there is a lack of muscle strength making it difficult to be able to stretch out from the back while overcoming resistance (lift off test) [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

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The Shoulder Pain due to Metastatic Breast Cancer -A Case Report-

2011

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A rotator cuff tear causes shoulder pain and limits movement of the shoulder joint. A chronic degenerative change or impingement is the reason for a rotator cuff tear. Diagnosis is made based on medical history and, physical and radiological examinations. Other causes of shoulder pain include calcific tendinitis, degenerative arthropathy, joint dislocation, fracture, and primary or metastatic neoplasm. However, metastatic cancer in the shoulder joint is difficult to diagnosis. We experienced a case in which a 46-year-old female patient complained of left shoulder pain and limited joint mobility, and these symptoms were due to metastatic breast cancer in the shoulder.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Shoulder Pain due to Metastatic Breast Cancer -A Case Report-

2011

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“…We used multiple modalities to address the problem as there are many modalities with varying degree of efficacy. 1,4 Result we obtained may be the summation effect of diclofenac phonophoresis, needle fenestration and steroid injection as some reports suggest short term benefit of subacromial steroid and some repost suggest little reproducible benefit. 18,19 Our aim was not to seek the effectiveness of the individual modality but to address the dramatic painful condition at outpatient clinic and we were able to dramatically end the problem.…”

Section: Discussionmentioning

confidence: 80%

“…16 Six (33.3 %) with visible calcific deposit on X-ray were completely pain free hence we assume may be calcific deposit itself is not the cause of pain and it can be asymptomatic which is reported in other series too. 1,20 In our study, we included those who came within one week of symptoms and those who came for follow up for at least one month. Many of our patients did not turn up after the painful episode was over hence we had to exclude them from our study thus decreasing our number of study cases.…”

Section: Discussionmentioning

confidence: 99%

“…Phonophoresis in Acute Calcific Tendinitis of Shoulder INTRODUCTION Acute calcific tendinitis commonly affecting supraspinatus tendon is quite dramatic with sudden onset of severe pain, exquisite tenderness and attempted motion is very painful. 1,2 Tenocytes response to exposed mechanical force undergo metaplasia into chondrocyte like cell and subsequently deposit basic calcium phosphate. 3 Several treatment options has been proposed but clinical results are controversial and often remain a matter of clinician's choice.…”

Section: Outcome Of Needle Fenestration Subacromial Steroid and Diclmentioning

confidence: 99%

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Outcome of Needle Fenestration, Subacromial Steroid and Diclofenac Phonophoresis in Acute Calcific Tendinitis of Shoulder

et al. 2017

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Introduction: Acute calcific tendinitis of shoulder is very painful and disturbing condition. There are many modalities with variable outcome to address the condition. We studied needling technique with multiple fenestration, subacromial steroid and diclofenac phonophoresis and evaluated the outcome in term of pain relief and improvement of shoulder function at a simple outpatient clinical set up without image or ultrasound guidance. Methods: We studied 18 cases of acute calcific tendinitis presenting within one week from onset of symptoms and X-ray showing calcific deposit. All underwent needle fenestration at maximum tender site with lignocaine loaded syringe, subsequent injection of 40 mg subacromial methylprednisolone and diclofenac phonophoresis done by qualified physiotherapist for five days. Visual Analogue Scale was used to measure pain, Simple shoulder Test applied to evaluate shoulder function and size of calcific deposit was measured at maximum length. Results: Pain subsided dramatically and there was substantial improvement of shoulder function within a week. Conclusions: Needle fenestration and subacromial methylprednisolone along with diclofenac phonophoresis without image guidance gives excellent pain reduction and improves shoulder function which can be done at simple outpatient clinic.

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Clinical efficacy of arthroscopic treatment in ischial tuberosity cyst

Zhu

Jiang

et al. 2022

Medicine

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Ischial tuberosity cyst is a common disease, and the conventional incision procedure is associated with several disadvantages, leading to unsatisfactory therapeutic outcomes. The aim of the study was to evaluate the clinical outcomes of arthroscopic treatment for ischial tuberosity cyst and compared it with conventional incision surgery. The clinical data of 57 patients with ischial tuberosity cyst from May 2016 to September 2018 were retrospectively analyzed. According to the inclusion and exclusion criteria, a total of 49 patients were included. Of these patients, 24 patients received arthroscopic procedure (N = 24) and 25 patients received conventional incision procedure (N = 25). The operation time, intraoperative blood loss, postoperative drainage, postoperative hospital stay, and postoperative complications were compared between the 2 groups. Visual analogue scale scores was used to evaluate pain at 1 day, 1 week, and 1 month after the surgery. All 49 patients were followed up for (11.3 ± 3.3) months. All patients in the arthroscopy group achieved phase I healing while 3 patients in conventional incision group developed complications. The operation time, intraoperative blood loss, postoperative drainage, and hospital stay in the arthroscopy group were (54.7 ± 7.7) minutes, (20.8 ± 3.5) mL, (20.3 ± 5.6) mL, and (2.8 ± 0.6) days, and were significantly better than those of (71.8 ± 8.8) minutes, (67.3 ± 12.0) mL, (103.6 ± 20.3) mL, and (7.8 ± 2.9) days in the conventional incision group, respectively. In the arthroscopy group, the visual analogue scale scores at 1 day, 1 week, and 1 month after the surgery [(2.6 ± 0.7), (0.5 ± 0.6), (0.3 ± 0.5) points] were significantly lower than those in the conventional incision group [(6.0 ± 0.7), (3.0 ± 1.0), and (1.1 ± 1.0) points], and the differences were statistically significant ( P < .05). Finally, no significant difference was observed in the incidence of postoperative complications between the 2 groups ( P > .05). In the treatment of ischial tuberosity cysts, arthroscopy has advantages of minimal invasion, less blood loss during perioperative period, milder postoperative pain, and rapid recovery when compared with conventional incision surgery.

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Shoulder and Elbow Injuries

Cited by 5 publications

References 354 publications

The Shoulder Pain due to Metastatic Breast Cancer -A Case Report-

The Shoulder Pain due to Metastatic Breast Cancer -A Case Report-

Outcome of Needle Fenestration, Subacromial Steroid and Diclofenac Phonophoresis in Acute Calcific Tendinitis of Shoulder

Clinical efficacy of arthroscopic treatment in ischial tuberosity cyst

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