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Rheumatologic Conditions Affecting the Shoulder

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1. Rheumatologic Conditions Affecting the Shoulder

Rheumatologic Conditions Affecting the Shoulder Rheumatologic Conditions Affecting the Shoulder Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Rheumatologic Conditions Affecting the Shoulder Rheumatologic Conditions Affecting the Shoulder Aka: Rheumatologic Conditions Affecting the Shoulder , Rheumatologic Causes of Shoulder Pain From Related Chapters II. Findings: Osteoarthritis Imaging with Osteophytes and subchondral sclerosis Joint effusion that worsens with activity and is better with rest Crepitation on range of motion Joint-line tenderness Decreased range of motion (esp. external rotation and abduction) III. Findings

2018 FP Notebook

2. Shoulder Conditions Diagnosis and Treatment Guideline

involving more than a single tissue or anatomic element. Different shoulder problems can present with similar findings, such as limited, painful motion and tenderness. It is important to consider which components of the shoulder girdle may be affected and tailor a conservative treatment plan accordingly. Published reports have reported utility for a variety of conservative interventions to reduce pain and improve function for a number of shoulder conditions. However, well designed research studies (...) Shoulder Conditions Diagnosis and Treatment Guideline Washington State Department of Labor and Industries Medical Treatment Guideline for Shoulder Diagnosis and Treatment –updated May 2018 Medical Treatment Guideline for Shoulder Diagnosis and Treatment Table of Contents I. Review Criteria for Shoulder Surgery 3 II. Introduction 12 III. Establishing Work-relatedness 12 A. Shoulder conditions as industrial injuries: 12 B. Shoulder conditions as occupational diseases: 13 IV. Making the Diagnosis

2018 Washington State Department of Labor and Industries

3. Rheumatologic Conditions Affecting the Shoulder

Rheumatologic Conditions Affecting the Shoulder Rheumatologic Conditions Affecting the Shoulder Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Rheumatologic Conditions Affecting the Shoulder Rheumatologic Conditions Affecting the Shoulder Aka: Rheumatologic Conditions Affecting the Shoulder , Rheumatologic Causes of Shoulder Pain From Related Chapters II. Findings: Osteoarthritis Imaging with Osteophytes and subchondral sclerosis Joint effusion that worsens with activity and is better with rest Crepitation on range of motion Joint-line tenderness Decreased range of motion (esp. external rotation and abduction) III. Findings

2015 FP Notebook

4. Shoulder Conditions Diagnosis and Treatment Guideline

Shoulder Conditions Diagnosis and Treatment Guideline 1 Hyperlink update September 2016 Shoulder Conditions Diagnosis and Treatment Guideline TABLE OF CONTENTS I. Review Criteria for Shoulder Surgery II. Introduction III. Establishing Work-Relatedness A. Shoulder Conditions as Industrial Injuries B. Shoulder Conditions as Occupational Diseases IV. Making the Diagnosis A. History and Clinical Exam B. Diagnostic Imaging V. Treatment A. Conservative Treatment B. Surgical Treatment VI. Specific (...) . Specific Shoulder Tests IX. Functional Disability Scales for Shoulder Conditions X. References 2 I. REVIEW CRITERIA FOR SHOULDER SURGERY Criteria for Shoulder Surgery A request may be appropriate for If the patient has AND the diagnosis is supported by these clinical findings: AND this has been done (if recommended) Surgical Procedure Diagnosis Subjective Objective Imaging Non-operative care Rotator cuff tear repair Note: The use of allografts and xenografts in rotator cuff tear repair is not covered

2013 Washington State Department of Labor and Industries

5. Shoulder Pain - Atraumatic

and physical examination, imaging studies play an important role in the accurate diagnosis and subsequent treatment of patients with atraumatic shoulder pain. Overview of Imaging Modalities Radiography Imaging of the painful shoulder should begin with radiographs. Radiography is a safe and fast imaging modality that effectively demonstrates many conditions affecting the shoulder. Radiographic shoulder series include frontal views that may be anterior-posterior (AP) in internal and external rotation (...) be associated focal osteopenia of the humeral head and neck [61]. The main function of radiographs in the setting of suspected adhesive capsulitis is to exclude other conditions such as osteoarthritis and calcific tendinitis. X-ray Arthrography Shoulder After injection of intra-articular contrast, conventional arthrography will demonstrate a decrease in joint capacity, obliteration of the axillary recess, and variable filling of the biceps tendon sheath [62,63]. CT Shoulder CT is not routinely used

2018 American College of Radiology

6. Safety and Tolerability of Herpes Zoster Vaccine Rheumatologic Patients

Safety and Tolerability of Herpes Zoster Vaccine Rheumatologic Patients Safety and Tolerability of Herpes Zoster Vaccine Rheumatologic Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Safety (...) and Tolerability of Herpes Zoster Vaccine Rheumatologic Patients The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03016884 Recruitment Status : Recruiting First Posted : January 11, 2017 Last Update Posted : January 30, 2018 See

2017 Clinical Trials

7. American College of Rheumatology Guidelines for Management of Gout Part 2: Therapy and Antiinflammatory Prophylaxis of Acute Gouty Arthritis

American College of Rheumatology Guidelines for Management of Gout Part 2: Therapy and Antiinflammatory Prophylaxis of Acute Gouty Arthritis 2012 American College of Rheumatology Guidelines for Management of Gout. Part 2: Therapy and Antiin?ammatory Prophylaxis of Acute Gouty Arthritis DINESH KHANNA, 1 PUJA P. KHANNA, 1 JOHN D. FITZGERALD, 2 MANJIT K. SINGH, 3 SANGMEE BAE, 2 TUHINA NEOGI, 4 MICHAEL H. PILLINGER, 5 JOAN MERILL, 6 SUSAN LEE, 7 SHRADDHA PRAKASH, 2 MARIAN KALDAS, 2 MANEESH GOGIA, 2 (...) FERNANDO PEREZ-RUIZ, 8 WILL TAYLOR, 9 FRE ´ DE ´ RIC LIOTE ´ , 10 HYON CHOI, 4 JASVINDER A. SINGH, 11 NICOLA DALBETH, 12 SANFORD KAPLAN, 13 VANDANA NIYYAR, 14 DANIELLE JONES, 14 STEVEN A. YAROWS, 15 BLAKE ROESSLER, 1 GAIL KERR, 16 CHARLES KING, 17 GERALD LEVY, 18 DANIEL E. FURST, 2 N. LAWRENCE EDWARDS, 19 BRIAN MANDELL, 20 H. RALPH SCHUMACHER, 21 MARK ROBBINS, 22 NEIL WENGER, 2 AND ROBERT TERKELTAUB 7 Guidelines and recommendations developed and/or endorsed by the American College of Rheumatology (ACR

2012 American College of Rheumatology

8. Standardized and Modified Corticosteroid Subacromial Injection for Shoulder Impingement Syndrome

information Ages Eligible for Study: 20 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: shoulder pain>3 weeks; no contraindication for local injection; Visual analogue scale of pain>4 Exclusion Criteria: systemic rheumatologic disease, Ankylosing spondylitis, malignancy, major trauma or recent injections on the affected shoulder Contacts and Locations Go to Information from the National Library of Medicine To learn more about (...) in comparison with a novel approach simultaneously injecting the subacromial bursa and biceps tendon sheath. Condition or disease Intervention/treatment Phase Shoulder Impingement Procedure: Subacromial injection Not Applicable Detailed Description: Introduction Subacromial injection is a useful procedure to counteract shoulder impingement syndrome. With the aid of high‐resolution ultrasound, the needle can be introduced precisely into the subacromial/subdeltoid bursa located between the acromion above

2017 Clinical Trials

9. Voltarendolo (diclofenac potassium) - Symptomatic treatment of painful conditions of mild to moderate intensity and/or fever

-inflammatory and short-term antiplatelet properties. These properties are related to the inhibition of prostaglandin synthesis. The proprietary medicinal products affected by the re-assessment are indicated to relieve pain of varying severity and inflammation in a wide range of conditions, particularly arthritic diseases (such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis and acute gout), acute musculoskeletal disorders (such as periarthritis, tendonitis, tenosynovitis and bursitis (...) Voltarendolo (diclofenac potassium) - Symptomatic treatment of painful conditions of mild to moderate intensity and/or fever HAS - Medical, Economic and Public Health Assessment Division 1/39 The legally binding text is the original French version T TR RA AN NS SP PA AR RE EN NC CY Y C CO OM MM MI IT TT TE EE E Opinion 5 February 2014 VOLTARENDOLO 12.5 mg, coated tablet B/30 tablets (CIP: 34009 359 411 2 1) Applicant: NOVARTIS SANTÉ FAMILIALE S.A.S. INN diclofenac potassium ATC Code (2012

2014 Haute Autorite de sante

10. Mulligan Concept Mobilisation With Movement for Shoulder Dysfunction in Older Adults

dysfunction. Interventions: Participants will be randomly allocated into control group (n=22) treated with a physiotherapy standard protocol proposed by the Spanish Rheumatology Society; and experimental group (n=22) treated with the same physical therapy standard protocol and Mulligan concept mobilisation with movement. Both interventions will take place three times a week for 2 consecutive weeks. Main outcomes: Primary outcome is shoulder functionality measured with Shoulder Disability Questionnaire (S (...) -SDQ) Spanish version, and secondary outcomes are active glenohumeral range of motion and pain intensity. Data will be collected at baseline, after each group intervention, and 1 and 3 months after finishing interventions. Condition or disease Intervention/treatment Phase Disorder of Shoulder Other: Standard protocol Other: Mulligan Concept Mobilisation with Movement Not Applicable Detailed Description: Shoulder dysfunction is a common problem in older adults reaching up to 21% of prevalence

2014 Clinical Trials

11. Shoulder pain

pain and significant weakness. There may be a positive 'drop arm test', where the person cannot support the weight of the affected arm when it is abducted to 90 degrees. Urgent referral to orthopaedics is required [ ; ][ [ ]. Frozen shoulder What is frozen shoulder? Frozen shoulder is a painful condition which leads to stiffness and disability [ ]. It is characterised by a progressive restriction of both active and passive shoulder movement [ ] and typically affects people aged between 40-60 years (...) underlying condition. The Oxford University hospitals guideline includes a guide to the diagnosis of common shoulder problems in primary care, see [ ]. History should include: Characteristics of the pain: onset; duration; site of maximal pain; whether the pain is felt at rest, on movement or both; night pain and whether pain affects sleeping position; radiation; aggravating and relieving factors. Neck pain or other upper limb pain. Stiffness. Instability: any past history of dislocations or concerns

2012 NICE Clinical Knowledge Summaries

12. Can Shoulder Arthroscopy Work

randomised to either of the surgical options will be blinded to the type of surgery they have. This is a multicentre trial taking place in 10 centres in England and Wales. Two satellite studies will also take place. One will involve a subset of patients undergoing MRI scans to examine the effects of their shoulder pain on their brain transmissions. The other will involve collecting tissue samples from patients undergoing surgery. Condition or disease Intervention/treatment Phase Shoulder Impingement (...) . Completed a conservative management programme previously including: physiotherapy that includes a remedial exercise regimen and at least x1 cortisone injection but not more than 3 injections. Exclusion Criteria: Full thickness tear of the rotator cuff tendons evident on MRI or Ultrasound imaging Undergone previous surgery on affected shoulder Have RA or other inflammatory disorder Symptomatic cervical spine pathology Previous septic arthritis History of radiotherapy on same side as affected shoulder

2012 Clinical Trials

13. Home Based Computer Gaming Hand Exercise Regimen for People With Arthritis Affecting the Hands

: University of Manitoba Collaborator: Canadian Arthritis Network Information provided by (Responsible Party): Dr. Tony Szturm, University of Manitoba Study Details Study Description Go to Brief Summary: The purpose of the study is to determine whether a novel computer gaming hand exercise regimen would improve hand function, decrease pain/ stiffness and be feasible in people with Rheumatoid arthritis or Osteoarthritis affecting the hands. Condition or disease Intervention/treatment Phase Rheumatoid (...) Years to 70 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Men and women Aged between 30-70 years Clinical diagnosis of Rheumatoid arthritis or Osteoarthritis of hands according to American college of rheumatology criteria Must own a home computer and have basic working knowledge of computers. Present with scores ranging from 0-75 on self-reported hand function ability with the Disabilities of Arm, Shoulder and Hand (DASH

2012 Clinical Trials

14. Cerebral palsy in adults

, kyphosis and lordosis) subluxation of the hips, wrist and shoulders biomechanical knee problems abnormalities of the foot structure. 1.4.8 Do not offer an X-ray to assess for hip subluxation or curvature of the spine in adults with cerebral palsy, unless the person is in pain or their posture or function is affected. Cerebral palsy in adults (NG119) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 21 of 64T o find out (...) of people growing older with learning disabilities. T o find out why the committee made recommendations on ongoing care and how they might affect practice, see rationale and impact. Cerebral palsy in adults (NG119) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 9 of 641.2 Function and participation Communication Communication 1.2.1 Be aware that speech and communication needs in adults with cerebral palsy may change

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

15. Calcium pyrophosphate deposition

or more joints. Knees, wrists, shoulders, ankles, elbows, or hands can be affected. The chronic form of CPP arthritis mimics osteoarthritis or rheumatoid arthritis and is associated with variable degrees of inflammation. McCarty DJ. Diagnostic mimicry in arthritis: patterns of joint involvement associated with calcium pyrophosphate dihydrate crystal deposits. Bull Rheum Dis. 1975;25:804-809. CPPD typically occurs in older patients but can occur in younger patients with associated metabolic conditions (...) and swollen joints joint effusion and fluctuance fever and malaise advanced age injury hyperparathyroidism haemochromatosis family history of CPPD hypomagnesaemia hypophosphatasia gout other metabolic conditions Diagnostic investigations arthrocentesis with synovial fluid analysis x-rays of affected joints serum calcium serum parathyroid hormone iron studies serum magnesium serum alkaline phosphatase ultrasonography CT scan Treatment algorithm ACUTE ONGOING Contributors Authors Professor of Medicine

2018 BMJ Best Practice

16. Osteoarthritis

://www.ncbi.nlm.nih.gov/pubmed/16543327?tool=bestpractice.com History and exam presence of risk factors pain functional difficulties knee, hip, hand, or spine involvement bony deformities limited range of motion malalignment tenderness crepitus stiffness shoulder, elbow, wrist, or ankle involvement effusion antalgic gait age >50 years female gender obesity genetic factors physical/manual occupation knee malalignment high bone mineral density Diagnostic investigations x-ray of affected joints serum CRP serum ESR (...) rheumatoid factor (RF) anti-cyclic citrullinated peptide (anti-CCP) antibody MRI of affected joints Treatment algorithm ACUTE ONGOING Contributors Authors Assistant Professor Harvard Medical School Attending Physician Director of the Musculoskeletal Medicine Unit Department of Orthopedics & Division of Rheumatology Beth Israel Deaconess Medical Center Boston MA Disclosures FB declares that he has no competing interests. Peer reviewers Assistant Professor of Medicine Boston University Clinical

2018 BMJ Best Practice

17. Overview of musculoskeletal pain

is the second most common cause of loss of productive work time in US adults (after headache), accounting for a mean loss of over 5 hours' work time each week in those affected. Sickness absence and reduced productivity while at work caused by common pain conditions have been estimated to cost US businesses $61.2 billion per year. Stewart WF, Ricci JA, Chee E, et al. Lost productive time and cost due to common pain conditions in the US workforce. JAMA. 2003;290:2443-2454. http://jamanetwork.com/journals (...) /jama/fullarticle/197628 http://www.ncbi.nlm.nih.gov/pubmed/14612481?tool=bestpractice.com Related conditions Condition Description Chronic fibrosing condition characterised by insidious, progressive, and severe restriction of both active and passive shoulder range of motion. Many patients experience shoulder pain, but shoulder pain is not an essential component of adhesive capsulitis. Although other fractures around and including the ankle can occur (such as distal tibial plafond fractures

2018 BMJ Best Practice

18. Assessment of inflamed joint

condition can initially affect a single joint. The most important and serious condition that needs to be considered in the work-up of an acute monoarthritis is septic (pyogenic) non-gonococcal arthritis. If the diagnosis is missed, and appropriate antimicrobial therapy is not instituted early, rapid destruction of articular cartilage can lead to irreversible joint damage. Differentials Septic non-gonococcal arthritis Gonococcal arthritis Rheumatoid arthritis Gout Pseudogout Psoriatic arthritis Indolent (...) Assessment of inflamed joint Assessment of inflamed joint - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of inflamed joint Last reviewed: February 2019 Last updated: September 2018 Summary Inflammatory arthritis is a common term for several conditions that manifest as joint pain, swelling, and stiffness, with varying degrees of functional impairment. These diseases can be broadly categorised

2018 BMJ Best Practice

19. Assessment of inflamed joint

condition can initially affect a single joint. The most important and serious condition that needs to be considered in the work-up of an acute monoarthritis is septic (pyogenic) non-gonococcal arthritis. If the diagnosis is missed, and appropriate antimicrobial therapy is not instituted early, rapid destruction of articular cartilage can lead to irreversible joint damage. Differentials Septic non-gonococcal arthritis Gonococcal arthritis Rheumatoid arthritis Gout Pseudogout Psoriatic arthritis Indolent (...) Assessment of inflamed joint Assessment of inflamed joint - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of inflamed joint Last reviewed: February 2019 Last updated: September 2018 Summary Inflammatory arthritis is a common term for several conditions that manifest as joint pain, swelling, and stiffness, with varying degrees of functional impairment. These diseases can be broadly categorised

2018 BMJ Best Practice

20. Extremity imaging

Derangement 20 Adhesive capsulitis (Adult only) 20 Labral tear – hip 20 Labral tear – shoulder 21 Ligament tear – knee 22 Meniscal tear/injury 22 Rotator cuff tear (Adult only) 23 Tendon injuries-foot and ankle 24 Tendon rupture – biceps or triceps 24 Tendon rupture – foot and ankle 25 Triangular fibrocartilage complex tear 25 Ulnar collateral ligament tear (elbow or thumb) 25 Ligament and tendon injuries not listed elsewhere 25 Miscellaneous Joint Conditions 26 Avascular necrosis 26 Chondromalacia (...) . Imaging of the Extremities Copyright © 2019. AIM Specialty Health. All Rights Reserved. 14 Inflammatory Conditions Bursitis Applies to shoulder indications only. Advanced imaging is considered medically necessary for evaluation of acute shoulder pain in adults and acute or chronic shoulder pain in pediatric patients following initial radiographs when imaging is required to establish the diagnosis and the patient is a candidate for corticosteroid or anesthetic injection. IMAGING STUDY - MRI upper

2019 AIM Specialty Health

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