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Scapulothoracic Injection

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1. Scapulothoracic Injection

Scapulothoracic Injection Scapulothoracic Injection 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 Scapulothoracic Injection (...) Scapulothoracic Injection Aka: Scapulothoracic Injection II. Indications Scapulothoracic articulation inflammation at inferior medial r border Injured with pushing, pulling, and throwing May be associated with popping or catching sensation III. Preparation Needle: 25-27 gauge 1.5 inch Intraarticular : 1 ml of 40 mg/ml or (Celestone Soluspan): 1 ml 1%: 1-2 ml IV. Approach Images Patient position Lying prone Place hand of affected side on buttock Landmarks Inferior and medial border of Injected with sterile

2018 FP Notebook

2. Comparison of the therapeutic effects of intramuscular subscapularis and scapulothoracic bursa injections in patients with scapular pain: a randomized controlled trial. (PubMed)

Comparison of the therapeutic effects of intramuscular subscapularis and scapulothoracic bursa injections in patients with scapular pain: a randomized controlled trial. Scapulothoracic bursitis contributes to considerable morbidity in some patients with scapular pain. A scapulothoracic bursa injection can induce symptomatic relief; however, blind injections into the scapulothoracic bursa may involve injecting into the subscapularis muscle itself. The aim of this study was to compare (...) the therapeutic effects of intramuscular injections into the subscapularis under ultrasound (US) guidance with those of blind scapulothoracic bursa injections in patients with scapular pain. This study was a single-center, prospective, randomized, single-blinded, controlled clinical trial. Thirty-six patients with suspected scapulothoracic bursitis, who met the inclusion criteria, were recruited between January 2009 and December 2012. We performed three US-guided intramuscular injections

2014 Rheumatology international

3. The influence of induced shoulder muscle pain on rotator cuff and scapulothoracic muscle activity during elevation of the arm. (PubMed)

The influence of induced shoulder muscle pain on rotator cuff and scapulothoracic muscle activity during elevation of the arm. Altered recruitment of rotator cuff and scapulothoracic muscles has been identified in patients with subacromial impingement syndrome. To date, however, the cause-consequence relationship between pain and altered muscle recruitment has not been fully unraveled.The effect of experimental shoulder pain induced by injection of hypertonic saline in the supraspinatus (...) as reduction in T2 shift of the IS (P = .029). No significant changes in T2 shift values were found for the other rotator cuff muscles or the scapulothoracic muscles.This study demonstrates that acute experimental shoulder pain has an inhibitory effect on the activity of the IS during arm elevation. Acute experimental shoulder pain did not seem to influence the scapulothoracic muscle activity significantly. The findings suggest that rotator cuff muscle function (infraspinatus) should be a consideration

2016 Journal of Shoulder and Elbow Surgery

4. Scapulothoracic Injection

Scapulothoracic Injection Scapulothoracic Injection 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 Scapulothoracic Injection (...) Scapulothoracic Injection Aka: Scapulothoracic Injection II. Indications Scapulothoracic articulation inflammation at inferior medial r border Injured with pushing, pulling, and throwing May be associated with popping or catching sensation III. Preparation Needle: 25-27 gauge 1.5 inch Intraarticular : 1 ml of 40 mg/ml or (Celestone Soluspan): 1 ml 1%: 1-2 ml IV. Approach Images Patient position Lying prone Place hand of affected side on buttock Landmarks Inferior and medial border of Injected with sterile

2015 FP Notebook

5. Technique and Outcomes of Arthroscopic Scapulothoracic Bursectomy and Partial Scapulectomy. (PubMed)

Technique and Outcomes of Arthroscopic Scapulothoracic Bursectomy and Partial Scapulectomy. The purpose of this study was to assess the efficacy of arthroscopic scapulothoracic bursectomy in patients with snapping scapula syndrome with a minimum of 2 years' follow-up.In this institutional review board-approved retrospective study, 23 shoulders in 21 consecutive patients were identified that had undergone arthroscopic treatment of snapping scapula syndrome. Each patient described mechanical (...) symptoms with failure of nonsurgical modalities and reported symptomatic relief from a local anesthetic injection before surgical intervention. Preoperative and postoperative pain and functioning levels were assessed with the American Shoulder and Elbow Surgeons (ASES), QuickDASH (shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire), and Single Assessment Numeric Evaluation (SANE) shoulder scores, and patient satisfaction was recorded on a 10-point visual analog scale

2012 Arthroscopy

6. The effects of scapulothoracic bursa injections in patients with scapular pain: a pilot study. (PubMed)

The effects of scapulothoracic bursa injections in patients with scapular pain: a pilot study. To assess the effects of steroid plus hyaluronate injections for scapulothoracic bursitis in patients with scapular pain.Prospective open-label unicenter trial with a 3-month follow-up.University rehabilitation hospital.Twenty-two cases of suspected scapulothoracic bursitis.Injections into scapulothoracic bursa were performed with steroid plus hyaluronate. Injections were administered once a week (...) with perimarginal scapular pain or subscapular pain. Our findings show that steroid plus hyaluronate injections into the scapulothoracic bursa provide an effective means of treating patients with scapulothoracic bursitis.

2009 Archives of physical medicine and rehabilitation

7. Chronic pain disorder medical treatment guideline.

that WARC to ArchiveTeam servers for eventual injection into the Internet Archive (or other archive sites). To use ArchiveBot, drop by #archivebot on EFNet. To interact with ArchiveBot, you issue commands by typing it into the channel. Note you will need channel operator permissions in order to issue archiving jobs. The dashboard shows the sites being downloaded currently. There is a dashboard running for the archivebot process at . ArchiveBot's source code can be found at . TIMESTAMPS Search Sign (...) and frequency. Injections—Spinal Therapeutic Intradiscal Steroid Injection There is some evidence that intradiscal steroid injection is unlikely to relieve pain or provide functional benefit in patients with non-radicular back pain; therefore, they are not recommended . Intradiscal injections of other substances such as bone marrow, stem cells, are not recommended at this time due to lack of evidence and possible complications. Transforaminal Injection with Etanercept Transforaminal injection

2017 National Guideline Clearinghouse (partial archive)

8. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline.

at, and it grabs all content under that URL, records it in a WARC, and then uploads that WARC to ArchiveTeam servers for eventual injection into the Internet Archive (or other archive sites). To use ArchiveBot, drop by #archivebot on EFNet. To interact with ArchiveBot, you issue commands by typing it into the channel. Note you will need channel operator permissions in order to issue archiving jobs. The dashboard shows the sites being downloaded currently. There is a dashboard running for the archivebot process (...) or be caused or exacerbated by opioid and hypnotic use. Refer to the Division's for more information on behavioral modifications to address sleep disturbances. Education/Informed/Shared Decision Making Evidence Statements Regarding Education/Informed Decision Making Some Evidence Information provided only by video is not sufficient education (Design: Prospective randomized controlled trial ). See the original guideline document for time to produce effect and frequency. Injections—Therapeutic For post

2017 National Guideline Clearinghouse (partial archive)

9. Neck pain: revision 2017.

extant websites, meant to serve as emergency backups for needed sites that are in danger of closing, or which will be missed dearly if suddenly lost due to hard drive crashes or server failures. Collection: ArchiveBot is an IRC bot designed to automate the archival of smaller websites (e.g. up to a few hundred thousand URLs). You give it a URL to start at, and it grabs all content under that URL, records it in a WARC, and then uploads that WARC to ArchiveTeam servers for eventual injection (...) whiplash-associated disorder [WAD]) Neck pain with headaches (cervicogenic headache) Neck pain with radiating pain (radicular) ( Grade of Recommendation: C ) Interventions Neck Pain with Mobility Deficits Acute For patients with acute neck pain with mobility deficits: Clinicians should provide thoracic manipulation, a program of neck ROM exercises, and scapulothoracic and upper extremity strengthening to enhance program adherence. ( Grade of Recommendation: B ) Clinicians may provide cervical

2017 National Guideline Clearinghouse (partial archive)

10. CRACKCast E053 – Shoulder

to acromion process Stabilized by weak AC ligaments and stronger coracoclavicular ligaments Glenohumoral Ball and socket joint with minimal bony stability. 1 Pseudoarticulation Scapulothoracic joint joined to thorax with 18 different muscle insertions and origins 1 Synovial membrane 1 Neurovascular bundle Brachial plexus Subclavian vessels Enter superiorly between the clavicle and first rib, traverse under coracoid and on to inferior aspect of glenohumeral joint as median, ulnar, radial nerves (...) Note this is a pathological continuum of rotator cuff tendinitis and subacromial bursitis: Painful arc – pain with active ROM 60-90 degrees (subacromial) or 120-180 degrees (acromioclavicular) Neer impingement sign – pain with forced forward elevation while examiner locks the scapula in place. This is resolved by injection of 10cc beneath ant. Acromion Hawkins-Kennedy – Arm placed into 90 degrees of flexion followed by internal rotation Infraspinatus muscle test – resistance to external rotation

2016 CandiEM

11. Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain

) General Exercises. The Scapular Movement Training Group will receive the orientation about proper scapular position and movement, and will be trained to modify the scapular movement pattern. The General Exercises Group will perform scapulothoracic stretching and strengthening exercises. Both groups will be treated twice a week for eight weeks. The following outcomes will be collected at baseline and follow-up: scapular kinematics, electromyographic muscle activity of the upper, middle and lower (...) , performed twice a week, for 8 weeks. Other: Scapular Movement Training Orientation about the proper scapular position and movement and training to modify the scapular movement pattern. Other Name: Orientation and training Active Comparator: General Exercises Scapulothoracic muscle stretching and strengthening exercises, performed twice a week, for 8 weeks. Other: General Exercises Strengthening and stretching exercises. Other Name: Exercises Outcome Measures Go to Primary Outcome Measures : Change

2018 Clinical Trials

12. The effectiveness of extracorporeal shock wave therapy in snapping scapula. (PubMed)

with scapulothoracic bursitis were divided into two groups. Group 1 ( n = 22) received three sessions of ESWT. Group 2 ( n = 21) received a single local injection of 80 mg of methylprednisolone. Visual analogue scale (VAS) scores were recorded at each follow-up, whereas the level of satisfaction was evaluated using the Roles and Maudsley criteria.In group 1, the average VAS scores after 1, 2, 3, and 6 months were 39, 30, 27, and 16, respectively, whereas, in group 2, the average VAS scores were 46, 44, 35, and 36 (...) The effectiveness of extracorporeal shock wave therapy in snapping scapula. Bursitis of the snapping scapula is commonly a misdiagnosed problem. Extracorporeal shockwave therapy (ESWT) has been used successfully in the treatment of many chronic inflammatory conditions. The aim of this study was to assess and compare the effectiveness of ESWT in the treatment of scapulothoracic bursitis with the outcome of corticosteroid injection.Using the randomized controlled trials 43 patients

2017 Journal of orthopaedic surgery (Hong Kong)

13. Education-based Physical Therapy Approach for Adhesive Capsulitis

and supported home exercises corticosteroid injection + physiotherapy with focus on education and supported home exercises Other: Physical therapy focus on education and supported home exercises corticosteroid injection + physiotherapy with focus on education and supported home exercises Outcome Measures Go to Primary Outcome Measures : Scapulothoracic, glenohumeral and elbow joint range of motion [ Time Frame: baseline ] before the first injection with corticosteroids By means of inertial motion sensors (...) , range of motion in the scapulothoracic, glenohumeral and elbow joint will be assessed during functional task performance Scapulothoracic, glenohumeral and elbow joint range of motion [ Time Frame: week 6 ] after the first injection with corticosteroids. By means of inertial motion sensors, range of motion in the scapulothoracic, glenohumeral and elbow joint will be assessed during functional task performance Scapulothoracic, glenohumeral and elbow joint range of motion [ Time Frame: week 12 ] after

2017 Clinical Trials

14. Effect of Muscle Coactivation Strengthening for Rotator Cuff Tendinopathy

Strengthening Coactivation strengthening implies a recruitment of the pectoralis major and the latissimus dorsi while performing regular strengthening. Active Comparator: Regular strengthening Regular strengthening implies external rotation, internal rotation, flexion and abduction of the gleno-humeral joint and scapular protraction and retraction of the scapulothoracic joint strengthening. Procedure: Regular Strengthening Regular strengthening implies external rotation, internal rotation, flexion (...) and abduction of the gleno-humeral joint and scapular protraction and retraction of the scapulothoracic joint strengthening. Outcome Measures Go to Primary Outcome Measures : Change in function (Disabilities of Arm, Shoulder and Hand Questionnaire - DASH) [ Time Frame: Baseline - six weeks ] DASH is a self-reported questionnaire of 30 items measuring physical disability and symptoms. (St-Pierre et al., 2015; Roy et al., 2009) Secondary Outcome Measures : Change in function (Disabilities of Arm, Shoulder

2016 Clinical Trials

15. Efficacy of Manual Therapy and Exercise in Patients With Shoulder Adhesive Capsulitis. A Randomized Clinical Trial.

, as well as scapular movements. Also, rotator interval stretching will be done. Experimental: Therapeutic exercise (E) E: Therapeutic Exercise. Shoulder extension: Elastic bands. Shoulder flexion: Elastic bands Shoulder external rotation: Elastic bands. Scapulothoracic stability: Movement of scapular adduction guided by the physiotherapist, keeping the position for few seconds ; standing "push up" on the wall. Thoracic column movements: Flexion-extension Other: Manual therapy Application of different (...) manual therapy techniques through posterior and inferior humeral head slides, as well as scapular movements. Also, rotator interval stretching will be done. Other: Therapeutic exercise Shoulder extension: Elastic bands. Shoulder flexion: Elastic bands Shoulder external rotation: Elastic bands. Scapulothoracic stability: Movement of scapular adduction guided by the physiotherapist, keeping the position for few seconds ; standing "push up" on the wall. Thoracic column movements: Flexion-extension

2016 Clinical Trials

16. Rotator Cuff Pathology (Follow-up)

for the glenohumeral, scapulothoracic, acromioclavicular, and sternoclavicular joints and the parascapular and scapula-stabilizer muscles Subacromial corticosteroid injection Bupivacaine suprascapular nerve block Restoration of motion and normal scapulohumeral rhythm Stretching of the glenohumeral capsule and muscles Manual therapy of the cervicodorsal spine (often necessary because of its close relation with the shoulder) Patients with more advanced rotator cuff disease or a more significant injury may (...) others did. Thus, no conclusions can be made regarding the efficacy of iontophoresis in the treatment of rotator cuff disease. Subacromial corticosteroid injection As with NSAID therapy, many of the studies on the efficacy of corticosteroid injection for various shoulder conditions are of poor methodologic quality. Green, van Der Heijden, and Sibilia performed a systematic review of all the randomized clinical trials on corticosteroid injection. [ , , , ] Although these studies selected essentially

2014 eMedicine Surgery

17. Deltoid Fibrosis (Follow-up)

contracture, they found that age and the winging angle of the glenoid were predisposing factors for rotator cuff injury. They suggested that early surgery is necessary in older patients and in patients with an increased winging angle. Surgical release of the deltoid contractures aims to restore natural scapulothoracic kinematics to avoid rotator cuff injury or worsening of rotator cuff pathology and impingement. A series by Yin et al supported simultaneous treatment of deltoid contractures and concomitant (...) and remitting scapular winging in a pediatric patient. Am J Phys Med Rehabil . 2010 Jun. 89 (6):505-8. . Wolbrink AJ, Hsu Z, Bianco AJ. Abduction contracture of the shoulders and hips secondary to fibrous bands. J Bone Joint Surg Am . 1973 Jun. 55(4):844-6. . Mir NA, Ahmed SM, Bhat JA. Post-injection gluteal fibrosis: a neglected problem. JK Science . 2002 Jul-Sep. 4 (3):144-6. Chatterjee P, Gupta SK. Deltoid contracture in children of central Calcutta. J Pediatr Orthop . 1983 Jul. 3(3):380-3. . Groves RJ

2014 eMedicine Surgery

18. Adhesive Capsulitis (Diagnosis)

not on prednisone A subacromial or glenohumeral intra-articular injection at least once but not more than twice within a 3-month period Physical therapy for range of motion of the shoulder [ , , ] A physician-directed home therapy program has been shown to have efficacy in helping restore range of motion [ ] Previous Next: Relevant Anatomy Critical to the understanding of frozen shoulder syndrome is the concept that shoulder function involves not only the glenohumeral joint but also scapulothoracic articulation (...) glenohumeral and scapulothoracic motion occurs for at least 1 month and has either reached a plateau or worsened. This inclusion period for defining frozen shoulder is similar to that described by Binder and colleagues [ , ] but is shorter than that defined by Lloyd-Roberts and coworkers. [ ] Patients with primary frozen shoulder have no significant findings in the history, clinical examination, or radiographic evaluation to explain their motion loss and pain. Classically, symptoms of primary frozen

2014 eMedicine Surgery

20. Glenohumeral Arthritis (Follow-up)

or tendons, and masses. Strength testing consists of analyzing the power of the rotator cuff, as well as the deltoid, biceps, and scapulothoracic musculature. However, passive motion restriction often limits strength testing to rotation and abduction strength with the arm at the side. Documentation of distal vascular and neurological status also is essential. In osteoarthritis, physical examination often reveals crepitus. In inflammatory arthritis, findings can include a warm, swollen joint and painful (...) Osteoarthritis Nonsurgical treatment usually begins with gentle ROM exercises, nonsteroidal anti-inflammatory drugs (NSAIDs), and modification of activities or work duties that provoke the symptoms. Intra-articular injection of corticosteroids is considered in recalcitrant cases but should be used judiciously. Rheumatoid arthritis Nonsurgical management is the mainstay of treatment. A well-devised treatment plan for this problem starts with a multidisciplinary team approach consisting of a rheumatologist

2014 eMedicine Surgery

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