How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

122 results for

Shoulder Instability Exam

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Exam Series: Guide to the Shoulder Exam

Exam Series: Guide to the Shoulder Exam Exam Series: Guide to the Shoulder Exam - CanadiEM Exam Series: Guide to the Shoulder Exam In , by Kathryn Chan August 7, 2018 A 58 year old right hand dominant painter presents to the emergency department with right shoulder pain. The pain started after he returned a particularly forceful serve during a tennis match earlier that afternoon. He states that it has a similar quality to the shoulder pain he typically feels at night, but more intense (...) and not improving with analgesia. He did not feel a “pop” or other mechanical symptoms, but has dislocated that shoulder in the past. His shoulder is swollen and tender to touch. Background The shoulder permits a huge range of motion but at the expense of instability and potential for injury. The shoulder is a ball and socket joint formed from three bones – the clavicle anteriorly, the humerus, and the scapula posteriorly (with its glenoid, coracoid, and acromion processes) and four joints – glenohumeral

2018 CandiEM

2. Clinical Evaluation and Physical Exam Findings in Patients with Anterior Shoulder Instability (PubMed)

Clinical Evaluation and Physical Exam Findings in Patients with Anterior Shoulder Instability The goal of this paper is to provide an overview in evaluating the patient with suspected or known anteroinferior glenohumeral instability.There is a high rate of recurrent subluxations or dislocations in young patients with history of anterior shoulder dislocation, and recurrent instability will increase likelihood of further damage to the glenohumeral joint. Proper identification and treatment (...) in the young and athletic population. The combination of history and performing apprehension, relocation, release or surprise, anterior load, and anterior drawer exam maneuvers will optimize sensitivity and specificity for accurately diagnosing anterior shoulder instability in clinical practice.

Full Text available with Trip Pro

2017 Current reviews in musculoskeletal medicine

3. Shoulder Instability Exam

Shoulder Instability Exam Shoulder Instability Exam 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 Shoulder Instability Exam Shoulder (...) Instability Exam Aka: Shoulder Instability Exam II. Grading Grade 0: No translation Grade 1: Mild translation (0-1 cm) Grade 2: Moderate translation (1-2 cm) Grade 3: Severe translation (>2 cm) III. Approach: General Assess for generalized ligamentous laxity Assess for voluntary instability IV. Technique: Specific Tests Anterior Drawer Test Translation suggests anterior instability (90%) Posterior Drawer Test Inferior translation ( sulcus sign) Patient stands Pull both arms downward Sulcus will form

2018 FP Notebook

4. Exam Series: Guide to the Back Exam

is indicative of SI joint pain. Neurovascular exam : It is essential to check for any neurologic weakness as a sign of serious back pathology. Power should be tested in the lower extremities to investigate any weakness. A gait exam can also be used to assess for weakness and instability. Exams should be repeated to monitor for any rapidly progressing symptoms. Nerve symptoms that are bilateral and span multiple levels are concerning for a spinal lesion that compresses multiple roots. Nerve Root Motor (...) Exam Series: Guide to the Back Exam Exam Series: Guide to the Back Exam - CanadiEM Exam Series: Guide to the Back Exam In , by Kathryn Chan July 23, 2018 A 67-year-old male presents to your emergency room with back pain. He has a history of intermittent back pain that typically responds to NSAIDs, however this particular episode has been much more severe. He now feels sharp pain that radiates into this left foot with certain movements, which causes weakness when walking. His past medical

2018 CandiEM

5. Physical Exam and Evaluation of the Unstable Shoulder (PubMed)

Physical Exam and Evaluation of the Unstable Shoulder The clinical evaluation of the patient with shoulder instability can be challenging. The pathological spectrum ranges from the straightforward "recurrent anterior dislocation" patient to the overhead athlete with a painful shoulder but not clear instability episodes. Advances in shoulder arthroscopy and imaging have helped in understanding the anatomy and physiopathology of the symptoms. The aim of this general article is to summarize (...) separately. For anterior instability, a combination of apprehension, relocation and release tests provide great specificity. On the other hand, multidirectional or posterior instability can be difficult to diagnose especially when the main complain is pain.A detailed interview and clinical examination of the patient are mandatory in order to identify a shoulder instability problem. Range of motion of both shoulders, clicking of catching sensations as well as pain, should be considered together

Full Text available with Trip Pro

2017 The open orthopaedics journal

6. Management of Complex Anterior Shoulder Instability: a Case-Based Approach (PubMed)

cannot be managed through Latarjet, a range of options exist and are highly dependent upon the extent of osseous deficiency on both the glenoid and humeral sides, surgeon experience, and patient-specific factors. The use of reverse total shoulder arthroplasty for the management of chronic locked shoulder dislocations has been described as a successful management option. Treatment options for complex anterior shoulder instability range widely based on patients' presenting exam, surgical history (...) Management of Complex Anterior Shoulder Instability: a Case-Based Approach The goal of this review is to provide a guide on surgical decision-making options for complex anterior shoulder instability using a case-based approach.Arthroscopic Bankart repair is well documented for having successful outcomes in patients with isolated labral tear involvement with minimal bone loss. Latarjet is a generally accepted procedure in patients with 20-30% glenoid bone loss. When bone loss exceeds that which

Full Text available with Trip Pro

2017 Current reviews in musculoskeletal medicine

7. Evaluation and treatment of failed shoulder instability procedures (PubMed)

Evaluation and treatment of failed shoulder instability procedures Management of the unstable shoulder after a failed stabilization procedure can be difficult and challenging. Detailed understanding of the native shoulder anatomy, including its static and dynamic restraints, is necessary for determining the patient's primary pathology. In addition, evaluation of the patient's history, physical exam, and imaging is important for identifying the cause for failure after the initial procedure

Full Text available with Trip Pro

2016 Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology

8. Shoulder Conditions Diagnosis and Treatment Guideline

Subjective Objective Imaging Non-operative care Tenodesis or tenotomy of long head of biceps Partial biceps tear, biceps instability from the biceps groove, proximal biceps enlargement that inhibits gliding in the biceps groove, complete tear of the proximal biceps tendon Anterior shoulder pain, weakness and deformity Tenderness over the biceps groove, pain in the anterior shoulder during resisted supination of the forearm Partial thickness tears do not have the classical appearance of ruptured muscle (...) to be damaged by overuse. IV. Making the Diagnosis A case definition for a shoulder condition includes appropriate symptoms, objective physical findings and abnormal imaging. A presumptive diagnosis may be based on symptoms and objective findings, but the diagnosis usually requires confirmation by clinical imaging prior to proceeding to surgery. A. History and clinical exam A thorough occupational history is essential for determining whether a shoulder condition is work-related, and whether it is due

2018 Washington State Department of Labor and Industries

9. Shoulder Instability Exam

Shoulder Instability Exam Shoulder Instability Exam 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 Shoulder Instability Exam Shoulder (...) Instability Exam Aka: Shoulder Instability Exam II. Grading Grade 0: No translation Grade 1: Mild translation (0-1 cm) Grade 2: Moderate translation (1-2 cm) Grade 3: Severe translation (>2 cm) III. Approach: General Assess for generalized ligamentous laxity Assess for voluntary instability IV. Technique: Specific Tests Anterior Drawer Test Translation suggests anterior instability (90%) Posterior Drawer Test Inferior translation ( sulcus sign) Patient stands Pull both arms downward Sulcus will form

2015 FP Notebook

10. Imaging After Shoulder Arthroplasty

]. Postoperative abnormalities and associated conditions include patients’ dissatisfaction, prosthetic loosening, glenohumeral instability, polyethylene wear, osteolysis, periprosthetic fracture, impingement (mainly with reverse total shoulder arthroplasties), tears of the rotator cuff tendons, infection, nerve injury, and deltoid dysfunction [2]. The most common complication for hemiarthroplasties has been erosion of the unresurfaced glenoid (20.6%), whereas glenoid loosening (14.3%) has been reported (...) in the setting of a fracture post shoulder arthroplasty [52]. Variant 6: Evaluating primary shoulder arthroplasty patients with possible rotator cuff tear. Additional imaging following radiographs. The prevalence of rotator cuff tears after arthroplasty placement has been reported to be up to 1.3% [2]. Tears of the subscapularis tendon can present with clinical and radiographic signs of anterior shoulder instability, including varying degrees of anterior subluxation as well as frank dislocation

2016 American College of Radiology

11. MOON Shoulder Instability-Cohort of Patients Undergoing Operative Treatment.

exam, surgical findings, and the repair. Patients will wear a sling post-operatively, and follow standardized rehabilitation protocols, including physical therapy. Patients will be sent outcome questionnaires at 2, 6, 10, and 20 years after surgery. Condition or disease Other Instability, Shoulder Dislocations Subluxations Recurrent Dislocation of Shoulder Region Detailed Description: The objective of this prospective multicenter cohort study of patients undergoing surgery for glenohumeral (...) instability is to identify the outcomes, and more importantly, the previously unknown predictors of sports function, activity level, general health, recurrent instability symptoms, and surgical failures following surgery. Patient information at the time of the surgery (demographics, validated outcome measures), in addition to the physical exam findings, shoulder pathology at the time of surgery, and surgical treatment will be obtained. The validated outcome instruments are American Shoulder and Elbow

2014 Clinical Trials

12. Lateral Patellar Dislocations and Instability ? Post-Operative Management

concerns as appropriate. Evidence-Based Care Guideline for Post-Operative Management of Lateral Patellar Dislocations and Instability in children and adults aged 8-25 years Guideline 46 Copyright © 2015 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 5 of 38 Table 1: Initial Exam Initial Exam Palpation/ Visual Inspection Palpate and visually inspect the following: ? Global lower extremity for areas of lost/abnormal sensation, signs of Deep Vein Thrombosis (DVT) ? Surgical (...) Lateral Patellar Dislocations and Instability ? Post-Operative Management Evidence-Based Care Guideline for Post-Operative Management of Lateral Patellar Dislocations and Instability in children and adults aged 8-25 years Guideline 46 Copyright © 2015 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 1 of 38 James M. Anderson Center for Health Systems Excellence Evidence-Based Care Guideline Post-Operative Management of Lateral Patellar Dislocations and Instability

2015 Cincinnati Children's Hospital Medical Center

13. Home Exercise vs PT for Reverse Total Shoulder Arthroplasty

, and surgery indications on outcome following RSA, however there is no data published on the impact of postoperative rehabilitation following this surgery. A systematic review of the literature reveals that complications following RSA occur with four times greater incidence than complications following anatomic total shoulder arthroplasty (TSA). Complications following RSA which may be impacted by the exercises associated with physical therapy include instability and acromion stress fractures. A systematic (...) years postoperatively ] acromial stress fractures and shoulder dislocations monitored by patient report through phone calls, patient visits, clinical exams, and standard of care imaging. All complications will be combined as a composite measure. Cost of Care [ Time Frame: up to 2 years after surgery ] reimbursement for therapy services, total number of therapy visits, estimated travel time per visit, and associated costs. These measures will be combined in a cost-effectiveness analysis

2018 Clinical Trials

14. Lateral Patellar Dislocations and Instability: Conservative Management

hip drop during stance ? Decreased terminal knee extension during stance and/or quadriceps avoidance gait pattern ? Decreased push-off during transition from stance to swing phase ? Decreased knee and hip flexion during Evidence-Based Care Guideline for Conservative Management of patellar instability and dislocation in children and adults aged 8-25 Guideline 44 Copyright © 2014 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 8 of 30 Initial Exam swing phase ? Decreased (...) Lateral Patellar Dislocations and Instability: Conservative Management Evidence-Based Care Guideline for Conservative Management of patellar instability and dislocation in children and adults aged 8-25 Guideline 44 Copyright © 2014 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 1 of 30 James M. Anderson Center for Health Systems Excellence Evidence-Based Care Guideline Conservative Management of Lateral Patellar Dislocations and Instability In children and young adults

2013 Cincinnati Children's Hospital Medical Center

15. Capsule function following anterior dislocation: Implications for diagnosis of shoulder instability. (PubMed)

Capsule function following anterior dislocation: Implications for diagnosis of shoulder instability. During shoulder dislocation, the glenohumeral capsule undergoes non-recoverable strain, leading to joint instability. Clinicians use physical exams to diagnose injury and direct repair procedures; however, they are subjective and do not provide quantitative information. Our objectives were to: (1) determine the relationship between capsule function following anterior dislocation and non (...) -recoverable strain; and (2) identify joint positions at which physical exams can be used to detect non-recoverable strain in specific capsule regions. Physical exams were simulated at three joint positions including external rotation (ER) using robotic technology before and after anterior dislocation. The resulting joint kinematics, strain distribution in the capsule, and non-recoverable strain were determined. Following dislocation, anterior translation increased by as much as 48% (0° ER: p = 0.03; 30

Full Text available with Trip Pro

2013 Journal of Orthopaedic Research

16. Anatomical Shoulder Domelock System Study

on physical exam and medical history Patient has failed conservative treatment Patient meets at least one of the following indications: Advanced wear and tear of the shoulder joint resulting from degenerative, posttraumatic or rheumatoid arthritis Avascular necrosis Conditions consequent to earlier operations Omarthrosis Rheumatoid arthritis Revision of shoulder prosthesis Exclusion Criteria: Patient is unwilling or unable to give consent or to comply with the follow-up program Patients who have any (...) surgery, insufficient quality or quantity of bone, neuromuscular compromise or vascular deficiency in the affected limb in sufficient degree to endanger the success of the intervention e.g., absence of musculoligamentous supporting structures, joint neuropathy or other conditions that may lead to inadequate skeletal fixation Signs of infection Severe instability secondary to advanced loss of osteochondral structure Patient in need of a reverse shoulder arthroplasty Charcot's shoulder (neuroarthropathy

2017 Clinical Trials

17. The Posterior Unstable Shoulder: Natural History, Clinical Evaluation and Imaging (PubMed)

with a thoughtful evaluation, beginning with the clinical history, usually leads to proper diagnosis. An appropriate physical exam, taking in account hyperlaxity and specific tests for posterior instability should be done.Posterior shoulder instability is an uncommon condition and is challenging to diagnose. There is not a single injury that is responsible for all cases of recurrent shoulder dislocation or subluxation, and the presence of soft tissue lesions or bone alterations should be evaluated, with the use (...) The Posterior Unstable Shoulder: Natural History, Clinical Evaluation and Imaging There is a low incidence of posterior instability which is present in only 2% to 10% of all unstable shoulders. The posterior instable shoulder includes different manifestations like fixed dislocation, recurrent subluxation or dislocation.Research and online content related to posterior instability is reviewed. Natural history, clinical evaluation and imaging are described.An awareness of the disorder, together

Full Text available with Trip Pro

2017 The open orthopaedics journal

18. Treatment of The Posterior Unstable Shoulder (PubMed)

Treatment of The Posterior Unstable Shoulder It is estimated that approximately 5% of glenohumeral instabilities are posterior. There are a number of controversies regarding therapeutic approaches for these patients.We analyse the main surgery alternatives for the treatment of the posterior shoulder instability. We did a research of the publications related with posterior glenohumeral instability.There are conservative and surgical treatment options. Conservative treatment has positive results (...) advocate substitution techniques as a treatment of choice. The main techniques for treating glenoid bone defects are posterior bone block and posterior opening osteotomy of the glenoid.The treatment of the posterior glenohumeral instability has to be individualized based on the patient´s injuries, medical history, clinical exam and goals. The most important complications in the treatment of posterior glenohumeral instability are recurrent instability, avascular necrosis and osteoarthritis.

Full Text available with Trip Pro

2017 The open orthopaedics journal

19. 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 (...) biceps tear, biceps instability from the biceps groove, proximal biceps enlargement that inhibits gliding in the biceps groove, complete tear of the proximal biceps tendon Anterior shoulder pain, weakness and deformity Tenderness over the biceps groove, pain in the anterior shoulder during resisted supination of the forearm Partial thickness tears do not have the classical appearance of ruptured muscle. MRI required if procedure performed in isolation. If biceps tendon pathology identified

2013 Washington State Department of Labor and Industries

20. Variability in Outcome Reporting for Operatively Managed Anterior Glenohumeral Instability: A Systematic Review. (PubMed)

Variability in Outcome Reporting for Operatively Managed Anterior Glenohumeral Instability: A Systematic Review. The purpose of this study was to quantify the degree of variability in outcomes assessed after surgery for anterior shoulder instability in recent high-impact literature.Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, an extensive review of the literature during a 5-year period from January 2011 through December 2015 was performed across 6 (...) orthopaedic journals with high impact factors to identify all studies investigating outcomes after anterior shoulder instability. Studies reporting clinical outcomes for patients with anterior glenohumeral instability after surgical treatment with at least 1-year follow-up were included. Several metrics were collected from each manuscript: (1) range of motion (ROM), (2) quantitative strength, (3) physical examination testing, (4) imaging, (5) patient-reported outcomes (PROs), (6) complications (including

2016 Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>