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Shoulder Presentation

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1. A prospective, observational cohort study of patients presenting to an emergency department with acute shoulder trauma: the Manchester emergency shoulder (MESH) project. (PubMed)

A prospective, observational cohort study of patients presenting to an emergency department with acute shoulder trauma: the Manchester emergency shoulder (MESH) project. Fracture and dislocation of the shoulder are usually identifiable through the use of plain radiographs in an emergency department. However, other significant soft tissue injuries can be missed at initial presentation. This study used contrast enhanced magnetic resonance arthrography (MRA) to determine the pattern of underlying (...) soft tissue injuries in patients with traumatic shoulder injury, loss of active range of motion, and normal plain radiography.A prospective, observational cohort study. Twenty-six patients with acute shoulder trauma and no identifiable radiograph abnormality were screened for inclusion. Those unable to actively abduction their affected arm to 90° at initial presentation and at two week's clinical review were consented for MRA.Twenty patients (Mean age 44 years, 4 females) proceeded to MRA. One

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2017 BMC Emergency Medicine

2. Five-year publication rate of clinical presentations at the open and closed American shoulder and elbow surgeons annual meeting from 2005–2010 (PubMed)

Five-year publication rate of clinical presentations at the open and closed American shoulder and elbow surgeons annual meeting from 2005–2010 The purpose of this study was to evaluate the five-year publication rate of papers presented at both the open and closed American Shoulder and Elbow Surgeons' (ASES) annual meetings from 2005 to 2010.Online abstracts of the presentations at the open and closed ASES annual meetings were independently screened for clinical studies and graded for quality (...) using level of evidence. The databases PubMed (MEDLINE), Ovid (MEDLINE), and EMBASE were comprehensively searched for full-text publications corresponding to these presentations and any paper published within five years of the presentation date was counted.Overall, 131/266 papers corresponding to the meeting presentations were identified for a five-year publication rate of 49.2 %. Sixty two (48 %) of the papers were published in The Journal of Shoulder and Elbow Surgeons, 23 (18 %) were published

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2016 Journal of experimental orthopaedics

3. Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia: A case report and literature review. (PubMed)

Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia: A case report and literature review. Charcot arthropathy, also known as Neuropathic arthropathy (NA), is an unusual chronic degenerative disease. To date, there exists a paucity of research on NA caused by syringomyelia.A 52-year-old non-diabetic female presented with progressive swelling, pain and limited movement in her left shoulder joint combined with asthenia of her left upper (...) extremity for three months.Neuropathic arthropathy of the shoulder associated with the cervicothoracic syrinx and basilar impressions was diagnosed.The treatment is directed to its potential cause to cease its progression. A posterior fossa decompression (PFD) was conducted for this patient.Postoperatively, the patient's symptoms were relieved and the size of syrinx was reduced at the 6-month follow-up.Taken together with 34 previous reports identified from a PubMed search, an analysis of 35 cases

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2018 Medicine

4. How do we deliver our findings? Analysis of podium presentations at shoulder meetings (PubMed)

How do we deliver our findings? Analysis of podium presentations at shoulder meetings The aim of the present study was to evaluate the time structure of oral presentations delivered at three shoulder congresses: shoulder sessions at the American Academy of Orthopaedic Surgeons (AAOS) Meeting, European Foundation of National Associations of Orthopaedics and Traumatology (EFORT) Congress, and International Congress of Shoulder and Elbow Surgery (ICSES).A total of 160 oral presentations (...) , methods, results, and conclusions sections (p > 0.05). However, when extended introductions were delivered, the results and conclusions sections were shortened (r = - 0.2 and r = - 0.21, respectively). Inclusion of video support tended to result in exceedance of time limits (p < 0.01).One third of the shoulder surgeons exceeded time constraints in their conference presentations, and no distinctions were found in time allocations for different sections of the presentations. Longer introductions may

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2018 Journal of orthopaedic surgery and research

5. Delayed Presentation of Shoulder Tuberculosis (PubMed)

Delayed Presentation of Shoulder Tuberculosis Infections caused by Mycobacterium tuberculosis (MTb) have a global distribution, with infections occurring most frequently in persons residing in or who have resided in developing nations. Pulmonary tuberculosis (Tb) is the most common form of infection caused by MTb. Osteoarticular Tb is a far less common condition than pulmonary Tb and is frequently overlooked in the differential diagnosis of persons with joint pathology. Osteoarticular Tb (...) infections are far less common than pulmonary Tb and are usually not considered in the differential diagnosis. We describe a case of a 57-year-old immigrant African male who presented with 5 years of right shoulder pain and a restricted range of movement. Magnetic resonance imaging (MRI) concluded right shoulder septic arthritis, for which he underwent operative drainage and debridement was undertaken. The thick purulent joint fluid subsequently yielded MTb, establishing the diagnosis of osteoarticular

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2018 Case reports in infectious diseases

6. Hot shoulder PET/CT lesion: Unusual presentation of tenosynovial giant cell tumor (PubMed)

Hot shoulder PET/CT lesion: Unusual presentation of tenosynovial giant cell tumor We present a case of a tenosynovial giant cell tumor (TGCT) incidentally discovered at the shoulder on PET/CT, in a patient with history of thyroid cancer. Many documented cases of TGCT have been incidentally imaged by PET/CT and have been found to have varying levels of metabolic activity, however the shoulder location is unusual. This type of musculoskeletal lesion often has MRI characteristics, such as gradient

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2018 Radiology Case Reports

7. Patient factors influencing outpatient satisfaction in patients presenting with shoulder pain. (PubMed)

Patient factors influencing outpatient satisfaction in patients presenting with shoulder pain. Patient-based evaluation of health care has been gaining attention in the past 2 decades. The purpose of this study was to evaluate patient satisfaction in a shoulder outpatient clinic and determine which factors impact satisfaction levels.Fifty-nine outpatients with shoulder complaints from December 2017 to January 2018 were included. Patient satisfaction was measured using the Clinician and Group (...) method. Among patients with shoulder pathology, function of the shoulder, as measured on a VAS, was the most significant factor influencing patient satisfaction in the outpatient setting.Copyright © 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

2018 Journal of Shoulder and Elbow Surgery

8. Motor-driven continuous passive motion (CPM) devices after interventions on the knee and shoulder joint

Motor-driven continuous passive motion (CPM) devices after interventions on the knee and shoulder joint 1 Translation of the key statement of the final report N16-03 Einsatz von motorbetriebenen Bewegungsschienen (CPM) nach Interventionen am Knie- oder am Schultergelenk (Version 1.1; Status: 23 July 2018). Please note: This document was translated by an external translator and is provided as a service by IQWiG to English-language readers. However, solely the German original text is absolutely (...) authoritative and legally binding. Extract IQWiG Reports – Commission No. N16-03 Motor-driven continuous passive motion (CPM) devices after interventions in the knee and shoulder joint 1 Extract of final report N16-03 Version 1.1 CPM devices after interventions in the knee and shoulder joint 23 July 2018 Institute for Quality and Efficiency in Health Care (IQWiG) - i - Publishing details Publisher: Institute for Quality and Efficiency in Health Care Topic: Motor-driven continuous passive motion (CPM

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

9. Correlation of Patient-Reported Outcome Measurement Information System Physical Function Upper Extremity Computer Adaptive Testing, With the American Shoulder and Elbow Surgeons Shoulder Assessment Form and Simple Shoulder Test in Patients With Shoulder P (PubMed)

Assessment Form (ASES) and the Simple Shoulder Test (SST) in patients presenting with shoulder pain and determine the responder burden for each of the 3 surveys.Ninety patients presenting with shoulder pain were asked to fill out the ASES, SST, and PROMIS PFUE CAT. The time for completion of each survey was measured to determine responder burden, and the Pearson correlation between the 3 instruments was defined as excellent (r > 0.7), excellent-good (0.61 ≤ r ≤ 0.7), good (0.31 ≤ r ≤ 0.6), and poor (0.2 (...) Correlation of Patient-Reported Outcome Measurement Information System Physical Function Upper Extremity Computer Adaptive Testing, With the American Shoulder and Elbow Surgeons Shoulder Assessment Form and Simple Shoulder Test in Patients With Shoulder P To evaluate the Patient-Reported Outcome Measurement Information System Physical Function Upper Extremity Computer Adaptive Testing (PROMIS PFUE CAT) measurement tool against the already validated American Shoulder and Elbow Surgeons Shoulder

2018 Arthroscopy

10. Neck-to-shoulder pain as an unusual presentation of pulmonary embolism in a patient with cervical spinal cord injury: A case report. (PubMed)

Neck-to-shoulder pain as an unusual presentation of pulmonary embolism in a patient with cervical spinal cord injury: A case report. Information on referred pain can be helpful for diagnosing diseases of the visceral organs. Here, the authors report a patient with cervical spinal cord injury (SCI) who had referred pain at the right side from the neck to shoulder, as a presentation of pulmonary embolism (PE).A 55-year-old man with complete tetraplegia, due to cervical SCI after C5 and C6 (...) vertebral body fracture, complained of right neck-to-shoulder pain (numerical scale rating: 6). Despite pain medication (meloxicam 15 mg, gabapentin 400 mg, and propacetamol HCl 1 g), the pain was not reduced. Along with right neck-to-shoulder pain, he presented mild fever (37.8°C) and mildly elevated respiratory rate (20 breaths/min). D-dimer level was also mildly elevated to 6.09 mg/mL (normal value: < 0.5 mg/mL).Computed tomography pulmonary angiography revealed PE in the right lower lobe pulmonary

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2017 Medicine

11. A Unique Case of Melorheostosis Presenting with Two Radiologically Distinct Lesions in the Shoulder (PubMed)

A Unique Case of Melorheostosis Presenting with Two Radiologically Distinct Lesions in the Shoulder Melorheostosis is a rare, nonhereditary, benign, mesenchymal condition of unknown aetiology affecting the bones and surrounding tissues. A male patient complaining of left shoulder pain, swelling, and mildly limited range of motion has an exclusive combination of the classic dripping wax lesion in the scapula and the myositis ossificans-like lesion in the deltoid muscle; this combination (...) is the first to be reported in the shoulder. Both lesions showed typical findings of melorheostosis in radiographs, CT, MRI, and bone scan. This case has a stationary course over the follow-up period, and no specific treatment is needed in due course.

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2017 Case reports in orthopedics

12. Shoulder Mass as the Initial Presentation of Metastatic Hepatocellular Carcinoma (PubMed)

Shoulder Mass as the Initial Presentation of Metastatic Hepatocellular Carcinoma 28584845 2019 02 26 2326-3253 4 2017 ACG case reports journal ACG Case Rep J Shoulder Mass as the Initial Presentation of Metastatic Hepatocellular Carcinoma. e72 10.14309/crj.2017.72 Laskar Derek B DB Department of Pathology, SUNY Downstate Medical Center, Brooklyn, NY. Department of Pathology, Kings County Hospital, Brooklyn, NY. Ilyas Ghulam G Department of Pathology, SUNY Downstate Medical Center, Brooklyn, NY

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2017 ACG case reports journal

13. Weightlifting Shoulder Injuries Presenting to U.S. Emergency Departments: 2000-2030. (PubMed)

Weightlifting Shoulder Injuries Presenting to U.S. Emergency Departments: 2000-2030. Weightlifting is associated with a significant risk of shoulder injury. We used the National Electronic Injury Surveillance System (NEISS) database to identify patients presenting to U.S. emergency departments between 2000 and 2017 with weightlifting-associated shoulder injuries to determine how the health burden and demographic characteristics of these patients have changed over time. Our analyses demonstrated (...) a significant increase in the national estimate of weightlifting-associated shoulder injuries between 2000 (N=8.073; C.I. 6.309-9.836) and 2017 (N=14.612; C.I. 12.293-16.930) (p<0.001), with linear regression (R2=0.87, P<0.001) projecting 22.691 national cases by 2030. Patients were most often males (83.3%; C.I. 81.5-85.2%) between 20-29 years of age (30.5%; C.I. 28.2%-32.8%) sustaining a sprain, strain, or muscle tear (65.1%; C.I. 60.4-69.8%). Additionally, the average age of injury (34.33 years; C.I

2019 International Journal of Sports Medicine

14. In adults with sub acromial shoulder pain do psychological factors influence the outcome?

(SPADI & DASH), expectation of complete recovery, lower resting pain, and higher pain self-efficacy may all have positive effects in the outcome of sub acromial shoulder pain function in the short and long term period (1year). Quality of research is limited due to the following: • Missing data common for; younger patients, people not participating in regular leisure exercise and unemployed people. (pattern noted through the wider articles reviewed) • Multiple confounding factors present and single (...) In adults with sub acromial shoulder pain do psychological factors influence the outcome? Getting Evidence into Clinical Practice: Musculoskeletal Research Facilitation Group (CAT Group) Date: January 2019 CAT Lead: Ian Chaffey Date CAT completed: Email: ian.chaffey@nhs.net Date CAT to be reviewed: 2022 Specific Question: In adults with sub acromial shoulder pain do psychosocial factors influence the outcome? Clinical bottom line There is weak evidence to suggest that psychosocial factors

2018 Public Health England

15. Shoulder Brace on Muscle Activation and Scapular Kinematics in Patients With Shoulder Impingement Syndrome and Rounded Shoulder Posture

deviation of scapula. Evidence showed shoulder brace improved degree of RSP by postural correction. However, it is unknown whether shoulder brace with different characteristics (tension and direction) is optimal for muscle activation and scapular kinematics in patients with SIS and RSP. Objective: There are 4 objectives for the present study: (1) to investigate the relationships among degree of RSP, scapular kinematics and muscle activation in SIS patients with RSP; (2) to compare the effect of shoulder (...) Shoulder Brace on Muscle Activation and Scapular Kinematics in Patients With Shoulder Impingement Syndrome and Rounded Shoulder Posture Shoulder Brace on Muscle Activation and Scapular Kinematics in Patients With Shoulder Impingement Syndrome and Rounded Shoulder Posture - 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

2018 Clinical Trials

16. Cardiac surgeon and electrophysiologist shoulder-to-shoulder approach: Hybrid room, a kingdom for two. A zero mortality transvenous lead extraction single center experience. (PubMed)

Cardiac surgeon and electrophysiologist shoulder-to-shoulder approach: Hybrid room, a kingdom for two. A zero mortality transvenous lead extraction single center experience. Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications (...) and mortality. The present paper reports procedural outcomes and complications of our lead extraction experience.We retrospectively collected and analysed data from all consecutive patients undergoing cardiac implantable electronic device leads TLE at the IRCCS Centro Cardiologico Monzino between January 2011 and November 2017.One-hundred fifty patients (111 males, 68 ± 13 years) underwent extraction procedures. The most common extraction indication were infections (86.7%) and TLE was carried out by laser

2019 International journal of cardiology

17. Patients with non-operated traumatic primary or recurrent anterior shoulder dislocation have equally poor self-reported and measured shoulder function: a cross-sectional study. (PubMed)

, clinical tests).In total, 56 patients (34 (28 men) with PASD and 22 (21 men) with RASD) (mean age 26 years) participated. WOSI total was 1064 and 1048, and TSK above 37 (indicating high re-injury fear) was present in 33 (97%) and 21 (96%) of the groups with PASD and RASD, with no group difference. CMS total (66.4 and 70.4), CMS-ROM (28.7 and 31.5), CMS-strength (injured shoulder: 7.6 kg and 9.1 kg), proprioception and clinical tests were the same. Furthermore, 26 (76%) with PASD and 13 (59%) with RASD (...) Patients with non-operated traumatic primary or recurrent anterior shoulder dislocation have equally poor self-reported and measured shoulder function: a cross-sectional study. Patients with non-operated traumatic primary anterior shoulder dislocation (PASD) are assumed to have less shoulder impairment than patients with recurrent anterior shoulder dislocations (RASD). This may impact treatment decision strategy. The aim was to study whether patients with non-operated traumatic PASD have less

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2019 BMC Musculoskeletal Disorders

18. Sex-related differences in patients undergoing surgery for shoulder instability: a Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability cohort study. (PubMed)

in presentation, mechanism of injury, and intraoperative findings. The purpose of this study was to explore these differences.Prospective baseline data from 1010 patients in the Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability cohort were analyzed for sex-related differences using demographic characteristics, patient-reported outcomes, radiographic findings, intraoperative findings, and surgical procedures performed. Two-tailed t tests and χ2 tests were used to compare the continuous (...) Sex-related differences in patients undergoing surgery for shoulder instability: a Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability cohort study. Male sex has been identified as a risk factor for both primary shoulder dislocation and recurrent instability, and male patients more often undergo surgery for instability. Despite published discrepancies between sexes regarding the incidence and surgical rates of shoulder instability, there is little detail on the differences

2019 Journal of Shoulder and Elbow Surgery

19. Electromyographic analysis of shoulder girdle muscle activation while performing a forehand topspin in elite table tennis athletes with and without shoulder impingement syndrome. (PubMed)

Electromyographic analysis of shoulder girdle muscle activation while performing a forehand topspin in elite table tennis athletes with and without shoulder impingement syndrome. Shoulder impingement syndrome is considered to be associated with an altered muscular activity, which is related to strategy changes in the movement plan. The present study aimed to investigate the differences in timing and intensity of activity of shoulder girdle muscles while performing a forehand topspin loop (...) earlier in the impingement group.Results of the present study support the theory that the activation and sequence of recruiting of the shoulder muscles are altered in people with impingement symptoms, suggesting that impingement syndrome may be associated with disturbed timing and activity level of shoulder girdle muscles.Copyright © 2019. Published by Elsevier Inc.

2019 Journal of Shoulder and Elbow Surgery

20. The short-term survival of total stemless shoulder arthroplasty for osteoarthritis is comparable to that of total stemmed shoulder arthroplasty: a Nordic Arthroplasty Register Association study. (PubMed)

, and Sweden and merged into 1 dataset under the umbrella of the Nordic Arthroplasty Register Association. For the present study, we included all patients with osteoarthritis treated with either stemless (n = 761) or stemmed (n = 4398) shoulder arthroplasty from 2011 to 2016.A total of 21 (2.8%) stemless and 116 (2.6%) stemmed shoulder arthroplasties were revised. The 6-year unadjusted cumulative survival rates were 0.953 for stemless shoulder arthroplasty and 0.958 for stemmed shoulder arthroplasty, P (...) The short-term survival of total stemless shoulder arthroplasty for osteoarthritis is comparable to that of total stemmed shoulder arthroplasty: a Nordic Arthroplasty Register Association study. The purpose of this study was to compare the short-term survival rate of total stemless, metaphyseal fixated, shoulder arthroplasty with that of total stemmed shoulder arthroplasty in the treatment of osteoarthritis.Data were collected by the national arthroplasty registries in Denmark, Finland, Norway

2019 Journal of Shoulder and Elbow Surgery

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