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Shoulder Presentation

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1. Joint replacement (primary): hip, knee and shoulder

Joint replacement (primary): hip, knee and shoulder Joint replacement (primary): hip, knee and shoulder NICE guideline Published: 4 June 2020 www.nice.org.uk/guidance/ng157 © NICE 2020. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Your responsibility Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising (...) . Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Joint replacement (primary): hip, knee and shoulder (NG157) © NICE 2020. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 39Contents Contents Overview 5 Who is it for? 5 Recommendations 6 1.1 Shared decision

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

2. Subacromial decompression surgery for adults with shoulder pain Full Text available with Trip Pro

to 70%) of shoulder pain, and it can impair the ability to work or do household tasks. Most patients presenting with subacromial pain, without a history of trauma, receive a diagnosis of subacromial pain syndrome (SAPS), shoulder impingement, or rotator cuff disease. Each of these labels describe similar clinical presentations, but there is inconsistency about how they are defined and overlap between these diagnoses. Here, we use the term SAPS (see for details of its presentation (...) Subacromial decompression surgery for adults with shoulder pain Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline | The BMJ Intended for healthcare professionals Username * Password * Edition: Search form Search Search Subacromial... Subacromial decompression surgery for adults with shoulder pain: a clinical practice guideline (Published 06 February 2019) Cite this as: BMJ 2019;364:l294 Visual summary of recommendation or Subacromial decompression

2019 BMJ Rapid Recommendations

3. 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)

4. 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

5. A prospective, observational cohort study of patients presenting to an emergency department with acute shoulder trauma: the Manchester emergency shoulder (MESH) project. Full Text available with Trip Pro

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

2017 BMC Emergency Medicine

6. Patient factors influencing outpatient satisfaction in patients presenting with shoulder pain. (Abstract)

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

7. How do we deliver our findings? Analysis of podium presentations at shoulder meetings Full Text available with Trip Pro

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

2018 Journal of orthopaedic surgery and research

8. Delayed Presentation of Shoulder Tuberculosis Full Text available with Trip Pro

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

2018 Case reports in infectious diseases

9. Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia: A case report and literature review. Full Text available with Trip Pro

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

2018 Medicine

10. Hot shoulder PET/CT lesion: Unusual presentation of tenosynovial giant cell tumor Full Text available with Trip Pro

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

2018 Radiology Case Reports

11. 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 (...) . 12. Gottlieb M, Russell F. Diagnostic Accuracy of Ultrasound for Identifying Shoulder Dislocations and Reductions: A Systematic Review of the Literature. West J Emerg Med . 2017;18(5):937-942. [ ] 13. Rotator Cuff and Shoulder Conditioning Program. OrthoInfo. . Accessed 2018. Reviewing with the Staff This is a review of ‘shoulder pain’ as an emergency department presentation. It focuses primarily on musculoskeletal anatomy and physiology and both traumatic and non-traumatic musculoskeletal causes

2018 CandiEM

12. Shoulder Pain - Atraumatic

Shoulder Pain - Atraumatic New 2018 ACR Appropriateness Criteria ® 1 Shoulder Pain–Atraumatic American College of Radiology ACR Appropriateness Criteria ® Shoulder Pain–Atraumatic Variant 1: Atraumatic shoulder pain. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography shoulder Usually Appropriate ? CT arthrography shoulder Usually Not Appropriate ???? CT shoulder with IV contrast Usually Not Appropriate ??? CT shoulder without and with IV contrast Usually (...) Not Appropriate ??? CT shoulder without IV contrast Usually Not Appropriate ??? MR arthrography shoulder Usually Not Appropriate O MRI shoulder without and with IV contrast Usually Not Appropriate O MRI shoulder without IV contrast Usually Not Appropriate O US shoulder Usually Not Appropriate O X-ray arthrography shoulder Usually Not Appropriate ? Variant 2: Atraumatic shoulder pain. Suspect rotator cuff disorders (tendinosis, tear, calcific tendinitis). Initial radiographs normal or inconclusive. Next

2018 American College of Radiology

13. 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 (...) for authorizing shoulder surgery are contained in the review at the beginning of this guideline. If a proposed surgery is not listed, other standard review criteria may be used. For further information on utilization review, see http://www.lni.wa.gov/ClaimsIns/Providers/AuthRef/UtilReview/default.asp VI. Specific Conditions A. Rotator cuff tears Rotator cuff tears can be acute or chronic in onset, and will vary in the thickness of the tissue tear and the presentation of signs and symptoms. Washington State

2018 Washington State Department of Labor and Industries

14. Neck-to-shoulder pain as an unusual presentation of pulmonary embolism in a patient with cervical spinal cord injury: A case report. Full Text available with Trip Pro

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

2017 Medicine

15. Five-year publication rate of clinical presentations at the open and closed American shoulder and elbow surgeons annual meeting from 2005–2010 Full Text available with Trip Pro

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

2016 Journal of experimental orthopaedics

16. A Unique Case of Melorheostosis Presenting with Two Radiologically Distinct Lesions in the Shoulder Full Text available with Trip Pro

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.

2017 Case reports in orthopedics

17. Shoulder Mass as the Initial Presentation of Metastatic Hepatocellular Carcinoma Full Text available with Trip Pro

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

2017 ACG case reports journal

18. 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 (Abstract)

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

19. Utility of ultrasound in the diagnosis of shoulder dislocation

: Green (complete) Three Part Question In [adult patients with clinically presumed shoulder dislocations] is [ultrasound as reliable as radiography] in [identifying shoulder dislocation]? Clinical Scenario A 30-year-old man with a history of remote shoulder dislocation presents with left shoulder pain and decreased range of movement after quickly reaching for the telephone. There was no direct trauma and the clinician is wondering if a shoulder radiograph is necessary. Search Strategy PubMed from (...) Utility of ultrasound in the diagnosis of shoulder dislocation BestBets: Utility of ultrasound in the diagnosis of shoulder dislocation Utility of ultrasound in the diagnosis of shoulder dislocation Report By: Michael Gottlieb, MD - Emergency Ultrasound Director Search checked by Harriet Edwards - Manchester Royal Infirmary, Manchester, UK Institution: Rush Medical Center, Chicago, USA Date Submitted: 16th July 2015 Date Completed: 11th February 2017 Last Modified: 11th February 2017 Status

2017 BestBETS

20. Shoulder Pain-Traumatic

[25]; however, recent studies on US performed for nonspecific shoulder pain have had conflicting results. US for persistent shoulder pain after trauma has been found to diagnose significant pathology, primarily fractures and rotator cuff tears, in 90% of patients [25]. However, 40% of patients presenting with nonspecific shoulder pain were found to have no significant pathology on US [38]. Additionally, US has been demonstrated to be inferior to MRI in assessment of labroligamentous, osseous (...) fracture, a significant hemarthrosis is typically present, allowing for adequate distention of the glenohumeral joint for identification of intra-articular pathology on noncontrast MRI. MR arthrography is generally preferred over noncontrast MRI for evaluating soft-tissue injuries in patients with remote proximal humeral fracture and persistent pain [17,19]. ACR Appropriateness Criteria ® 10 Shoulder Pain–Traumatic US There is no defined role for US in evaluation of proximal humeral fractures. Although

2017 American College of Radiology

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