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Shoulder Subluxation

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2. The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke. Full Text available with Trip Pro

The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke. BACKGROUND The aim of this study was to investigate the effect of active shoulder exercise with a sling suspension system on shoulder subluxation, proprioception, and upper extremity function in patients with acute stroke. MATERIAL AND METHODS Thirty-six patients with acute stroke and shoulder subluxation were randomly (...) assigned into two groups. The study group (n=18) received active shoulder exercise with a sling suspension system, and the control group (n=18) received bilateral arm training for 40 minutes, for five days a week, for four weeks. The outcome measures before and after the intervention included measurement of shoulder subluxation distance, shoulder proprioception, the Fugl-Meyer assessment (FMA) scale, and the manual function test (MFT). RESULTS Comparison of the study group with the control group showed

2019 Medical science monitor : international medical journal of experimental and clinical research Controlled trial quality: uncertain

3. Atypical traumatic anterior shoulder instability with excessive joint laxity: recurrent shoulder subluxation without a history of dislocation Full Text available with Trip Pro

Atypical traumatic anterior shoulder instability with excessive joint laxity: recurrent shoulder subluxation without a history of dislocation No previously published studies have examined recurrent traumatic incomplete events in patients with excessive joint laxity. The purpose of this study is to investigate outcomes after arthroscopic stabilization for recurrent traumatic shoulder subluxation in patients with excessive joint laxity but no history of dislocation.This study included 23 patients (...) with glenoid bone defects less than 20% who underwent arthroscopic stabilization of recurrent shoulder subluxation and were available for at least 2 years follow-up. Outcomes were assessed with the subjective shoulder value (SSV), University of California Los Angeles (UCLA) shoulder score, Rowe score, and sports/recreation activity level.Postoperatively, overall functional scores improved significantly (p <  0.001), compared to preoperative scores: SSV improved from 49.1 to 90.4; Rowe score improved from

2018 Journal of orthopaedic surgery and research

4. Mid-term results of reverse shoulder arthroplasty for glenohumeral osteoarthritis with posterior glenoid deficiency and humeral subluxation. (Abstract)

Mid-term results of reverse shoulder arthroplasty for glenohumeral osteoarthritis with posterior glenoid deficiency and humeral subluxation. Results of anatomic shoulder arthroplasty for glenohumeral osteoarthritis with severe glenoid retroversion are unpredictable with a high rate of glenoid loosening. Reverse shoulder arthroplasty (RSA) has been suggested as an alternative, with good early results. We sought to confirm this at longer follow-up (minimum 5 years). The study hypothesis (...) with posterior glenoid deficiency and humeral subluxation without rotator cuff insufficiency resulted in excellent clinical outcomes at a minimum of 5 years of follow-up.Copyright © 2019 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

2019 Journal of Shoulder and Elbow Surgery

5. Effects of functional electrical stimulation-cycling on shoulder pain and subluxation in patients with acute-subacute stroke: a pilot study. (Abstract)

Effects of functional electrical stimulation-cycling on shoulder pain and subluxation in patients with acute-subacute stroke: a pilot study. Functional electrical stimulation (FES)-cycling is a technique used to provide voluntary muscle contraction during a functional task. The aims were primarily to determine the effects of FES-cycling on shoulder pain and subluxation, and secondarily to evaluate the improvement of upper extremity motor function in patients with acute-subacute stroke patient (...) . In this prospective trial, 21 patients with acute-subacute stroke, randomly assigned into the FES-cycling group or the standard rehabilitation program (control group). Analyses of shoulder subluxation were carried out by radiography. The numeric rating scale was used to evaluate the intensity of pain, Fugl-Meyer and Frenchay arm tests for motor function, and functional independence measure for functional status. The outcome data were evaluated at baseline and at the end of 4-week treatment. Intragroup comparisons

2019 International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation Controlled trial quality: uncertain

6. Post-Surgical Transitory Inferior Subluxation of Shoulder Full Text available with Trip Pro

Post-Surgical Transitory Inferior Subluxation of Shoulder 30402531 2018 11 14 2322-2522 6 4 2018 Oct Bulletin of emergency and trauma Bull Emerg Trauma Post-Surgical Transitory Inferior Subluxation of Shoulder. 379-380 10.29252/beat-060419 Khanna Vikram V Department of Orthopedics, Ranjana Hospital, Allahabad, India. eng Journal Article Iran Bull Emerg Trauma 101614018 2322-2522 2018 11 8 6 0 2018 11 8 6 0 2018 11 8 6 1 ppublish 30402531 10.29252/beat-060419 PMC6215063 J Coll Physicians Surg (...) Pak. 2014 Jun;24(6):444-5 24953924 J Shoulder Elbow Surg. 1997 Jul-Aug;6(4):356-9 9285875

2018 Bulletin of emergency & trauma

7. The Ramp Test: An Arthroscopic Technique for Confirming Intra-articular Subluxation and Instability of the Long Head of the Biceps Tendon Within the Shoulder Full Text available with Trip Pro

The Ramp Test: An Arthroscopic Technique for Confirming Intra-articular Subluxation and Instability of the Long Head of the Biceps Tendon Within the Shoulder Shoulder arthroscopy in expert hands is now a tool for diagnosis and treatment. Diagnostic shoulder arthroscopy begins with a systematic review of the shoulder. This review should include the ramp test for confirming normal superior glenohumeral ligament (SGHL) integrity and function. The ramp test uses manipulation of the biceps tendon (...) to achieve this. A negative ramp test finding means that the SGHL is intact and the biceps tendon moves freely down in a V-type pattern. A positive ramp test finding results when the biceps tendon subluxates through a failed SGHL and therefore presents with a U-shaped pattern indicating pathology. Intra-articular biceps tendon instability occurs due to SGHL tearing, which can lead to upper subscapularis rotator cuff partial tears or complete tears either acutely or over time.

2018 Arthroscopy techniques

8. Guidelines for humeral subluxation cutoff values: a comparative study between conventional, reoriented, and three-dimensional computed tomography scans of healthy shoulders. (Abstract)

Guidelines for humeral subluxation cutoff values: a comparative study between conventional, reoriented, and three-dimensional computed tomography scans of healthy shoulders. The humeral subluxation index (HSI) is frequently assessed on computed tomography (CT) scans in conditions of the shoulder characterized by humeral displacement. An arbitrarily set HSI cutoff value of 45% for anterior subluxation and 55% for posterior subluxation has been widely accepted. We studied whether mean values (...) and thresholds of humeral subluxation, in relation to the glenoid and scapula, were influenced by different imaging modalities.The HSIs referenced to the scapula (SHSI) and glenoid (GHSI) were compared between conventional CT scans, CT scans reoriented into the corresponding reference plane (ie, scapular plane for the SHSI and glenoid center plane for the GHSI), and 3-dimensional (3D) CT reconstructions of 120 healthy shoulders. The 95% normal range determined the cutoff values of humeral subluxation.The

2017 Journal of Shoulder and Elbow Surgery

9. The effect of glenoid component version and humeral polyethylene liner rotation on subluxation and impingement in reverse shoulder arthroplasty. (Abstract)

The effect of glenoid component version and humeral polyethylene liner rotation on subluxation and impingement in reverse shoulder arthroplasty. A previously validated finite element modeling approach was used to determine how changes in glenoid component version and polyethylene liner rotation within the humeral component affect the arm abduction angle at which impingement between the inferior glenoid and the polyethylene liner occurs as well as the amount of subluxation generated (...) the scapula, produced the least amount of subluxation. The 90° and 120° posterior liner rotations produced no subluxation, whereas the 30° and 60° anterior liner rotations produced the greatest amount of subluxation.These results indicate that rotating modern radially asymmetric humeral polyethylene liners posteriorly can reduce the risk of subluxation leading to dislocation and increase external rotation range of motion.Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published

2017 Journal of Shoulder and Elbow Surgery

10. TREATMENT OF ANTERIOR SHOULDER SUBLUXATION USING THE MULLIGAN CONCEPT AND REFLEX NEUROMUSCULAR STABILIZATION: A CASE REPORT Full Text available with Trip Pro

TREATMENT OF ANTERIOR SHOULDER SUBLUXATION USING THE MULLIGAN CONCEPT AND REFLEX NEUROMUSCULAR STABILIZATION: A CASE REPORT Shoulder instability, a common issue among athletes who engage in contact sports, may lead to recurrent subluxations, or partial dislocations of the shoulder. Young athletic patients generally respond poorly to the nonsurgical treatments for shoulder instability that are commonly utilized. The purpose of this case report is to describe the effects of the treatment guided (...) by the Mulligan Concept (MC) coupled with reflex neuromuscular stabilization (RNS) also known as reactive neuromuscular training (RNT), on an adolescent football player with glenohumeral joint (GHJ) instability who sustained a traumatic anterior subluxation.The MC shoulder Mobilization with Movement (MWM) and RNS were applied in the treatment of an anterior shoulder subluxation injury sustained by a competitive adolescent football player. The Numeric Pain Rating Scale (NPRS), the Disability in the Physically

2017 International journal of sports physical therapy

11. Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders Full Text available with Trip Pro

Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders To evaluate the usefulness of ultrasonographic acromion-greater tuberosity distance measurement and Shoulder ratio in detecting post-stroke inferior shoulder subluxation.Forty-five hemiplegic stroke patients and 45 controls underwent shoulder sonography to measure their acromion-greater tuberosity distance. Side-to-side acromion-greater tuberosity distance differences and Shoulder ratios were derived from (...) distance values were 2.8 ± 0.6 cm and 2.4 ± 0.4 cm, respectively (p = 0.001). Hemiplegic and control shoulder ratios were 1.3 ± 0.3 and 1.1 ± 0.1, respectively; p < 0.001. Point biserial correlation showed that the presence of subluxation correlated moderately with higher shoulder ratios in all the hemiplegics (rpb = 0.520; p < 0.001).Our results suggest that acromion-greater tuberosity distance measurement is useful for detecting inferior shoulder subluxation. Shoulder ratio may be of complementary

2017 Journal of Ultrasonography

12. Effects of taping for management of shoulder subluxation post-stroke: a systematic review and meta-analysis of randomized trials

Effects of taping for management of shoulder subluxation post-stroke: a systematic review and meta-analysis of randomized trials Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2019 PROSPERO

13. A randomized controlled trial on the immediate and long-term effects of arm slings on shoulder subluxation in stroke patients. (Abstract)

A randomized controlled trial on the immediate and long-term effects of arm slings on shoulder subluxation in stroke patients. Arm slings are often used in clinical practice to support the hemiplegic arm aiming to prevent or treat glenohumeral subluxation. Evidence supporting the corrective effect of slings on subluxation is scarce and long-term studies are lacking.The aim of this study was to determine both the immediate and long-term effect on acromiohumeral distance using the Actimove® sling (...) and Shoulderlift and to determine the effect of slings on pain and passive range of motion of the shoulder in stroke patients with glenohumeral subluxation.Randomized control trial.Hospital inpatients.Stroke patients.Twenty-eight stroke patients, with severe upper limb impairments, were randomly allocated to 3 groups (Actimove, Shoulderlift, No sling). Patients wore their supportive device for 6 weeks and no sling in the control group. Immediate and postinterventional effect on acromiohumeral distance

2017 European journal of physical and rehabilitation medicine Controlled trial quality: uncertain

14. Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. (Abstract)

Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Acute anterior shoulder dislocation, which is the most common type of dislocation, usually results from an injury. Subsequently, the shoulder is less stable and is more susceptible to re-dislocation or recurrent instability (e.g. subluxation), especially in active young adults. After closed reduction, most of these injuries are treated with immobilisation of the injured arm in a sling or brace (...) there is a difference between the two interventions in the number of participants experiencing instability, defined as either re-dislocation or subluxation (RR 0.84, 95% CI 0.62 to 1.14; 395 participants, 3 studies; very low certainty evidence).Data on adverse events were collected only in an ad hoc way in the seven studies. Reported "transient and resolved adverse events" were nine cases of shoulder stiffness or rigidity in the external rotation group and two cases of axillary rash in the internal rotation group

2019 Cochrane

15. Shoulder Subluxation

Shoulder Subluxation Shoulder Subluxation 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 Subluxation Shoulder Subluxation (...) Aka: Shoulder Subluxation , Glenohumeral Subluxation , Humeral Head Subluxation From Related Chapters II. Definition Inferior displacement of the humeral head III. Etiologies Suggests Hypotonicity (e.g. ) or other CNS Disorder IV. Diagnostics (EMG) Evaluates for neuropathic cause Indicated for atraumatic subluxation V. Management See s after injury healed VI. Course Muscle tone returns after injury resolves Images: Related links to external sites (from Bing) These images are a random sampling from

2018 FP Notebook

16. Exam Series: Guide to the Shoulder Exam

there are signs of neurovascular injury or skin tenting. Shoulder dislocations and proximal humeral fractures with subluxation may appear similarly on clinical exam but have drastically different management, the later often requiring orthopedic consultation and potential operative intervention 5 . Some physicians will forgo an X-ray prior to reduction in a patient with a history of recurrent dislocations with a history and physical exam consistent with dislocation in the absence of significant trauma (...) 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

2018 CandiEM

17. Shoulder Pain - Atraumatic

, tenosynovitis, subluxation, and frank dislocation are readily assessed. Provocative maneuvers may be helpful while observing in real time to assess the degree of subluxation. US guidance is the method of choice in performing image-guided tendon sheath injection. ACR Appropriateness Criteria ® 11 Shoulder Pain–Atraumatic Nuclear Medicine Nuclear medicine studies are not routinely used in the evaluation of suspected biceps tendinitis, dislocation, or tear. Variant 7: Pain after rotator cuff repair. Initial (...) 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

2018 American College of Radiology

18. Shoulder Conditions Diagnosis and Treatment Guideline

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 (...) Department of Labor and Industries Medical Treatment Guideline for Shoulder Diagnosis and Treatment –updated May 2018 D. Acromioclavicular dislocation 20 Diagnosis and treatment 20 Diagnosis and treatment 22 E. Acromioclavicular arthritis 23 Diagnosis and treatment 23 F. Glenohumeral dislocation 23 Diagnosis and treatment 23 G. Tendon rupture or tendinopathy of the long head of the biceps 24 H. Glenohumeral arthritis and arthropathy 25 I. Manipulation under anesthesia/arthroscopic capsular release 25 J

2018 Washington State Department of Labor and Industries

19. Shoulder Pain-Traumatic

Shoulder Pain-Traumatic Revised 2017 ACR Appropriateness Criteria ® 1 Shoulder Pain–Traumatic American College of Radiology ACR Appropriateness Criteria ® Shoulder Pain–Traumatic Variant 1: Traumatic shoulder pain. Any etiology. Initial imaging. Procedure Appropriateness Category Relative Radiation Level X-ray 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 ??? FDG-PET/CT skull base to mid-thigh 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 Tc-99m bone scan shoulder Usually Not Appropriate ??? US shoulder Usually Not Appropriate O Variant 2: Traumatic shoulder pain. Nonlocalized shoulder pain. Negative radiographs

2017 American College of Radiology

20. The three-dimensional glenohumeral subluxation index in primary osteoarthritis of the shoulder. (Abstract)

The three-dimensional glenohumeral subluxation index in primary osteoarthritis of the shoulder. Assessment of glenohumeral subluxation is essential in preoperative planning of total shoulder arthroplasty. The purpose of this study was to evaluate a 3-dimensional (3D) glenohumeral subluxation index (GHSI) in shoulders with primary osteoarthritis (OA) and its relationship with morbid glenoid retroversion.The 3D computed tomography reconstructions of 120 healthy shoulders and 110 shoulders (...) correlation was observed in the OA group (r = -0.542; P < .001), but weak linear relationships were found for different glenoid morphology types (r between 0.041 and -0.307). Type A shoulders (r = -0.375; P = .006) correlated better than type B shoulders (r =  -0.217; P = .104). After shoulders were subcategorized according to a threshold for 3D subluxation, the posteriorly subluxated group increased its correlation (r = -0.438; P < .001), whereas the centered shoulders still exhibited no relationship (r

2016 Journal of Shoulder and Elbow Surgery

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