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Biomedical subjects

J P Reichmister

Publications and source records attributed to J P Reichmister.

6 recordsLinked to original sources
PubMed1996

Ossification of the coracoacromial ligament: association with rotator cuff pathology of the shoulder.

The objective of this study was to assess the association of ossification of the coracoacromial ligament (CAL) observed on conventional radiographs with the presence of rotator cuff pathology as demonstrated by magnetic resonance imaging (MRI), arthrography, and/or surgery. Conventional radiographs (internal and external rotation and outlet and axillary views) on eight patients showed ossification of the coracoacromial ligament. Rotator cuff integrity was assessed by physical examination in all 8 patients, by arthrography in 3 patients, and by MRI in 2 patients. Surgery was performed on four of the patients. Physical examination showed impingement findings and decreased rotator cuff strength suggestive of rotator cuff disease in all eight patients. The arthrograms and MRI examinations showed the presence of full-thickness rotator cuff tears. Four of these patients underwent surgery and the rotator cuff defects were confirmed and repaired. Identification of ossification of the CAL on conventional radiographs should be recognized as strongly suggestive of associated significant rotator cuff pathology.

Aged↗
PubMed1987

Post-traumatic osteochondroma.

Osteochondromas can arise as primary, spontaneous tumors of bone or in previously irradiated bone. We report a patient who developed an osteochondroma of bone which arose secondary to previous trauma. This has not previously been reported.

Adolescent↗
PubMedDate not supplied

Long-term functional results after manipulation of the frozen shoulder.

The use of shoulder manipulation in the treatment of frozen shoulder syndrome remains controversial. Opponents cite the risk of dislocation, fracture, nerve palsy, and rotator cuff tearing as limiting the usefulness of manipulation. A retrospective study of 38 shoulder manipulations in 32 patients was performed. These patients were followed for an average time of 58 months. The patients were examined in follow up for combined shoulder range of motion, external and internal rotation strength, and status of the long head of the biceps. Manipulation was performed in all patients by the senior author and supervised physical therapy was begun within 24 hours of the manipulation. The average recovery time was 13 weeks. In this series, 97% of patients had relief of pain and recovery of near complete range of motion, although 8% required a second manipulation to obtain a successful result. Mild weakness to manual muscle testing was present in 5.3% of patients in external rotation and 10.5% of patients in internal rotation. There was no deterioration of shoulder function with time. In fact, most patients improved with passage of time, even more. There was no evidence of biceps tendon rupture or rotator cuff insufficiency at the time of follow up in any of the patients. No fractures, dislocations or nerve palsies were observed, although one patient who had no premanipulation arthrogram was found to have a rotator cuff tear a few months after failed manipulation. Manipulation of the shoulder can therefore be offered to reduce the pain and period of disability in patients who fail conservative treatment of frozen shoulder syndrome.

Adult↗
PubMedDate not supplied

The painful os intermetatarseum: a brief review and case reports.

The os intermetatarseum is a relatively uncommon bony anomaly of the foot. It is usually found between the bases of the first and second metatarsal bones and ossifies during adolescence or preadolescence. It can be demonstrated on routine X-ray films of the foot. In three patients presented, the abnormality caused pain. The pain was relieved in two patients treated by excision of the "bony spur." The presence of an os intermetatarseum should be considered in the differential diagnosis of dorsal midfoot pain.

Adult↗