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At least 235 records · Page 13Linked to original sources
PubMed2005

Rehabilitation following total shoulder arthroplasty.

Total shoulder arthroplasty (TSA) is a standard operative treatment for a variety of disorders of the glenohumeral joint. Patients, who have continued shoulder pain and loss of function in the presence of advanced joint pathology, despite conservative management, are often managed by undergoing a TSA. The overall outcomes that are reported after surgical intervention are quite good and appear to be primarily determined by the underlying pathology and the tissue quality of the rotator cuff. The current Neer protocol for postoperative TSA rehabilitation is widely used and based on tradition and the basic science of soft tissue and bone healing. The purpose of this paper is to review the indications for TSA, focusing on the underlying pathologies, and to describe the variables that impact the rehabilitation program of individuals who have had a TSA. A postoperative TSA rehabilitation protocol and algorithm, founded on basic science principles and tailored toward the specific clinical condition, are presented.

Arthritis, Rheumatoid↗
PubMed2005

Treatment of war injuries of the shoulder with external fixators.

In this retrospective study, 18 patients with war injuries of the shoulder were reviewed to evaluate the technical problems associated with external fixation and to analyze the incidence of infection and late functional results. The average patient age was 28.5 years. All patients were male. Thirteen patients had explosive wounds, whereas five wounds were caused by gunshot missiles. All injuries were extensive in terms of bone and soft tissue defects. Six patients presented with complex injuries involving neurovascular structures. Sixteen patients were treated with external fixation. Application of the proximal pins of the external fixator through the humeral head was possible in eight patients, the scapula served as the site of proximal fixation in four patients, only the clavicle was available for placement of pins in two patients, and both the scapula and the clavicle had to be pinned to achieve proximal stabilization in two patients. In two patients, fixation was not possible and early amputation was performed. Infection was eventually eradicated in all patients, allowing for adequate soft tissue coverage of the wounds. Analysis of functional results at an average of 6 years after the injury showed a considerable degree of functional deficit in most patients.

Adult↗
PubMed1975

The torn shoulder capsule.

Tears of the shoulder capsule attended by retraction of the edges of the tear, inability to close the gap, and pathological changes in the biceps tendon may be very effectively managed by: (1) a transacromial exposure with a V-shaped osteotomy and subsequent replacement of the acromion with bone screws, and (2) standard repairs of the shoulder capsule after the biceps tendon has been reseated in a newly constructed, more laterally located groove in the head of the humerus. The follow-up results document the value of these procedures done on a group of fourteen patients.

Acromion↗
PubMed1992

[Anatomical bases of ultrasonic examination of the shoulder joint].

Authors present the parts of the shoulder that can be represented by ultrasound. Beside the rotator cuff of accentuated significance (within this, first of all the tendon of the supraspinatus muscle) the subacromial bursa, the tendon of the long head of the biceps, the muscle-tendon junction of the infraspinatus muscle are analysed. It is stated that the ultrasonography is suitable for a reliable representation of the soft tissues, surrounding the shoulder joint, further in possession of literary data they see possibility for a very exact judgement of the pathological alterations, too.

Humans↗
PubMed1992

[Arthroscopy of the shoulder].

Arthroscopy of the shoulder is currently gaining importance because of the diagnostic aid it can provide to understand the pathology of this complex joint, and also because of the technical possibilities it offers for treatment. From a diagnostic point of view, it has allowed, for example, a better understanding of the anatomical lesions observed in instability, or a better analysis of partial rotator cuff lesions. The therapeutic possibilities are the reason for the current enthusiasm for this endoscopic technique: removal of a foreign body, articular washing, synovectomy, ligament reinsertion of abrasion are now accessible with some training. The two indications of shoulder arthroscopy that are most resorted to are the endoscopic treatment of some cases of shoulder instability with reinsertion of disinserted elements at the anterior capsular-ligamentous level, and anterosuperior decompression of the rotator cuff when there is a conflict between this tendinous area and the acromiocoracoid osteoligamentous dome.

Acromion↗