AbstractPURPOSE: To review the functional and radiological results of patients after coracoclavicular ligament reconstruction. METHODS: Five patients aged 21 to 50 (mean, 37) years with acute Rockwood type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous gracilis tendon grafts. Patients were either active in sports or heavy manual workers. Assessments on shoulder function (using the Constant score), wound size, pain (using a visual analogue scale), and reduction (using radiographs of both acromioclavicular joints) were made. RESULTS: The mean follow-up period was 26 (range, 15-43) months; the mean time to return to work or sports was 14 (range, 12-20) weeks. The mean Constant score was 94 (range, 90-98). The mean donor-site scar size was 3 cm and the mean pain score was 0. No major complication or donor-site morbidity was noted. There was one subluxation. CONCLUSION: Coracoclavicular ligament reconstruction using an autogenous gracilis tendon ...

BOTHA, AH and DU TOIT, AB. Bilateral anterior shoulder dislocation: a case report of this rare entity. SA orthop. j. [online]. 2010, vol.9, n.4, pp.68-70. ISSN 2309-8309.. Unilateral shoulder dislocation is a common condition and often seen at trauma facilities worldwide. In general anterior shoulder dislocations are more common than posterior dislocations. Bilateral shoulder dislocations are rare and of these, bilateral posterior shoulder dislocations are more prevalent than bilateral anterior shoulder dislocations. Bilateral posterior shoulder dislocations are caused by seizures, electrical shock and hypoglycaemia. Bilateral anterior shoulder dislocation is mostly associated with trauma and most have accompanying fractures. We present a case of bilateral anterior shoulder dislocation following minor trauma, with no associated fractures.. ...

Introduction There is a lack of information about the results of surgical treatment and complications in midshaft clavicle fracture non-unions. Our hypothesis was that there is no difference in functional outcomes between the surgical treatment of an acute displaced middle-third clavicle fracture and the surgical treatment of a chronic symptomatic non-union of a displaced middle-third clavicle fracture. Methods This was a case-control study. Fourteen cases were considered with a displaced midshaft clavicle fracture, initially treated non-surgically, but which developed symptomatic non-union and required surgical treatment. The control group was a cohort of 18 patients with a displaced midshaft clavicle fracture, who had surgical treatment in an acute setting (<3 weeks). Our cases had a median follow-up of 77 months and were retrospectively analyzed. All those in the control group had a 12-month prospective follow-up evaluation. The variables measured were Constant score, time to discharge to

Looking for online definition of Acromion process in the Medical Dictionary? Acromion process explanation free. What is Acromion process? Meaning of Acromion process medical term. What does Acromion process mean?

ABSTRACT: BACKGROUND: Posterior dislocation of the shoulder in brachial plexus birth palsy during the first year of life is rare but the incidence increases with age. The aim was to calculate the incidence of these lesions in children below one year of age. METHODS: The incidence of brachial plexus birth lesion and occurrence of posterior shoulder dislocation was calculated based on a prospective follow up of all brachial plexus patients at an age below one in Malmö municipality, Sweden, 2000-2005. RESULTS: The incidence of brachial plexus birth palsy was 3.8/1000 living infants and year with a corresponding incidence of posterior shoulder dislocation (history, clinical examination and x-ray) during the first year of 0.28/1000 living infants and year, i.e. 7.3% of all brachial plexus birth palsies. CONCLUSION: All children with a brachial plexus birth lesion (incidence 3.8 per thousand) should be screened, above the assessment of neurological recovery, during the first year of life for ...

BACKGROUND: Platelet-rich plasma (PRP) has been proposed to augment tendon healing through improving tissue structure during the initial repair phase. PURPOSE: To investigate both the clinical and tissue effects of the coapplication of PRP injection with arthroscopic acromioplasty (AA) in patients with chronic rotator cuff tendinopathy. DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: The study comprised 60 randomized patients diagnosed with rotator cuff tendinopathy (55% women) aged between 35 and 75 years. Patients were randomized to AA alone or in combination with an injection of autologous PRP into the subacromial bursa (AA + PRP). Efficacy of treatment was assessed by analysis of patient-reported outcomes up to 2 years after treatment (Oxford Shoulder Score [OSS]) and by analysis of tendon biopsy specimens taken 12 weeks after treatment. RESULTS: There was no significant difference in the OSS between AA alone and AA + PRP at any time point in the study. From 12 weeks onward,

A joint dislocation, also called luxation, occurs when there is an abnormal separation in the joint, where two or more bones meet. A partial dislocation is referred to as a subluxation. Dislocations are often caused by sudden trauma on the joint like an impact or fall. A joint dislocation can cause damage to the surrounding ligaments, tendons, muscles, and nerves. Dislocations can occur in any joint major (shoulder, knees, etc.) or minor (toes, fingers, etc.). The most common joint dislocation is a shoulder dislocation. Treatment for joint dislocation is usually by closed reduction, that is, skilled manipulation to return the bones to their normal position. Reduction should be done only by trained people, because it can cause injury to soft tissue around the dislocation. The following symptoms are common with any type of dislocation. Intense pain Joint instability Deformity of the joint area Reduced muscle strength Bruising or redness of joint area Difficulty moving joint Stiffness Joint ...

Looking for online definition of AC joint in the Medical Dictionary? AC joint explanation free. What is AC joint? Meaning of AC joint medical term. What does AC joint mean?

The coracoclavicular ligament may be referred to as a complex because it is composed of two parts, the conoid and trapezoid ligaments. The conoid and trapezoid ligaments are continuous inferiorly at the coracoid process attachment but separate at an angle before attaching to the inferior aspect of the clavicle superiorly.[2] These two parts of the coracoclavicular ligament are often separated either by a bursa or by fat.. The conoid ligament attaches to the clavicle at the conoid tubercle, which is posterior medial to the trapezoid tubercle. From superior to inferior, the conoid ligament appears as an inferior pointing cone. Thus, the superior attachment at the clavicle is wide, while the inferior attachment is narrow, wrapping around the posteromedial aspect and root of the coracoid process. The other part of the coracoclavicular ligament, the trapezoid ligament, is typically anterior-lateral to the conoid ligament. It is quadrilateral in shape, as its name implies, and is thinner than the ...

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Treatments for shoulder dislocation and joint instability are offered at Health University of Utah in Salt Lake City and Wasatch Front, UT.

Introduction: Perilunate and lunate dislocations are uncommon high energy injuries and have extensive soft tissue, cartilaginous and bony damage. The most common pattern is trans-scaphoid perilunate fracture dislocation which constitutes approximately 50% of these injuries. Unusual injury pattern like Scaphocapitate syndrome can occur with fracture through scaphoid waist and capitate that rotates the proximal capitate 180° so that its proximal articular surface points distally. With this case report, we would like to present a novel presentation of an uncommon wrist injury. Case report: We present a case of simultaneous lunate dislocation in one wrist and perilunate fracture dislocation (Scapho-capitate syndrome) in the contralateral wrist which occurred simultaneously in a young male following a two wheeler accident. The injury was missed initially at the primary treating centre. Upon diagnosis, the patient underwent open reduction and internal fixation along with ligament repair. The patient was

TY - JOUR. T1 - The scapular assistance test results in changes in scapular position and subacromial space but not rotator cuff strength in subacromial impingement. AU - Seitz, Amee L.. AU - McClure, Philip W.. AU - Finucane, Sheryl. AU - Ketchum, Jessica M.. AU - Walsworth, Matthew K.. AU - Douglas Boardman, N.. AU - Michener, Lori A.. N1 - Copyright: Copyright 2020 Elsevier B.V., All rights reserved.. PY - 2012/5. Y1 - 2012/5. N2 - STUDY DESIGN: Controlled laboratory study. OBJECTIVES: To determine the effect of the modified scapular assistance test (SAT) on 3-dimensional shoulder kinematics, strength, and linear measures of subacromial space in patients with subacromial impingement syndrome (SAIS). TTBACKGROUND: Abnormal scapular kinematics have been identified in patients with SAIS. Increased scapular upward rotation and posterior tilt, as induced with manual assistance using the SAT, have been theorized to increase subacromial space and may alter shoulder strength. METHODS: Forty-two ...

Athletic Training and Sports Health Care | True sternoclavicular joint dislocations are uncommon in athletics. Sternoclavicular joint integrity should be evaluated when a clavicle fracture is suspected, and in younger athletes with a sternoclavicular joint dislocation, diagnostic imaging should be obtained to rule out a physeal fracture. We present a superior sternoclavicular joint dislocation that occurred from a sports-related injury in

The most commonly performed surgical procedure to treat rotator cuff tendinosis, when no full-thickness tear exists, is subacromial decompression (acromioplasty). This procedure is based on the theory that primary acromial morphology, (an extrinsic cause), is the initiating factor leading to the dysfunction and eventual tearing of the rotator cuff.. Subacromial decompression involves surgical excision of the subacromial bursa, resection of the coracoacromial ligament, resection of the anteroinferior portion of the acromion, and resection of any osteophytes from the acromioclavicular joint that are thought to be contributing to impingement.. Several studies have indicated that the vast majority of partial-thickness tears are found on the articular surface of the rotator cuff which is not in keeping with the theory that rotator cuff impingement is primarily a result of acromion morphology.. Burkhart proposed that pathologic changes in the supraspinatus tendon occur primarily as a result of overuse ...

Abstract:. Background and Objective: Femoral shaft fractures account for 1.6% of all Pediatric bony injuries. Angulation, malrotation and shortening are not always corrected effectively. Fixation of femur fractures in children and adolescents by elastic stable intramedullary nailing is becoming widely accepted because of the lower chance of iatrogenic infection and prohibitive cost of in-hospital traction and spica cast care. The objective of the study was to study the functional outcome, duration of union and the complications following the use of elastic nail for femoral shaft fractures in children & adolescents. Method: Children and adolescents between the age group of 5-16 years with Femoral shaft fractures were admitted to Navodaya Medical College and Research, Raichur from August 2011 to August 2012. All patients underwent elastic stable intramedullary nailing fixation for the sustained fracture. Patients were followed up from 3 weeks to 6 months after surgery. A minimum of 30 cases were ...

Expertise, Disease and Conditions: Anterior Shoulder Instability, Arthritis, Arthritis of the Shoulder, Arthroscopic Rotator Cuff Repair, Arthroscopic Surgery, Baseball Injuries, Bone Disorders, Bone Surgery, Fractures, Joint Diseases, Joint Pain, Joint Surgery, Minimally Invasive Surgery, Orthopaedic Shoulder Surgery, Orthopaedic Surgery, Orthopaedics, Rotator Cuff, Rotator Cuff Injuries, Shoulder Arthroscopy, Shoulder Dislocations, Shoulder Disorders, Shoulder Fractures, Shoulder Instability Stabilization Surgery, Shoulder Joint Dislocations, Shoulder Labral Tear, Shoulder Replacement, Shoulder Surgery, Shoulder Ultrasound, Sports Injuries, Sports Injuries to the Shoulder, Sports Medicine, Tendon Surgery, Torn Cartilage, Total Joint Replacement, Upper Extremity, Upper Extremity ...

The scapula also has two prominent projections. Toward the lateral end of the superior border, between the suprascapular notch and glenoid cavity, is the hook-like coracoid process (coracoid = "shaped like a crow's beak"). This process projects anteriorly and curves laterally. At the shoulder, the coracoid process is located inferior to the lateral end of the clavicle. It is anchored to the clavicle by a strong ligament and serves as the attachment site for muscles of the anterior chest and arm. On the posterior aspect, the spine of the scapula is a long and prominent ridge that runs across its upper portion. Extending laterally from the spine is a flattened and expanded region called the acromion or acromial process. The acromion forms the bony tip of the superior shoulder region and articulates with the lateral end of the clavicle, forming the acromioclavicular joint (see Figure 11.1.2). Together, the clavicle, acromion, and spine of the scapula form a V-shaped bony line that provides for the ...

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Shoulder pain is a VERY common problem, especially among individuals over 40 years old. Experts estimate that between 16-30% of the population has experienced shoulder pain in the last month, with subacromial impingement syndrome (SIS) being one of most likely diagnoses made by clinicians.. Why is SIS so common? The short answer is because the ball and socket part of the shoulder joint is shallow to allows for a wide range of motion but at a cost of reduced stability. Factors that can increase one's risk for SIS include increasing age, overhead work, repetitive microtrauma, hypoxia (lack of oxygen), type III acromion shape (a hooked-shaped "roof" over the ball and socket joint), spurs off the acromioclavicular joint and/or front part of the acromion (the roof of the joint), and ligaments becoming calcified.. These risk factors can cause wear-and-tear of the rotator cuff muscle tendon, which can lead to a muscle tendon rupture (partial or complete) over time. In turn, this results in a high ...

This study assessed the diagnostic test accuracy of magnetic resonance imaging (MRI) in the detection of partial- and full-thickness rotator cuff tears in the adult population. A systematic review was conducted of the following electronic databases: Cochrane Central Register of Controlled Trials, Medline, Embase, CINAHL, AMED, ISI Web of Science, Current Controlled Trials, National Technical Information Service, the National Institute for Health Research Portfolio, the UK National Research Register Archive and WHO International Clinical Trials Registry Platform database and reference lists of articles. All studies assessing the sensitivity and/or specificity of MRI for adult patients with suspected rotator cuff tear where surgical procedures were the reference standard were included in the study. A meta-analysis was performed to calculate pooled sensitivity, specificity, likelihood and diagnostic odds ratio values, and summary receiver operating characteristic plots were constructed. Forty-four ...

TY - JOUR. T1 - Bilateral internal derangements of temporomandibular joint. T2 - Evaluation by magnetic resonance imaging. AU - Sanchez-Woodworth, Roberto E.. AU - Tallents, Ross H.. AU - Katzberg, Richard W. AU - Guay, Jeffrey A.. PY - 1988. Y1 - 1988. N2 - Two hundred eleven patients with signs and symptoms of temporomandibular joint (TMJ) internal derangements were referred for magnetic resonance imaging. Both TMJs of each patient were routinely evaluated in this prospective investigation. With 422 joints examined, 29% (61) of the patients had bilaterally normal findings, 21% (45) of the patients had one normal side and one abnormal side, and 50% (105) of the patients showed bilateral internal derangements. This clinical study demonstrated a high likelihood of bilateral internal derangements in patients with symptoms of TMJ internal derangements.. AB - Two hundred eleven patients with signs and symptoms of temporomandibular joint (TMJ) internal derangements were referred for magnetic ...

mee3 - stl file processed Have embodi3D 3D print this model for you. This file was created with democratiz3D. Automatically create 3D printable models from CT scans. pelvis, iliac, bone, animal, veterinary, .stl, 3d, model, lumbar, spine, ribs, thorax, femur, head, sternum, mandible, skull, cervical, sphenoid, maxilla, teeth, canine, incisor, premolar, molar, scapula, clavicle, humerus, sacrum, coccyx, ischium, pubis, obturador, foramen, frontal, temporal, parietal, whole, body,, printable, Superior angle of the scapula, Acromioclavicular joint, Acromion, Spine of the scapula, Clavicle, Coracoid, Lesser tubercle of the humerus, Greater tubercle of the humerus, Humeral head, Glenoid fossa (articular surface), Glenoid process of the scapula, Medial margin of the scapula, Proximal clavicle, Lateral margin of the scapula, Humerus, 3d, model, .stl, printable, bone, ribs ...

Hip arthroscopy, Meniscus transplantation, Biceps tendon surgery, Hip labral repair, Multiligament knee reconstruction,... Cartilage transplantation, Hip preservation surgery, Rotator cuff surgery, ACL surgery, Meniscus repair, Meniscectomy, Bankart repair, Cartilage repair, ACL injury, Patellar tendinitis, Hip labral tear, Patellofemoral instability, Shoulder instability, Rotator cuff injury, Rotator cuff tear, Multiligament knee injury, Shoulder subluxation, Shoulder impingement syndrome, Knee disorder, Patellar tendon tear, Hip instability, Hip impingement, Knee pain, Rotator cuff tendinitis. ...

Post-herpetic neuralgia can be a very severe and debilitating pain syndrome, most frequently affecting the first (ophthalmic) division of the trigeminal nerve.. Post-herpetic neuralgia occurs most commonly in the elderly. It causes sharp or aching pain, and is often associated with allodynia and hypersensitivity.. Treatment is usually directed at the pain, rather than the underlying viral infection. This usually involves gabapentin or other neuropathic pain medications. Transcutaneous electrical stimulation (TENS) may also be helpful.. ...

TY - JOUR. T1 - Intramedullary fixation of humeral shaft fractures using an inflatable nail. AU - Lorich, Dean G.. AU - Geller, David S.. AU - Yacoubian, Shahan V.. AU - Leo, Andrew J.. AU - Helfet, David L.. PY - 2003/10/1. Y1 - 2003/10/1. N2 - Intramedullary fixation has become increasingly popular for humeral shaft fracture treatment. New inflatable intramedullary devices offer indirect reduction and improved load-sharing biomechanics without the need for interlocking screws.. AB - Intramedullary fixation has become increasingly popular for humeral shaft fracture treatment. New inflatable intramedullary devices offer indirect reduction and improved load-sharing biomechanics without the need for interlocking screws.. UR - http://www.scopus.com/inward/record.url?scp=0142217451&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0142217451&partnerID=8YFLogxK. M3 - Article. C2 - 14577523. AN - SCOPUS:0142217451. VL - 26. SP - 1011. EP - 1014. JO - Orthopedics. JF - ...

Fractures of the first rib are very rare and bilateral fractures are even more uncommon.3-9 Bilateral fracture of the second rib has not been described previously. After first rib resection the second rib becomes the most cranial rib and thus takes the place of the former first rib. Second rib fracture after first rib resection can therefore be compared with first rib fractures in patients who have not undergone first rib resection. Several theories on the aetiology of first rib fractures exist.6,7 Traumatic fractures usually involve not only the first rib but also the clavicle or scapula. Considerable force is required to fracture the first rib since it is protected very well by soft tissue and the clavicle and scapula. Non-traumatic fractures occur without adequate trauma and are regarded as stress fractures and usually can be found in the weakest portion of the rib.3-8 Fractures present with upper chest pain and tenderness.3 Some authors have doubted the existence of this type of fracture and ...

Paradigm Spine said today it won coverage for its Coflex interlaminar stabilization device intended to treat lumbar spinal stenosis from AmeriHealth Caritas.. The Coflex interlaminar stabilization system is the New York-based company's flagship device, and is designed for posterior lumbar preservation in patients with moderate to severe spinal stenosis.. With the coverage, an additional 5.3 million individuals will be able to receive treatments with the Coflex device, the company said.. "With this continued payor coverage momentum, we look forward to further expanding access to our Coflex solution, which is backed by more than 90 peer-reviewed published articles, including landmark long-term follow-up clinical studies, and spine medical society guidelines," chair & CEO Marc Viscogliosi said in a press release.. Earlier this month, RTI Surgical (NSDQ:RTIX) agreed to put $300 million on the table for Paradigm Spine and its Coflex lumbar stenosis device.. ...

Shoulder Arthroscopy is a minimally invasive procedure used to treat shoulder problems such as rotator cuff tears, instability, AC joint arthritis and labral tears. To be considered a candidate for shoulder arthroscopy, patients typically have AC joint arthritis, shoulder dislocations, rotator cuff tears, a glenoid labrum tear, cartilage injuries or other kinds of shoulder fractures. The exact procedure of a shoulder arthroscopy will vary for each person, but in general, it begins with general or regional anesthesia. A small incision around the shoulder is then made, so an arthroscope can be inserted to display real-time images of the area. The surgeon will inspect the damaged tissue or joint and surrounding area. Specialized instruments are then used to repair and remove damaged tissues. The instruments are removed and the incision is closed. Post-surgery, you'll most likely have to wear a sling depending on the nature of your procedure. From there it's recommended you undergo physical therapy ...

PART I: SHOULDER. A: Rotator Cuff. 1. Acromioplasty. 2. Rotator Cuff Repair: Open Technique for Partial-Thickness or Small or Medium Full-Thickness Tears 3. Rotator Cuff Repair: Arthroscopic Technique for Partial-Thickness or Small or Medium Full-Thickness Tears 4. Open Repair of Rotator Cuff Tears 5. Arthroscopic Repair of Massive Rotator Cuff Tears. 6. Operative Fixation of Symptomatic Os Acromiale B: Arthritic Shoulder. 7. Humeral Head Resurfacing Arthroplasty, 8. Humeral Hemiarthroplasty with Biologic Glenoid Resurfacing 9. Total Shoulder Arthroplasty 10. Rotator Cuff Tear Arthroplasty: Open Surgical Treatment. 11. Open Unconstrained Revision Shoulder Arthroplasty C: Instability. 12. Closed Treatment of Shoulder Dislocations. 13. Arthroscopic Treatment of Traumatic Anterior Instability of the Shoulder. 14. Open Treatment of Anterior-Inferior Multidirectional Instability of the Shoulder 15. Arthroscopic Treatment of Anterior-Inferior Multidirectional Instability of the Shoulder 16. Anterior ...

TY - JOUR. T1 - Correlation between genotype and supernumerary tooth formation in cleidocranial dysplasia. AU - Suda, N.. AU - Hattori, M.. AU - Kosaki, Kenjiro. AU - Banshodani, A.. AU - Kozai, K.. AU - Tanimoto, K.. AU - Moriyama, K.. PY - 2010/11. Y1 - 2010/11. N2 - Introduction - Cleidocranial dysplasia (CCD, MIM#119600), for which the responsible gene is RUNX2, is a genetic disorder characterized by hypoplasia or aplasia of the clavicles, patent fontaneles, and a short stature. Supernumerary teeth and delayed eruption and impaction of permanent teeth are frequently associated with CCD. Our previous study reported wide intrafamilial variation in supernumerary tooth formation associated with a mutation in the RUNT-domain of RUNX2, suggesting a low correlation between the genotype and supernumerary tooth formation. To further clarify this point, a more precise evaluation was performed. Design - Gene mutational analysis of nine Japanese individuals with CCD was performed. Dental and skeletal ...

Introduction: This report describes a case of irreparable massive rotator cuff tear and axillary nerve palsy associated with shoulder dislocation successfully treated by arthroscopic superior capsule reconstruction (ASCR), with a favorable post-operative outcome. Case Report: A 76-year-old man, injured from a fall while walking, presented to another hospital with right shoulder pain and a limited range of motion (ROM) 3 days after the injury. Given a diagnosis of right shoulder dislocation, he received manual reduction followed by immobilization with a sling. He continued to experience difficulty in performing active ROM exercises of the shoulder and underwent magnetic resonance imaging, which revealed an irreparable extensive rotator cuff tear involving the supraspinatus and infraspinatus muscles. He was then referred to our hospital 2 months after the injury. Examination revealed atrophy of the supraspinatus and infraspinatus muscles, atrophy of the deltoid muscle and hypoesthesia, likely due to

COERTZE, PJ et al. Clinical outcomes after arthroscopic rotator cuff repair. SA orthop. j. [online]. 2008, vol.7, n.3, pp.24-25. ISSN 2309-8309.. BACKGROUND: Despite the fact that a few studies have reported good results following arthroscopic rotator cuff repair, other studies have raised concern regarding the biomechanical strength and integrity of arthroscopic rotator cuff repair. The purpose of this study was to independently evaluate the clinical results after arthroscopic rotator cuff repair. METHODS: We performed an independent retrospective review of 42 consecutive patients who underwent arthroscopic decompression and rotator cuff repair between 01 October 2002 and 30 November 2006. Indications for surgery were pain and decreased shoulder function that did not respond to conservative treatment. Complete data were available for a minimum of 12 months postoperatively. The patients were evaluated both pre-operatively and at follow-up using a Visual Analogue Pain Score (VAS), the American ...

Persistently high failure rates that are reported after rotator cuff repairs have encouraged greater understanding of the pathophysiology that underlies rotator cuff tears. Biologic changes that contribute to the pathogenesis of rotator cuff tears and tendinopathies, as well as adaptation after these changes, have been well described. A subset of patients with a genetic predisposition to early onset of rotator cuff tears and earlier symptom and disease progression have been identified. Many biologic changes occurring at the gene level have been identified. Pathways that are believed to contribute to rotator cuff tendinopathies include extracellular matrix remodeling, angiogenesis, changes in metabolism, apoptosis, and stress-related genes. Metaplasia of rotator cuff cells is contributed to by changes in gene expression. Modification of these gene changes may be possible through mechanical loading, drugs, or cellular manipulation. Gene changes may offer greater insight into why certain tears fail to heal

TY - JOUR. T1 - Supraclavicular resection of a cervical rib causing thoracic outlet syndrome. T2 - 2-dimensional operative video. AU - Burks, Stephen Shelby. AU - Wolfe, Erin M.. AU - Yoon, Jang Won. AU - Levi, Allan D.. N1 - Publisher Copyright: Copyright © 2020 by the Congress of Neurological Surgeons. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.. PY - 2020/11/1. Y1 - 2020/11/1. N2 - Presence of a cervical rib results from overdevelopment of the seventh cervical vertebrae.1-3 The cervical rib along with scalene muscles can cause neurogenic thoracic outlet syndrome.4,5 Rib resection is typically done via anterior approach, using either supraclavicular or transaxillary route.6,7 We present an operative video detailing supraclavicular resection of a cervical rib causing neurogenic thoracic outlet syndrome with direct decompression of the lower trunk of the brachial plexus. The patient presented with severe symptoms including hand atrophy. We were able to directly visualize the ...

SITE DISCLAIMER: Do these products "cure" anything? Of course not… but it stands to reason that if you cleanse your body and feed it the finest nutrition available, giving it everything it needs in balance, on a daily basis, that your body will do what nature intended, and give you the best possible chance to fend off sickness and disease. This Temporomandibular joint disorder information is not presented by a medical practitioner and is for educational and informational purposes only. The Temporomandibular joint disorder content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any Temporomandibular joint disorder questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read ...

Introduction: Vascular injury associated with closed posterior elbow dislocations is rare and it usually occurs along with open dislocation, anterior dislocation, penetrating injuries, dislocations associated with fracture. We report such a case of We report such a case of closed posterior elbow dislocation with complete brachial artery rupture. Case Report: A 58 year old lady sustained a posterior dislocation of right elbow following a fall at home. She presented three days later with complaints of severe pain, swelling around the right elbow and numbness of fingers following a closed reduction done elsewhere. Compute Tomography Computed tomography-angiography showed complete transection of brachial artery. Patient was treated with thrombectomy, right great saphenous vein interposition repair of brachial artery and forearm fasciotomy. Conclusion: Posterior dislocation of elbow with vascular injury, though a rare condition, early diagnosis and treatment of the vascular injury is the key to prevent

BACKGROUND: Radial head fractures can occur in isolation or in association with elbow and forearm injuries. Treatment options include nonoperative management, fragment or whole-head excision, open reduction and internal fixation (ORIF), and radial head arthroplasty. However, the evidence supporting ORIF for repairable radial head fractures is inconclusive.. QUESTIONS/PURPOSES: We compared patients undergoing ORIF for isolated radial head fractures or for radial head fractures associated with other fractures or elbow dislocations in terms of patient-related disability, presence of posttraumatic arthritis, complications, and rate of reoperation for capsular release.. METHODS: Between 1997 and 2008, 52 patients underwent ORIF of the radial head for isolated radial head fractures (simple group) and 29 underwent ORIF for radial head fracture with an associated fracture or dislocation (complex group). General indications for ORIF included displaced radial fractures, large articular surface fragments, ...

BACKGROUND: Uncertainty exists regarding the best management of patients with degenerative tears of the rotator cuff. OBJECTIVE: To evaluate the clinical effectiveness and cost-effectiveness of arthroscopic and open rotator cuff repair in patients aged ≥ 50 years with degenerative rotator cuff tendon tears. DESIGN: Two parallel-group randomised controlled trial. SETTING: Nineteen teaching and district general hospitals in the UK. PARTICIPANTS: Patients (n = 273) aged ≥ 50 years with degenerative rotator cuff tendon tears. INTERVENTIONS: Arthroscopic surgery and open rotator cuff repair, with surgeons using their usual and preferred method of arthroscopic or open repair. Follow-up was by telephone questionnaire at 2 and 8 weeks after surgery and by postal questionnaire at 8, 12 and 24 months after randomisation. MAIN OUTCOME MEASURES: The Oxford Shoulder Score (OSS) at 24 months was the primary outcome measure. Magnetic resonance imaging evaluation of the shoulder was made at 12 months after surgery

Rotator Cuff Tear and Tendinitis. • Shoulder Dislocation. • Adhesive capsulitis/ Frozen Shoulder. • Bursitis. Treatment. • Physiotherapy. • Shock wave therapy. • Anti-inflammatory Injection. • Arthroscopy. • Arthroscopic repair and acromioplasty. WHAT IS A ROTATOR CUFF TEAR?. The rotator cuff is the network of muscles and tendons that forms a covering around the top of the upper arm bone (humerus). The rotator cuff holds the humerus in place in the shoulder joint and enables the arm to rotate.. Rotator cuff tear is a common cause of pain and disability among adults. Most tears occur in the supraspinatus muscle, but other parts of the cuff may be involved.. WHAT IS SHOULDER IMPINGEMENT?. The most common cause of rotator cuff problems is a disorder known as impingement where the cuff impinges against the acromion, which overhangs the rotator cuff. In some people, this space is inadequate to allow the normal smooth gliding movements of the rotator cuff as it moves the arm. Every ...

TY - JOUR. T1 - Risk factors for dislocation after primary total hip replacement. T2 - a systematic review and meta-analysis of 125 studies involving approximately five million hip replacements. AU - Kunutsor, Setor K. AU - Barrett, Matthew. AU - Beswick, Andrew D. AU - Judge, Andrew. AU - Blom, Ashley W. AU - Wylde, Vikki. AU - Whitehouse, Michael R. PY - 2019/9/9. Y1 - 2019/9/9. N2 - Background:Dislocation following total hip replacement (THR) is associated with repeated hospitalisations and substantial costs to the health system. Factors influencing dislocation following primary THR are not well understood. We aimed to assess the associations of patient-, surgery-, implant- and hospital-related factors with dislocation risk following primary THR.Methods:We did a systematic review and meta-analysis of all longitudinal studies reporting these associations. We searched MEDLINE, Embase, Web of Science, and Cochrane Library to March 8, 2019. Summary measures of association were calculated using ...

Shoulder Impingement….Yes, We Get It.. Roughly 10-15 times per week, I get emails from folks who claim that they have "shoulder impingement." Honestly, I roll my eyes the second I read these emails.. Don't get me wrong: I'm not making light of their pain. It's just that it drives me crazy when doctors throw this blanket statement out there. I will be completely and 100% clear with the following statement:. Shoulder impingement is a physiological norm. Everyone - regardless of age, activity level, sport of choice, acromion type, gender, you name it - has it.. Don't reach up to touch that mouse on your computer; you'll aggravate your impingement and your supraspinatus will explode!. And, don't scratch that itch on the back of your neck; your impingement will go crazy and your labrum will disintegrate!. Don't believe me? Check out research from Flatow et al. from 1994.. Yes, this has been out since 1994.. So, the next logical question is: why do some people have pain with impingement while others ...

Many individuals who have a primary complaint of shoulder pain often demonstrate deficits in glenohumeral and scapulothoracic mobility. Typically individuals will have limitations in shoulder range of motion, specifically, flexion (elevation) as well as external and internal rotation. Although the glenohumeral joint is the primary joint for shoulder motion adjacent joints such as the sternoclavicular, acromioclavicular, scapulothoracic, and thoracic spine also contribute to maximal shoulder motion. Limited shoulder motion may be a result of joint hypomobility, muscle inhibition, or pain. Typically interventions such as stretching and joint mobilization/manipulation are directed at the glenohumeral joint to improve shoulder motion, but little is known about interventions targeting adjacent sites which may also improve shoulder range of motion. This study will evaluate the effect of thoracic spine joint manipulation on active and passive shoulder range of motion ...

The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint; the injury disrupts the forearm axis joint. The Galeazzi fracture is named after Ricardo Galeazzi (1866-1952), an Italian surgeon at the Instituto de Rachitici in Milan, who described the fracture in 1934. However, it was first described in 1842, by Cooper, 92 years before Galeazzi reported his results. Galeazzi fractures account for 3-7% of all forearm fractures. They are seen most often in males. Although Galeazzi fracture patterns are reportedly uncommon, they are estimated to account for 7% of all forearm fractures in adults. They are associated with a fall on an outstretched arm. Pain and soft-tissue swelling are present at the distal-third radial fracture site and at the wrist joint. This ...

Looking for online definition of cervical spine injury in the Medical Dictionary? cervical spine injury explanation free. What is cervical spine injury? Meaning of cervical spine injury medical term. What does cervical spine injury mean?

Treatment of A clavicle fracture is a break in the clavicle bone (also called the collarbone). It connects the sternum (breastplate) to the shoulder, The clavicle can fracture in three different places, Middle Third - the middle portion of the clavicle, which is the most common site for a clavicle fracture, Distal Third - the end of the clavicle connecting to the shoulder, Medial Third - the end of the clavicle connecting to the sternum, Clavicle Fracture, Clavicle Bone, Collar Bone Fracture, Broken Clavicle Bone, Clavicle Bone Pain, Clavicle Bone Type, Clavicle Fracture Surgery, Clavicle Fracture Treatment, Clavicle Stress Fracture

Shoulder instability is caused due to frequent dislocation of the shoulder joint. Dr Eric Strauss offers treatment for shoulder dislocation in New York.

There are a variety of surgical treatment procedures to correct canine hip dysplasia. For young dogs, juvenile pubic symphysiodesis helps to correct hip dysplasia before the condition progresses by surgically fusing the bones of the hip joint. A triple pelvic osteotomy may be the best option for a dog with bone damage but no severe joint troubles. In this procedure, the bones of the hip joint are broken and reset to correct the joint separation. This is a more invasive surgery than symphysiodesis and is also quite expensive, but success rates are very high. In older dogs, a canine hip replacement may be a viable option. This procedure replaces the defective joint or joints with prosthetic hip joints. If both hips require replacement, the surgery will typically be conducted in two stages. This procedure is also quite expensive, but very successful. A final surgical option is femoral head ostectomy, in which the femur alone is replaced with a prosthetic joint. This treatment works best on smaller ...

TY - CHAP. T1 - Anterior mediastinalmass with total occlusion of the superior vena cava and distal tracheal compression. AU - Goins, Andrew. AU - Nyhan, Daniel. PY - 2010/1/1. Y1 - 2010/1/1. N2 - The case A 28-year-old female, with a medical history significant for mitral valve prolapse, has developed progressively worsening cough and orthopnea of 3 months' duration. A chest radiograph and computed tomograph (CT) revealed the presence of a large anterior mediastinal mass measuring 12 × 10 cm, with significant distal tracheal mass effect, but without occlusion. Chest CT also revealed dilated collateral venous involvement and a superior vena cava totally encased and occluded by the mass, which was suspicious for lymphoma. Efforts to diagnose the mass via transbronchial biopsy and supraclavicular lymph node sampling were nondiagnostic, so the patient was referred to a thoracic surgeon for mediastinoscopy and biopsy. In the days leading up to her procedure, her symptoms worsened, and she required ...

Segments. The global bone graft substitute market has been segmented on the basis of type and application. Based on type, the market has been segmented as autograft, demineralized bone matrix, synthetic bone grafts, bone morphogenetic protein, and others. Based on the application, the market has been segmented as a spinal fusion, joint reconstruction, long bone, dental, foot & ankle, and others.. Browse Full Report Details @ https://www.marketresearchfuture.com/reports/bone-graft-substitutes-market. Regional analysis. The US accounts for the significant market share due to extensive use of medications and greater expenditure on health care. The fastest uptake of new technology and devices in the US is also an important driver of the global bone graft substitute market. The concentration of the major medical device manufacturers in the developed regions is also adding fuel to the market.. Europe is the second largest market due to a high disposable income and rising awareness regarding bone graft ...