Search

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjmed.2005.01.040 Byline: Michael C. Koester, Michael S. George, John E. Kuhn Abstract: Subacromial impingement syndrome is a common cause of shoulder pain. The purpose of this article is to review the clinical presentation, physical examination findings, and differential diagnosis of impingement syndrome. Using an evidence-based approach, we propose an algorithm for the management of subacromial impingement syndrome including indications for nonoperative management, advanced imaging, and operative management. Author Affiliation: Vanderbilt Shoulder Center, Vanderbilt Sports Medicine, Nashville, Tennessee.

A case of bilateral posterior shoulder fracture-dislocations following an epileptic seizure due to chronic alcohol abuse is described. The fracture-dislocations were missed primarily and were interpreted clinically as hemiparesis of the right arm with no damage to the left shoulder before they were diagnosed and treated firstly with closed reduction and later by open reduction and internal fixation. Treatment was operative with bilateral interlocking plates followed by bandaging with loose slings for four weeks with subsequent active physiotherapy. Results at follow-up after 38 weeks were excellent with Constant Shoulder Scores of 51/47 and no redislocations occurring., Introduction Bilateral posterior shoulder fracture-dislocation is very rare, with only about 30 cases described in the literature [10]. Fewer than 5% of shoulder dislocations are posterior and an associated fracture [...]

This case report brings to our attention a rare instance of a missed posterior shoulder dislocation, along with a clavicular fracture on the same side. These dislocations have a high chance of being overlooked on their own and there are no previous reports of such an injury in combination with fracture of the clavicle on the same side. This article seeks to highlight the importance of having a high degree of suspicion and diligent examination of the patient., Table of Contents Abstract Introduction Presentation Outcome Measures Discussion References Introduction Fractures of the distal clavicle are common injuries. Posterior dislocation of the shoulder is rare and accounts for approximately [...]

Byline: Quill, Scott Avoid the hurt A drug approved to treat knee pain may also alleviate ailing shoulders, report Columbia University researchers. They found that injections of sodium hyaluronate reduced [...]