OBJECTIVE To evaluate the impact on recovery, of single subacromial injection of methylprednisolone in patients with persistent, post-traumatic impingement of the shoulder. DESIGN Randomised, controlled study. SETTING Large accident and emergency department in Leicester, UK. PARTICIPANTS 98 patients with persistent, post-traumatic impingement of the shoulder. INTERVENTION Single subacro...

This case report describes the effectiveness of mechanical diagnosis and therapy (MDT) in the management of a patient referred with a diagnosis of shoulder tendonitis. The patient was a 56-year-old male with a 3-month history of left anterior shoulder pain. Upon initial assessment, he presented with a positive open-can test, lift-off test, and Hawkins-Kennedy impingement test. A MDT assessment ...

Shoulder pain is the third most common presentation complain in primary care practice. Age is a factor which plays an important role in predicting injuries. Clavicular fracture is due to traumatic mostly seen in children and adults whereas fractures of the head of the humerus are most commonly seen in the elderly. Shoulder dislocations are more common in teens to the fourth decade. Other condit...

OBJECTIVES This study aims to investigate the effect of acromioclavicular joint (ACJ) degeneration on orthopedic shoulder tests (OST) and to determine complementary role of ACJ injections in the treatment of subacromial shoulder impingements. PATIENTS AND METHODS At a secondary care center, 62 patients (56 females, 6 males; mean age 55.8±9.3 years; range 35 to 74 years) with the clinical and ...

[Purpose] The aim of this study was to evaluate the effects of soft tissue mobilization and PNF on pain level, and shoulder ROM in patients with shoulder impingement syndrome. [Subjects and Methods] Thirty patients with painful and limited glenohumeral ROM activities were selected. The subjects were randomly assigned to an experimental group (n=15), which received treatment consisting of soft t...

OBJECTIVE To compare the effectiveness of subacromial corticosteroid injection combined with timely exercise and manual therapy (injection plus exercise) or exercise and manual therapy alone (exercise only) in patients with subacromial impingement syndrome. DESIGN Pragmatic randomised clinical trial. SETTING Primary care based musculoskeletal service. Patients Adults aged 40 or over with su...

551 nkle impingement syndromes are painful conditions caused by the friction of joint tissues, which is both the cause and the effect of altered joint biomechanics. The leading causes of impingement lesions are posttraumatic ankle injuries, usually ankle sprains, resulting in chronic ankle pain [1]. From anatomic and clinical viewpoints, these syndromes are classified as anterolateral, anterior...

Question: What is the diagnostic accuracy of the physical examination in predicting arthroscopy findings in patients with suspected rotator cuff tear? Design: Cross-sectional study comparing the results of the clinical examination with presence of partial or complete rotator cuff tear on arthroscopy. Setting: Australian orthopaedic surgeon’s practice. Patients: Patients (400) with shoulder inju...

■ QUICK DIAGNOSTIC REVIEW Consider the patient’s age, history of trauma, details of injury, and previous shoulder problems. Observe the patient’s general movements, assess range of motion, and use provocative testing to form a differential diagnosis (Figure 1). If the diagnosis is unclear, arrange for imaging studies (Table 1). A more thorough review for diagnosing shoulder pain may be found in...