OBJECTIVE To review the efficacy of common interventions for shoulder pain. DESIGN All randomised controlled trials of non-steroidal anti-inflammatory drugs, intra-articular and subacromial glucocorticosteroid injection, oral glucocorticosteroid treatment, physiotherapy, manipulation under anaesthesia, hydrodilatation, and surgery for shoulder pain that were identified by computerised and han...

In order to determine whether adhesion of the subacromial bursa leads to impingement, we measured the subacromial contact pressures before and after release of adhesion of this bursa. 18 shoulders with cuff tears and adhesion of the subacromial bursa were evaluated in 8 male and 10 female patients, of mean age 62 (53-71) years and who had no particular limitation of shoulder motion. We recorded...

Subacromial impingement syndrome is the most common disorder of the shoulder, resulting in functional loss and disability in the patients that it affects. This musculoskeletal disorder affects the structures of the subacromial space, which are the tendons of the rotator cuff and the subacromial bursa. Subacromial impingement syndrome appears to result from a variety of factors. Evidence exists ...

BACKGROUND Hemiplegic shoulder pain (HSP) is one of the most common comorbidities in stroke patients with flaccid shoulders. The pain limits functional motor recovery and affects the activities of daily living after acute stroke. This study investigated the effects of hyaluronic acid (HA) injection on pain reduction and motor function in subacute stroke patients with HSP and injury. METHODS A...

Shoulder proprioception gives information regarding arm joint position and movement direction. Several studies have investigated shoulder proprioceptive acuity in patients with subacromial impingement syndrome (SIS); however, differences in protocols and between-subjects designs have limited scientific inferences regarding proprioception and SIS. We aimed to determine within-subject differences...

BACKGROUND The shoulder's subacromial space is of significant clinical interest due to its association with rotator cuff disease. Previous studies have estimated the subacromial space width to be 2-17 mm, but no study has measured in vivo subacromial space width during shoulder motion. The purpose of this study was to measure the in vivo subacromial space width during shoulder elevation in pati...

The aim of the present study was to provide a clear picture of the prescribing pattern of corticosteroids in Zanjan, Iran. A retrospective and cross-sectional study was conducted to describe the pattern of corticosteroids prescription at Beheshti pharmacy (Zanjan, Iran) over a period of six months between March 21 and September 22 of 2013. Descriptive analyses were stratified by gender, age, typ...

Successful management of rotator cuff disorders requires a diagnostic and treatment algorithm that takes comorbidities into consideration. Within a framework of the patient’s age, the tear size, the injury mechanism, chronicity, and muscle atrophy/fatty infiltration, the overall risk of irreversible changes to the cuff with continued nonoperative treatment is weighed against the potential for i...

Arthroscopic subacromial decompression (ASD) is frequent operation on shoulder joint. Acromioplasty or subacromial decompression is operative technique for removal of mechanical barrier, which restricts physiological motion of humeral head, during abduction and external rotation movements of shoulder joint. This article explains a technique of arthroscopic subacromial decompression and our resu...

Definition One of the challenges for the diagnosis of subacromial impingement is the multiplicity of conditions with similar symptoms and variable clinical presentation. With no single aetiology, the clinical diagnosis of subacromial impingement has also suffered from a “lack of consensus on diagnostic criteria, case definition and even nomenclature”. For want of clarity, we suggest the followi...