We present the case of a 32-year-old female who sustained a left acromioclavicular (AC) joint type V injury and brachial plexus injury. The patient's AC joint injury was identified 6 days after she was involved in a motorbike accident where she sustained multiple other injuries. She required operative fixation of the AC joint using a locking compression medial proximal tibial plate. At 3 months...

PURPOSE To determine whether transfer to only the anterior branch of the axillary nerve will restore useful function after axillary nerve injury with persistent posterior deltoid and teres minor paralysis. METHODS We used a computational musculoskeletal model of the upper limb to determine the relative contributions of posterior deltoid and teres minor to maximum joint moment generated during...

ONE OF THE PRIMARY RESPONsibilities of the personal trainer or strength and conditioning specialist is educating clients in proper exercise techniques. More importantly, however, the strength and conditioning professional must be able to design exercise programs that are appropriate and safe for each client. Because there is a wide range of exercises to choose from when targeting specific muscl...

INTRODUCTION Traumatic anterior dislocation of the shoulder is an emergency and warrants urgent attention. However, it becomes difficult to manage in cases of associated fractures of humerus and other bones surrounding the shoulder joint. There have been reports of traumatic anterior dislocation of the shoulder associated with humeral fractures in the literature but the trilogy of anterior disl...

Definition.-A diagnosis of peri-arthritis of the shoulder is made when a patient exhibits pain in the region of the shoulder and limited mobility of the joint, apparently of spontaneous onset or following slight injury. The x-ray appearances may show either nothing abnormal or calcific deposits in the capsule or periarticular tissue. This syndrome is not a disease sui generis, since the underly...

Shoulder dislocation is a common injury in orthopedic practice. In an acute presentation, closed reduction of the shoulder joint leads to an uneventful recovery. However, in the developing world neglected shoulder dislocation and treatments from quacks are not uncommon. Improper treatment and neglect can rarely become life threatening. We present one such case, emphasizing the need to investiga...

The term ‘‘floating shoulder ’’ was introduced by Herscovici in 1992 [1], charactered by ipsilateral scapular neck and clavicular shaft fractures. The definition of ‘floating shoulder’’ has been criticized by many authors, and the widely accepted definition is a double disruption of the superior suspensory shoulder complex (SSSC) [2-5]. SSSC is a bony/soft tissue structure, playing important ro...

background patients who have shoulder pain usually have compensatory or contributory deviation of shoulder motion during arm elevation. in the traditional scapulohumeral rhythm, the share of the acromioclavicular (ac) and the sternoclavicular (sc) joint movements and also the role of ac internal rotation angle are unknown. objectives the main purpose of this study was to measure and compare the...

BACKGROUND The glenohumeral joint is a ball-and-socket joint that is inherently unstable and thus, susceptible to dislocation. The traditional and most common anatomic finding is the Bankart lesion (anterior-inferior capsule labral complex avulsion), but there is a wide variety of anatomic alterations that can cause shoulder instability or may be present as a concomitant injury or in combinatio...

BACKGROUND Shoulder injuries in rugby players are common, but the mechanisms of injury are less well understood. This study aims to elucidate common mechanisms of injury and identify the patterns of injury they produce. MATERIALS AND METHODS Twenty-four elite rugby players, referred to the senior author for diagnosis and management of shoulder injuries, were selected. Videos of the injuries w...