BACKGROUND Joint injections and aspirations are used to reduce joint pain and decrease inflammation. The efficacy of these injections is diminished when they are placed inadvertently in the wrong location or compartment. The purpose of this study was to determine whether the use of varying sites or imaging techniques affects the rate of accurate needle placement in aspiration and injection in t...

QUESTION Does a specific exercise program improve shoulder function more than non-specific exercises in patients with subacromial impingement? DESIGN Randomised, controlled trial with concealed allocation and blinded outcome assessment. SETTING University hospital in Sweden. PARTICIPANTS Patients aged 30 to 65 years with subacromial impingement syndrome of at least 6 months duration, and ...

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 ...

Background Rotator cuff calcific tendinopathy is a common cause of shoulder pain and disability in young patients. Despite analgesics or steroid injection some patients still experience symptoms may require surgery. Ultrasound-guided fragmentation lavage are minimally invasive techniques that can be used instead surgery to remove calcification improve symptoms. However, evidence poor because mo...

BACKGROUND Arthroscopic rotator cuff repair generally has a good clinical outcome but shoulder stiffness after surgery due to subacromial adhesion is one of the most common and clinically important complications. Sodium hyaluronate (HA) has been reported to be an anti-adhesive agent in a range of surgical procedures. However, there are few reports of the outcomes of arthroscopic rotator cuff re...

Lateral epicondylitis is a common disorder characterized by pain and tenderness over the lateral epicondyle. It occurs most frequently as a result of minor, unrecognized trauma during sports activities and occupation-related physical activities. The goal of this study was to evaluate the short-, medium-, and long-term effects of corticosteroid injection, autologous blood injection, and extracor...

Subacromial impingement is typically diagnosed in the older throwing athlete who has a stable shoulder. Often these overhand athletes will have a loss of internal rotation that may be refractory to stretching. Some have postulated bony adaptive changes in the thrower leading to internal rotation loss.1,2 These patients have a painful arc, positive impingement maneuvers, and respond affirmativel...