Clinical Tests of the Shoulder

Chang, Ke‐Vin; Wu, Wei‐Ting; Hsu, Po‐Cheng; Lew, Henry L.; Özçakar, Levent

doi:10.1097/phm.0000000000001311

Cited by 15 publications

(37 citation statements)

References 29 publications

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“…Diagnostic ultrasound has the benefits of being cost effective, dynamic, and providing real-time informationoften even before radiographs are obtained (27,28). In addition, ultrasound may be more sensitive than an XR and more helpful in early or mild DCO cases (23).…”

Section: Imagingmentioning

confidence: 99%

A Sports Medicine Clinician’s Guide to the Diagnosis and Management of Distal Clavicular Osteolysis

Singh

Hoo

2023

Curr Sports Med Rep

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Weightlifting associated shoulder injuries have seen a dramatic rise in the last 20 years. Distal clavicular osteolysis, coined weightlifter's shoulder, is one such condition caused by repetitive microtrauma to the distal clavicle with subsequent, painful development of bony erosions and resorption of the distal clavicle. Diagnosis, treatment, and prevention of this condition can be challenging. In this article, we highlight evidence-based clinical recommendations for the diagnosis and management of distal clavicular osteolysis, including specific considerations for atraumatic and posttraumatic etiologies, to help clinicians better care for their patients. Activity modification and rehabilitation are the mainstays of the initial treatment. Adjuvant treatments, such as injections or surgery, may be required in refractory cases or in certain patient populations. Early recognition and treatment of weightlifter's shoulder is essential to prevent progression to acromioclavicular joint pathology or instability and to allow for continued participation in sport-specific activities.

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Section: Imagingmentioning

confidence: 99%

A Sports Medicine Clinician’s Guide to the Diagnosis and Management of Distal Clavicular Osteolysis

Singh

Hoo

2023

Curr Sports Med Rep

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“…During dynamic scanning, it is possible to visualize the gliding of the subscapularis muscle-tendon unit under the coracoid process and coracoid muscles (e.g., the short head of the biceps brachii muscle and coracobrachialis muscle; Video 1, http://links.lww.com/PHM/ B545). 2,3 Clinical Indications Anterior Shoulder Impingement Mechanical conflict may develop among different anterior components of the shoulder, that is, subscapularis muscle-tendon unit, coracoid bone/coracoid muscles, and the humeral head. The clinical spectrum might encompass several conditions like tendinosis/tears (Video 2, http://links.lww.…”

Section: Anterior Aspect Coracoid/subcoracoid Window Techniquementioning

confidence: 99%

EURO-MUSCULUS/USPRM Dynamic Ultrasound Protocols for Shoulder

Ricci

Chang

Güvener

et al. 2021

Am J Phys Med Rehabil

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In this dynamic protocol, ultrasound examination of the shoulder using different maneuvers is described for several/relevant shoulder problems. Scanning videos are coupled with real-time patient examination videos for better understanding. The authors believe that this practical guide prepared by an international consensus of several experts (EURO-MUSCULUS: European Musculoskeletal Ultrasound Study Group and USPRM: Ultrasound Study Group of ISPRM [International Society of Physical and Rehabilitation Medicine]) will help musculoskeletal physicians perform a better and uniform/standard approach.

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“…[ 10 ] With the help of dynamic ultrasonography, the moment of the supraspinatus and SASD could be observed while passing underneath the acromion during arm abduction in real-time. [ 11 ] Corticosteroid injection along with dynamic sonography is used for improvement in the diagnosis of shoulder impingement syndrome. [ 12 ] No other imaging modality can evaluate structure in real-time during a physiologic moment.…”

Section: Introductionmentioning

confidence: 99%

Subacromial content to subacromial space ratio in neutral position of the arm as diagnostic criteria of subacromial impingement syndrome

et al. 2023

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Background: Shoulder impingement syndrome is one of the main causes of shoulder disability of working-class individuals. Currently, dynamic sonography of the shoulder is the modality of choice for the evaluation of shoulder impingement syndrome. The ratio of subacromial contents (SAC) and subacromial space (SAS) in neutral arm position could be used as a diagnostic parameter for the subacromial impingement syndrome (SIS), especially in patients who have difficulties in the elevation of their shoulders due to pain. To use the SAC to SAS ratio as a sonographic criterion for the diagnosis of SIS. Methods: SAC and SAS of 772 shoulders were vertically measured in coronal view with linear transducer 7–14MHz of Toshiba Xario Prime ultrasound unit, while the patient arm was kept in the neutral position. The ratio of both the measurements was calculated, to be used as a diagnostic parameter of the SIS. Results: The mean SAS was 10.79 ± 1.94 mm and SAC was 7.65 ± 1.43 mm. SAC-to-SAS ratio for normal shoulders was a focused value with narrow standard deviation (0.66 ± 0.03). However, shoulder impingement is confirmed by any value falls out of the range of ratio for normal shoulders. Area under the curve at 95% confidence interval was 96%, while the sensitivity at 95% confidence interval was 99.25% (97.83%–99.85%), and specificity was 80.86% (76.48%–84.74%). Conclusion: SAC-to-SAS ratio in neutral arm position is a relatively more accurate sonographic technique for the diagnosis of SIS.

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Clinical Tests of the Shoulder

Cited by 15 publications

References 29 publications

A Sports Medicine Clinician’s Guide to the Diagnosis and Management of Distal Clavicular Osteolysis

A Sports Medicine Clinician’s Guide to the Diagnosis and Management of Distal Clavicular Osteolysis

EURO-MUSCULUS/USPRM Dynamic Ultrasound Protocols for Shoulder

Subacromial content to subacromial space ratio in neutral position of the arm as diagnostic criteria of subacromial impingement syndrome

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