Imaging of traumatic shoulder injuries – Understanding the surgeon’s perspective

Bao, Mike H.; DeAngelis, Joseph P.; Wu, Jim S.

doi:10.1016/j.ejro.2022.100411

Cited by 6 publications

(4 citation statements)

References 85 publications

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“…Sudden deceleration or direct impact during a collision can lead to fractures of the humerus, clavicle, or shoulder joint dislocations. These injuries are not uncommon in the aftermath of motor vehicle accidents and necessitate prompt medical evaluation and care [ 42 ].…”

Section: Reviewmentioning

confidence: 99%

High-Resolution Imaging Insights into Shoulder Joint Pain: A Comprehensive Review of Ultrasound and Magnetic Resonance Imaging (MRI)

Nunna,

Parihar,

Wanjari

et al. 2023

Cureus

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Shoulder joint pain is a complex and prevalent clinical concern affecting individuals across various ages and lifestyles. This review delves into the pivotal role of high-resolution imaging techniques, namely ultrasound and magnetic resonance imaging (MRI), in the comprehensive assessment and management of shoulder joint pain. We explore the anatomical foundations of the shoulder, common etiologies of pain, and the significance of precise diagnosis. High-resolution imaging facilitates the identification of various shoulder pathologies and is crucial in treatment planning, surgical interventions, and long-term prognosis assessment. We examine emerging technologies, discuss challenges and limitations, and chart potential future developments, emphasizing the ongoing evolution of imaging in this critical healthcare domain. In conclusion, high-resolution imaging is an indispensable tool, continually advancing to meet the diagnostic and therapeutic needs of individuals grappling with shoulder joint pain.

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Section: Reviewmentioning

confidence: 99%

High-Resolution Imaging Insights into Shoulder Joint Pain: A Comprehensive Review of Ultrasound and Magnetic Resonance Imaging (MRI)

Nunna,

Parihar,

Wanjari

et al. 2023

Cureus

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“…Patients should be questioned regarding any significant history of shoulder trauma (such as a fall and significant subluxation/dislocation) that may indicate structural damage to the shoulder. If the patient reports a significant shoulder trauma in the history, imaging is warranted [ 64 ]. MRI is the gold standard when assessing capsular and labral integrity [ 12 ].…”

Section: Clinical Presentationmentioning

confidence: 99%

“… Anterior and posterior draw tests in (80°–120°) abduction [ 57 , 60 ]. Anterior [ 3 , 61 ] and posterior [ 62 , 64 ], apprehension tests. …”

Section: Clinical Presentationmentioning

confidence: 99%

Advances in the Non-Operative Management of Multidirectional Instability of the Glenohumeral Joint

Watson¹,

Pizzari

Balster³

et al. 2022

JCM

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Multidirectional instability (MDI) of the glenohumeral joint refers to symptomatic subluxations or dislocations in more than one direction. The aetiology of MDI is multifactorial, which makes the classification of this condition challenging. A shoulder rehabilitation program is the initial recommended treatment for MDI, however available rehabilitation programs have varying levels of evidence to support their effectiveness. In 2016, we published the details of an evidence-based program for MDI that has been evaluated for efficacy in two single-group studies and a randomised controlled trial. In 2017, we published a clinical commentary on the aetiology, classification, and treatment of this condition. The aim of this paper is to provide an update on the components of these publications with a particular focus on new advances in the non-operative management of this condition.

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“…Diagnostic methods are required to investigate the type of fracture for more appropriate management, consisting of two radiographs taken in the standing position-a standard anteroposterior view and a 15 • cephalic oblique view to define the superior or inferior displacement of the fracture [19]. Computed tomography (CT) is not routinely performed but may be useful for medial fractures or in the presence of associated scapular or thoracic fractures [20].…”

Section: Introductionmentioning

confidence: 99%

Screw Stress Distribution in a Clavicle Fracture with Plate Fixation: A Finite Element Analysis

Alito,

Fenga,

Tropeano

et al. 2023

Bioengineering

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Clavicle midshaft fractures are mostly treated surgically by open internal reduction with a superior or anteroinferior plate and screws or by intramedullary nailing. Screw positioning plays a critical role in determining the stress distribution. There is a lack of data on the screw position and the appropriate number of cortices required for plate fixation. The aim of this study is to evaluate the mechanical behavior of an anterior plate implanted in a fractured bone subjected to 120° of lateral elevation compared to a healthy clavicle using numerical simulations. Contact forces and moments used were obtained from literature data and applied to the healthy and fractured finite element models. Stresses of about 9 MPa were found on the healthy clavicle, while values of about 15 MPa were calculated on the plate of the fractured one; these stress peaks were reached at about 30° and 70° of elevation when the stress shielding on the clavicle sums all the three components of the solicitation: compression, flexion, and torsion. The stress distribution in a clavicle fracture stabilized with plates and screws is influenced by several factors, including the plate’s position and design, the type of screw, and the biomechanical forces applied during movements.

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Imaging of traumatic shoulder injuries – Understanding the surgeon’s perspective

Cited by 6 publications

References 85 publications

High-Resolution Imaging Insights into Shoulder Joint Pain: A Comprehensive Review of Ultrasound and Magnetic Resonance Imaging (MRI)

High-Resolution Imaging Insights into Shoulder Joint Pain: A Comprehensive Review of Ultrasound and Magnetic Resonance Imaging (MRI)

Advances in the Non-Operative Management of Multidirectional Instability of the Glenohumeral Joint

Screw Stress Distribution in a Clavicle Fracture with Plate Fixation: A Finite Element Analysis

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