Obscure Lesions of the Shoulder; Rupture of the Supraspinatus Tendon

Abstract

The chief point of this paper is to advocate early exploratory incision in cases of severe shoulder injuries with negative X-Rays.T wish I had the best of reasons for defending this position-namely that I had repeatedly done what I advise and been glad that I had. As a matter of fact I have never done an exploratory operation on an early case of injury to the shoulder nor do I remember ever having the opportunity. Nor am I likely to see such cases in the future, for I have no connection with any clinic which receives accident eases. However, many of you men are seeing and treating acute traumatic shoulder lesions. I do see many chronic cases because for about ten years, thanks to Dr. Francis Donoghue's policy of sending cases for impartial examination for the Industrial Accident Board of Massachusetts to those who have given study to particular classes of work, I have seen many cases of long standing shoulder injuries. Also for a number of years some of our insurance companies have asked me to operate on their patients with obscure lesions in this region. This has formed the bulk of my experience on which to base my arguments about early incision. I realize that seeing these selected difficult cases gives me a biased point of view, for I do not see the perhaps large number of cases which are satisfactorily and promptly treated. My ideas of routine work comes from 15 years of experience in the outpatient department of the Massachusetts General Hospital when I intensively studied a series of 100 shoulder cases and wrote my papers on subacromial bursitis, a bibliography of which appears at the end of this article.Speaking from this point of view, therefore, it seems to me that shoulder injuries which are not obvious dislocations or fractures receive scant attention from the surgeons of New England.

Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury

“…The arm is very mobile via the connection to the scapula and its joint structure (a small saucer within a large cup). This mobility goes at the expense of the stability of the joint 21 and makes it especially vulnerable for the development of instability complaints. 22 In the current study, we looked at the development of musculoskeletal pain during and after the rehabilitation process and found that pain complaints develop very quickly, which leads to the conclusion that pain was not simply due to overuse.…”

Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

“…Intervention consisted of the Codman exercise [4], shoulder wheel exercises [6], self-stretching exercises [6], wall-ladder exercises [6,16], and self-stretching exercises (for improving abduction, flexion, external rotation, internal rotation, and horizontal adduction).…”

“…This condition was first described by Duplay [3] who called it "periarthrite scapulo-humerale." Codman [4] first introduced the term "frozen shoulder" and described it as a "class of cases which are difficult to define, difficult to treat and difficult to explain from the point of view of pathology" [5]. Neviaser [5] called it adhesive capsulitis, as he, under arthroscopy, observed that the capsule looked thickened and adhered to underlying bone and could be peeled off from the bone.…”

Ultra Sound Guided Needling for Giant Calcific Tendinitis of the Shoulder Joint - A Peculiar Case Report

“…In the post-calcification stage, calcium is resorbed and the area is remodelled [19,26]. Based on the pathogenesis of histic hypoxia, the hypoxic state produces a lack of irrigation of the 'critical area' near the insertion of the supraspinatus tendon and induces calcified deposits [27,28].…”