Pain

Ombregt, Ludwig

doi:10.1016/b978-0-7020-3145-8.00001-6

Cited by 14 publications

(19 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Referred pain is a pain felt in other than the true site of origin [ 20 ]. In this study, the locations of referred pain from MTrPs in the infraspinatus muscle were, in order of frequency, the anterolateral aspect of the arm (above the elbow), the lateral forearm, the upper posterior neck, and the radial aspect of the hand (including a finger).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Myofascial Pain Syndrome of the Infraspinatus Muscle

et al. 2017

View full text Add to dashboard Cite

ObjectiveTo report the characteristics of myofascial trigger points (MTrPs) in the infraspinatus muscle and evaluate the therapeutic effect of trigger-point injections.MethodsMedical records of 297 patients (221 women; age, 53.9±11.3 years) with MTrPs in the infraspinatus muscle were reviewed retrospectively. Because there were 83 patients with MTrPs in both infraspinatus muscles, the characteristics of total 380 infraspinatus muscles with MTrPs (214 one side, 83 both sides) were investigated. Specific characteristics collected included chief complaint area, referred pain pattern, the number of local twitch responses, and distribution of MTrPs in the muscle. For statistical analysis, the paired t-test was used to compare a visual analogue scale (VAS) before and 2 weeks after the first injection.ResultsThe most common chief complaint area of MTrPs in the infraspinatus muscle was the scapular area. The most common pattern of referred pain was the anterolateral aspect of the arm (above the elbow). Active MTrPs were multiple rather than single in the infraspinatus muscle. MTrPs were frequently in the center of the muscle. Trigger-point injection of the infraspinatus muscle significantly decreased the pain intensity. Mean VAS score decreased significantly after the first injection compared to the baseline (7.11 vs. 3.74; p<0.001).ConclusionCharacteristics of MTrPs and the therapeutic effects of trigger-point injections of the infraspinatus muscle were assessed. These findings could provide clinicians with useful information in diagnosing and treating myofascial pain syndrome of the infraspinatus muscle.

show abstract

Section: Discussionmentioning

confidence: 99%

Characteristics of Myofascial Pain Syndrome of the Infraspinatus Muscle

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The basic functional examination of the shoulder consists of 12 tests, Table 1 . [ 17 ] It is important to perform all of these tests, and not to stop even if the diagnosis appears clear after a limited number of tests. If the diagnosis remains unclear after the basic functional examination, an accessory test can be used (passive horizontal adduction) to arrive at a final diagnosis.…”

Section: Methodsmentioning

confidence: 99%

Intertester reliability of shoulder complaints diagnoses in primary health care

Storheil

Klouman

Holmvik

et al. 2016

Scandinavian Journal of Primary Health Care

View full text Add to dashboard Cite

ObjectiveShoulder complaints are frequently encountered in general practice, but precise diagnosing is challenging. This study investigated agreement of shoulder complaints diagnoses between clinicians in a primary health care setting.DesignCross-sectional study.SettingFour primary health care clinicians used patients’ history and functional examination of the shoulder by selective tissue tension techniques (STTs), to diagnose shoulder complaints.Subjects62 patients, aged 18–75 years.Main outcome measureReliability of diagnoses was assessed by observed intertester agreement and Cohen’s kappa. A total of 372 diagnostic pairs were available for intertester comparisons.ResultsSix diagnoses were assigned by all clinicians; supraspinatus-, infraspinatus-, subscapularis-tendinopathies; chronic subacromial bursitis; glenohumeral capsulitis, and acromioclavicular joint lesion. The observed agreement on these diagnoses ranged from 0.84 for glenohumeral capsulitis to 0.97 for acromioclavicular joint lesion. Kappa scores were 0.46 (95% CI 0.33, 0.58) for chronic subacromial bursitis; 0.53 (95% CI 0.34, 0.68), 0.59 (95% CI 0.47, 0.70), and 0.68 (95% CI 0.53, 0.82) for infraspinatus -, supraspinatus -, and subscapularis-tendinopathy, respectively. For glenohumeral capsulitis and acromioclavicular lesion kappa scores were 0.66 (95% CI 0.57, 0.73) and 0.78 (95% CI 0.61, 0.90). Kappa scores were higher for individual diagnoses than for individual tests, except for limitation in passive abduction (0.70, 95% CI 0.62, 0.78) and passive lateral rotation (0.66, 95% CI 0.57, 0.73).ConclusionsAlthough experienced clinicians showed substantial intertester agreement, precise diagnoses of shoulder complaints in primary health care remain a challenge. The present results call for further research on refined diagnoses of shoulder complaints.Key Points Based on medical history and a systematic functional examination by selective tissue tension techniques (STTs), we investigated the agreement of shoulder complaints diagnoses across four primary health care clinicians and 62 patients.• Agreements on diagnoses were generally better than the agreement on individual tests.• Good kappa scores were obtained for the diagnoses glenohumeral capsulitis, rotator cuff tendinopathy, and acromioclavicular lesion.• Further research is necessary to investigate the diagnostic validity of functional shoulder examination by the STTs method.

show abstract

“…In the thoracic level, it gives a branch that crosses the upper border of the neck of the nearby rib supplying the periosteum of the neck. [2223]…”

Section: Resultsmentioning

confidence: 99%

Clinical anatomy and significance of the thoracic intervertebral foramen: A cadaveric study and review of the literature

Gkasdaris

Trιpsianis

Kotopoulos

et al. 2016

J Craniovert Jun Spine

View full text Add to dashboard Cite

Introduction:The literature is lacking information on the anatomy and the osseous dimensions of the thoracic intervertebral foramen (IVF). We describe the anatomy of the broader area, and we proceed with morphometric data of the vertebrae and the foramina. Depiction of these features is provided with imaging and illustrations. The purpose of this paper is to survey and present the anatomy of the foramen as a whole and provide baseline statistical data.Materials and Methods:We review relevant literature, and we present data obtained from skeletal samples of known population and sex. One hundred and nineteen thoracic vertebrae of ten cadaveric spines from the prefecture of Eastern Macedonia and Thrace, Greece, were selected. Statistical analysis measuring the vertical height and the foraminal width of each vertebra was made in accordance with sex.Results:No statistically important differences referring to the descriptive data of both sexes were found. However, statistically, important positive correlation between the vertebral height and the foraminal width was observed, especially for men. The components of the foramen including arteries and veins passing through or neighboring it, and the spinal nerves and roots are described and depicted.Conclusions:The osseous thoracic IVF reveals a glimpse of the in vivo structure and alterations of its width may be present in back pain and other degenerative diseases. Although it is crucial for surgeries and other interventional procedures of the thoracic spine, little is known about the precise anatomy and dimensions of this anatomical landmark.

show abstract

Pain

Cited by 14 publications

References 41 publications

Characteristics of Myofascial Pain Syndrome of the Infraspinatus Muscle

Characteristics of Myofascial Pain Syndrome of the Infraspinatus Muscle

Intertester reliability of shoulder complaints diagnoses in primary health care

Clinical anatomy and significance of the thoracic intervertebral foramen: A cadaveric study and review of the literature

Contact Info

Product

Resources

About