Clinical Orthopedics and Related Research Fergusson, Dean MHA, PhD, et al. - There was a high prevalence of major joint contractures. Most studies focused on one joint rather than including all relevant major contractures. However, most studies did provide a definition of a contracture or the measures used to assess contractures. Immobility is a highly prevalent disability in at-risk populations, and constitutes a tremendous burden to patients in nursing homes, hospitals, and the outpatient community. The lack of epidemiologic data is a major impediment to providing appropriate treatment
Clinical Orthopedics and Related Research Pritsch, Tamir MD, et al. - Humeral suspension was the most popular reconstructive procedure after total scapulectomy until the early 1990s...After total scapulectomy, scapular endoprosthetic reconstruction led to better functional and cosmetic results than humeral suspension and therefore we recommend performing this reconstructive procedure whenever the rhomboids, latissimus dorsi, deltoid, and trapezius are preserved
Arthroscopy Shane K. Woolf M.D., et al. - Conclusions: This study shows that the SM portal is safe. The distance between an instrument oriented toward the acromioclavicular joint via the SM portal and the suprascapular nerve was 18.5 mm or greater in all specimens. Our study has clinical relevance because the SM portal is useful for arthroscopic rotator cuff repair, arthroscopic superior labrum repair, and arthroscopic distal clavicle excision
Annals of Rheumatic Diseases Daniëlle A W M van der Windt, et al. - Conclusion: Psychological factors, with the exception of fear-avoidance beliefs, are more strongly associated with persistent pain and disability in patients with LBP than in those with shoulder pain. This seems to indicate that in a primary care population the influence of psychological factors on outcome may vary across patients with different types of pain
Best Practice & Research: Clinical Rheumatology J.B. Staal MSc, PhD, et al. - Work-related upper extremity disorders are a major cause for complaints and disability in worker populations. They may consist of a range of symptoms in the upper extremity, either clearly localised or more widespread, and are usually preceded or affected by exposure to physical activities and/or postures at work
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