The experience of low back pain in people with incomplete spinal cord injury in the USA, UK and Greece

Engineering and Physical Sciences Research Council's (EPSRC

Effect of Systemic Doxycycline Administration on the Subgingival Microbial Flora: A Dark-Field Microscopy Study.

Scopu

Is routine coracoplasty necessary in isolated subscapularis tears?

WOS:000475356700008PubMed ID: 31291858Objectives: This study aims to investigate the effect of simultaneous coracoplasty on postoperative clinical outcomes of patients undergoing shoulder arthroscopy due to the tear of the isolated subscapularis. Patients and methods: The study included 53 patients (16 males, 37 females; mean age 55.8 years; range, 44 to 70 years) who underwent arthroscopic repair for isolated subscapularis tear (type 2 and type 3) with anterior shoulder pain and tenderness. All patients had a coracohumeral distance of less than 7 mm on the preoperative magnetic resonance images and a minimum follow-up period of two years. Patients were divided into two groups as group 1 including patients who underwent coracoplasty and group 2 including those who did not undergo coracoplasty. Patients were evaluated pre- and postoperatively by the University of California Los Angeles (UCLA) shoulder score and the simple shoulder test (SST) score. Results: There were no significant differences between the groups in terms of age, gender and follow-up time (p0.05). The preoperative mean UCLA score was 19.65 for group 1 and 20.45 for group 2. The postoperative mean UCLA scores were 27.92 and 29.00, respectively. The preoperative mean SST score was 4.9 for group 1 and 5.1 for group 2. The postoperative mean SST scores were 10.0 and 9.5, respectively. Functional scores increased significantly in both groups postoperatively when compared to the preoperative values (p0.01). However, there was no statistically significant difference in terms of the increase in UCLA and SST scores between the two groups (p0.05). Conclusion: We believe that concomitant coracoplasty during arthroscopic repair may not be a necessary routine in the treatment of isolated subscapularis tears.Amaç: Bu çalışmada izole subskapularis yırtığı nedeniyle omuz artroskopisi uygulanan hastalarda eş zamanlı korakoplastinin ameliyat sonrası klinik sonuçlara etkisi araştırıldı.Hastalar ve yöntemler: Çalışmaya anterior omuz ağrısı ve hassasiyeti olan, izole subskapularis yırtığı (tip 2 ve tip 3) nedeniyle artroskopik tamir uygulanan 53 hasta (16 erkek, 37 kadın; ort. yaş 55.8 yıl; dağılım, 44-70 yıl) dahil edildi. Tüm hastaların ameliyat öncesi manyetik rezonans görüntülerinde korakohumeral mesafesi 7 mm’den azdı ve takip süreleri en az iki yıldı. Hastalar korakoplasti uygulanan hastaları içeren grup 1 ve korakoplasti uygulanmayanları içeren grup 2 olmak üzere iki gruba ayrıldı. Hastalar ameliyat öncesi ve sonrasında UCLA (University of California Los Angeles) omuz skoru ve basit omuz testi (BOT) skoru ile değerlendirildi. Bulgular: İki grup arasında yaş, cinsiyet ve takip süresi açısından anlamlı farklılık yoktu (p0.05). Ameliyat öncesi ortalama UCLA skoru grup 1’de 19.65, grup 2’de 20.45 idi. Ameliyat sonrası ortalama UCLA skoru sırasıyla 27.92 ve 29.00 idi. Ameliyat öncesi ortalama BOT skoru grup 1’de 4.9, grup 2’de 5.1 idi. Ameliyat sonrası BOT skoru sırasıyla 10.0 ve 9.5 idi. Ameliyat öncesi değerler ile karşılaştırıldığında, her iki grupta ameliyat sonrasında fonksiyonel skorlar anlamlı olarak arttı (p0.01). Ancak iki grup arasında UCLA ve BOT skorlarındaki artış açısından istatistiksel olarak anlamlı farklılık yoktu (p0.05). Sonuç: İzole subskapularis yırtıklarının tedavisinde artroskopik tamir sırasında eş zamanlı korakoplastinin gerekli bir rutin olmadığını düşünüyoruz

Multiple Subscapularis Tendon Sign: A New Risk Factor for Recurrence After Arthroscopic Anterior Shoulder Instability Surgery

Being able to predict recurrence after the treatment of shoulder instability would be helpful in planning the appropriate treatment

The Correlation of the SLAP II Lesion Findings Between Physical Examination, Magnetic Resonance Imaging, and Arthroscopic Surgery

Objectives The aim of this study is to demonstrate the importance of clinical diagnosis by comparing with preoperative physical examination and magnetic resonance imaging (MRI) images in patients who were arthroscopically diagnosed as having Superior Labrum Anterior-Posterior (SLAP) II lesions. Materials and Methods 134 patients, arthroscopically diagnosed as SLAP II, established the study group, and 200 patients who underwent shoulder arthroscopy for the other pathologies established the control group. Preoperative clinical examination of the patients, MRI findings, and the arthroscopic findings of the patients were recorded. Results Out of the patients diagnosed with a SLAP II lesion, 107 (79.9) of those had an MRI finding while only 60 (30\%) of the control group had it. The O'Brien test results of the patients diagnosed with SLAP were positive in 111 (82.8\%) while those diagnosed with intact superior labrum were positive in 132 (66\%). Of the 134 patients with a SLAP II lesion, 89 (66.4\%) had both O'Brien test positiveness and MRI finding, and 129 (96\%) had at least one positive result of the O'Brien test or MRI examination Conclusion The O'Brien test and MRI examination are not capable enough to indicate a SLAP lesion one by one, because of the low sensitivity and specificity. But, combining the test with MRI findings provides more trustable information about the superior labrum