Adhesive capsulitis of the shoulder: pain intensity and distribution

Purpose Papers regarding adhesive capsulitis (AC) of the shoulder focused on etiology, epidemiology, diagnosis, and treatment; until now, information on shoulder pain characteristics is still scarce. Our aim was to analyze pain intensity and distribution in patients with AC. Methods The study group was composed of 278 (133M–145F) consecutive patients with AC. After diagnosis, shoulder pain distribution was assessed through an upper limb pain map and pain intensity through a visual analog scale. Patients were distinguished on the basis of gender, age, time elapsed from onset of symptoms, and severity of functional limitation. Data were submitted to statistical analysis. Results Intensity of shoulder pain caused by AC was higher in females (p 0.05). Conclusion Shoulder pain due to AC may be influenced by gender and severity of functional limitation. AC pain distribution principally involves anterior aspect of the shoulder with downward extension of the arm until its distal third

NMR Investigation of the Low Temperature Dynamics of solid 4He doped with 3He impurities

The lattice dynamics of solid 4He has been explored using pulsed NMR methods to study the motion of 3He impurities in the temperature range where experiments have revealed anomalies attributed to superflow or unexpected viscoelastic properties of the solid 4He lattice. We report the results of measurements of the nuclear spin-lattice and spin-spin relaxation times that measure the fluctuation spectrum at high and low frequencies, respectively, of the 3He motion that results from quantum tunneling in the 4He matrix. The measurements were made for 3He concentrations 16<x_3<2000 ppm. For 3He concentrations x_3 = 16 ppm and 24 ppm, large changes are observed for both the spin-lattice relaxation time T_1 and the spin-spin relaxation time T_2 at temperatures close to those for which the anomalies are observed in measurements of torsional oscillator responses and the shear modulus. These changes in the NMR relaxation rates were not observed for higher 3He concentrations.Comment: 23 pages, 10 figure

The essential oil of Thymbra capitata and its application as a biocide on stone and derived surfaces

Many chemicals used nowadays for the preservation of cultural heritage pose a risk to both human health and the environment. Thus, it is desirable to find new and eco-friendly biocides that can replace the synthetic ones. In this regard, plant essential oils represent effective alternatives to synthetic substances for the preservation of historical monuments. Thymbra capitata (syn. Thymus capitatus) is a medicinal and aromatic plant growing in the Mediterranean area and endowed with important pharmacological properties related to its essential oil. Among them, the antimicrobial ones make the T. capitata essential oil an ideal candidate for industrial applications; for instance, as biocide for the inhibition and elimination of biological patinas of cyanobacteria and green algae on historical monuments. In the present work, we studied the chemical composition of the essential oil from T. capitata growing in Malta by gas chromatography-mass spectrometry (GC/MS). The major volatile component is the phenolic monoterpene carvacrol (73.2%), which is capable of damaging the cytoplasmic membrane and to interfere both in the growth curve and in the invasive capacity, though the contribution of minor components γ-terpinene and p-cymene cannot be disregarded. For the oil application on the stone surface, Pickering emulsions systems were prepared with an essential oil/water 1:3 mass ratio stabilized with kaolinite at 4 mass% in the presence of Laponite®; this allowed to limit the fast volatility of the oil and guaranteed a better application and an easier removal from the artefacts attacked by biodeteriogens both indoor and outdoor. This formulation caused the elimination of biodeteriogens from treated surfaces without residuals or films on artworks surface, and the effect was retained up to four months

High rate of return to crossfit training after arthroscopic management of rotator cuff tear

Background: CrossFit is a conditioning program involving high-intensity exercises performed in rapid, successive repetitions with limited or no recovery time. The shoulder girdle is highly involved in most basic CrossFit training programs. Hypothesis: CrossFit athletes affected by rotator cuff tear may be successfully treated with arthroscopic surgery with a high rate of early return to CrossFit activities. Study Design: Case series; Level of evidence, 4. Methods: Included in this study were athletes participating regularly in CrossFit training who had undergone arthroscopic rotator cuff repair. At a minimum follow-up of 24 months, we compared pre- and postoperative clinical outcome scores, including the Constant Score (CS), the American Shoulder and Elbow Surgeons (ASES) score, and a visual analog scale (VAS) for pain, as well as imaging results. Participants completed a return-to-CrossFit questionnaire at the final follow-up, and changes in laboratory blood test results from preoperative to final follow-up were evaluated for association with outcomes and questionnaire responses. Results: A total of 22 CrossFit athletes (23 shoulders) completed the 24-month follow-up evaluation. Each athlete had undergone single-row rotator cuff tendon repair with additional procedures such as biceps tenodesis. All (100%) athletes returned to intensive CrossFit training at a mean 8.7 ± 3.4 months after surgery (range, 6-15 months). CS and ASES scores improved between preoperative and final follow-up from 73 to 92 (P =.037) and from 71 to 95 (P =.035), respectively; VAS pain score improved from 7.2 preoperatively to 0.8 at final follow-up (P &lt;.001). Imaging evaluation of the repaired rotator cuff tendon showed complete healing in 18 cases (78%) and incomplete healing in 5 (22%). Of the 5 patients with incomplete healing, 2 had lower clinical scores at follow-up. In their questionnaire responses, 13 (59%) participants indicated return to a higher level of fitness, 7 (32%) returned to the same level, and 2 (9%) returned to a lower level. We found a significant association between patients who indicated return to a higher level of CrossFit fitness and higher levels of creatine phosphokinase and testosterone from preoperative to final follow-up (P =.029 and.023). Conclusion: Arthroscopic repair of rotator cuff tendons led to 100% return to CrossFit participation at approximately 9 months of follow-up. All athletes had returned to sport by the final follow-up. Nevertheless, 2 patients reported a lower level of performance and showed scapular dyskinesis

The 2-scope technique for rotator cuff surgery: are 2 scopes better than 1?

The arthroscopic treatment of rotator cuff tear involves 2 distinct phases: intra-articular and subacromial. We present the 2-scope technique with the aim to simultaneously perform these phases, entrusting them to 2 experienced surgeons, and to obtain possible benefits compared with the classic 1-scope technique. Better nosology of the lesion and a more accurate evaluation of suture passer action (equidistance of the sutures and avoidance of degenerated articular-side tendon areas) represent benefits of this technique. In contrast, the 2-scope technique needs an additional lateral portal and could give rise to an erroneous distribution of costs and surgeons

A social support scale for music students in music schools, academies, and conservatories: An adaptation into Spanish and a factorial invariance study

Social support is one of the variables that exert the greatest influence on the motivation of music students, as well as on emotional aspects that affect their results. Research, however, is limited by the current scarcity of evaluation tools. This article thus presents the process of adaptation into Spanish of the Social Support Scale. We report on the elaboration of the questionnaire’s exact wording through direct and reverse translation. We subsequently present analysis of internal reliability and validity based on a sample of 668 music students in music schools and university-level music academies, aged 12–60 (mean 16.9). The study is complemented by an analysis of factorial invariance comparing secondary education and university. The results reproduce the social support factors stemming from parents and teachers; peer support is subdivided into two subcategories. Discrepancies with the original version are not so much due to the adaptation process, but can be attributed, for the most part, to differences between the sample compositions. Our results indicate that Spanish music students perceive a considerable amount of social support for their music learning activities; differences stand out, however, in terms of age, gender, and educational level

The impact of COVID-19 on shoulder and elbow trauma: an Italian survey

Background: Because of the rapid spread of COVID-19, on March 8, 2020 Italy became a “protected area”: people were told not to leave their homes unless it was essential. The aim of this study was to evaluate the activity of our trauma center, relative to shoulder and elbow, in the 30 days starting from March 8, 2020, the first day of restrictions in Italy, and to compare it with the same days of 2019 to weigh the impact of COVID-19 on shoulder and elbow trauma. Materials and methods: Patients managed in our trauma center between March 8, 2020, and April 8, 2020 (COVID period), for shoulder and elbow trauma were retrospectively included and compared to patients admitted in the same period of 2019 (no-COVID period). Clinical records of all participants were examined to obtain information regarding age, sex, mechanism of injury, and diagnosis. Results: During the no-COVID period, 133 patients were admitted for a shoulder or elbow trauma; in the COVID period, there were 47 patients (65% less first aid). In the no-COVID and COVID period, patients with shoulder contusion totaled 60 (14.78% of all; male [M]: 34; female [F]: 26; mean age 51.8 years, range 18-88) and 11 (12.09% of all contusions; M: 7, F: 4; mean age 43 years, range 24-60), respectively. In the no-COVID period, 27 fractures (9.34% of all fractures) involved the shoulder, whereas 18 fractures (8.69%) were registered in the COVID period. In the no-COVID period, 14 elbow fractures were treated (4.8% of all fractures), compared with 4 in the COVID period. In the no-COVID and COVID periods, 6 patients (M: 5, F: 1; mean age 42 years, range 21-64) and 2 patients (M: 1, F: 1; mean age 29.5 years, range 24-35) reported having a feeling of momentary post-traumatic shoulder instability, and 0 and 1 patients (M: 1, F: 0; age 56 years), respectively, reported similar symptoms at the elbow. Finally, first or recurrent dislocations in the no-COVID period were 10, and in the COVID period, 7; elbow dislocations in the no-COVID period were 2, and in the COVID period, there were 3. Conclusions: During the COVID period, we provided a reduced number of health services, especially for patients with low-energy trauma and for those who underwent sports and traffic accidents. However, during the COVID period, elderly subjects remain exposed to shoulder and elbow trauma due to low-energy (domestic) falls. The subsequent hospitalization of these patients has contributed to making it more difficult to manage the hospital wards that are partly occupied by COVID-19 patients