Diagnostic Dilemma: Testing to Differentiate UCL Sprains From Flexor-Pronator Elbow Strains in the Overhead Athlete
Differentiating between a UCL and flexor-pronator injury is often difficult because the symptoms both produce pain in the medial elbow, and they frequently occur together. The purpose of this commentary is to describe the clinical thought process used to assist in making an accurate differential diagnosis between a UCL sprain and a flexor-pronator strain.
Source: IJSPT
Comparative Review of Superior Capsule Reconstruction and Reverse Shoulder Arthroplasty for Irreparable Rotator Cuff Tear
Rotator cuff tears are a prevalent cause of shoulder dysfunction, particularly in aging populations, with conservative treatments often proving ineffective for massive or irreparable tears. When non-surgical options fail, superior capsule reconstruction (SCR) and reverse shoulder arthroplasty (RSA) are two primary surgical techniques utilized to restore shoulder function.
Source: Cureus
Patient psychology matters: Lessons learned from the MOON Shoulder Group
"We found both the [Western Ontario Shoulder Instability Index (WOSI)] score and the [American Shoulder and Elbow Surgeons] score correlates significantly with this PAS scale," Kuhn, Kenneth D. Schermerhorn professor and chief of the division of sports medicine in the department of orthopedic surgery at Vanderbilt University Medical Center, said. "Psychology matters when they come to your office."
Source: Healio
Non-Surgical Treatments for Rotator Cuff Tears
When the symptoms of a rotator cuff tear are acute, meaning there is a sudden flare-up of symptoms, it may be helpful to rest the shoulder to allow the inflammation of the injury to settle down.
Source: Verywell health
Shoulder Pain When Throwing a Ball
The throwing motion causes very high torque and acceleration forces that act on the shoulder joint and the muscles, ligaments, and tendons that surround the joint.
Source: Verywell health
Elbow OCD: A Difficult Diagnosis in Young Throwers
Osteochondritis dissecans (OCD) is a condition in which an area of the bone and cartilage around a joint does not receive a robust enough blood supply to allow microinjuries to heal. Elbow OCD is typically characterized by pain in the lateral part of the elbow, specifically in the capitellum, and the injury is especially common among baseball pitchers and gymnasts after stress from repetitive overhead and loading activities.
Criteria-based return-to-play testing after arthroscopic Bankart repair may not be enough
Criteria-based return-to-play testing for patients undergoing arthroscopic Bankart repair may not address baseline differences between patients, according to data presented here.
Why Does My Shoulder Hurt, and Could It Be Serious?
Possible reasons why your shoulder hurts vary, but where you feel pain can help narrow down the cause. Common causes include poor posture, bursitis, arthritis, muscle strain, or a pinched nerve.
Management of Severe Elbow Arthritis in a Young Patient
Elbow osteoarthritis is occasionally primary and most often post-traumatic. Nonoperative treatment is frequently the best course of action. Available surgical options are governed by the location of cartilage deterioration, bone structure, and preoperative joint instability.
Benefits and limitations of diagnostic shoulder arthroscopy for painful anatomical shoulder arthroplasty investigation
Shoulder arthroscopy is a valuable diagnostic tool for painful anatomical shoulder arthroplasty offering some therapeutic opportunities. It has been demonstrated as a sensitive option to diagnose periprosthetic joint infection and is most frequently used for this purpose. Additionally, it offers the possibility of diagnosing some complications after shoulder arthroplasty such as component loosening or rotator cuff failure. As therapeutic options are mostly limited to arthrolysis, and débridement and decompression, most patients will have to face a revision arthroplasty. Nevertheless, diagnostic arthroscopy provides a valuable tool to gain information on the cause of the symptoms to determine further steps of treatment.
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