The cardinal symptom in all shoulder disorders is shoulder pain. We have to differentiate between genuine shoulder pain originating from the glenohumeral joint and its periarticular structures and referred pain originating at a site distant from the shoulder joint, e.g.
View Article and Find Full Text PDFDigitale Bilddiagn
December 1985
Computed tomography can demonstrate most glenohumeral structures accurately. If the articular cavitz is filled with air, CT ist the method of choice in preoperative diagnosis to determine the capsular extension and to assess the destruction of the glenoid bone rim and glenoid labrum.
View Article and Find Full Text PDFCongenital upward displacement of the scapula is typified by changes in the shape, position, and attitude of the scapula; in a high percentage of cases it is associated with other malformations of the axial skeleton and the internal organs. As a result of the malposition of the scapula and its insufficient mobility in the scapulocostal joint the ability to raise the upper arm is limited. The need for treatment of this condition derives on the one hand from cosmetic considerations and on the other from the limitation of the mobility of the upper arm.
View Article and Find Full Text PDFCT provides a clear, unobstructed and reproducible view of the shoulder joint. This permits, unlike conventional methods, for the first time a complete view of the anatomy and of the factors which predispose to a recurrent subluxation of the shoulder. In addition it is possible to see bone lesions resulting from the subluxation.
View Article and Find Full Text PDFArch Orthop Trauma Surg (1978)
February 1981
The pathological alterations of the periarticular tissue in the differential diagnostics of so called periarthritis humeroscapularis are demonstrated. Their pathological mechanism is explained briefly. Clinical and radiological methods to differentiate the pathological symptoms are described.
View Article and Find Full Text PDFThe combined paresis of the musculus trapezius and musculus serratus anterior results in a positional change and major loss of active mobility of the shoulder girdle. This greatly disturbs the mechanics of movement of the upper arm. The individual signs include a lowering of the shoulder blade in ventro-caudal direction in accordance with the weight of the arm, as a result of the absence of muscular restraint.
View Article and Find Full Text PDFArch Orthop Trauma Surg (1978)
December 1978
In the confines of the spatium subacromiale, the anatomic structures are subjected to increased wear by friction and convolution. In case of compression syndromes relief is obtained by a partial resection of the acromion, by an acromio plasty, or by a complete removal of the acromion, i.e.
View Article and Find Full Text PDFZ Orthop Ihre Grenzgeb
August 1978
In brachial plexus paresis with partial sensory sparing in the upper arm and complete motor paralysis we amputate through the humerus at the distal limit of sensation. The remaining proximal humerus is fixed by an arthrodesis of the shoulder joint, combined with a varus-osteotomy below the head. This increases with axillary space, facilitates the fitting of a prosthesis and improves care of the skin in this critical area.
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