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Robert S. Casar,p.e.
07-13-1995, 11:27 PM
Dear Netters,

A (long) while ago I posted the following request:

>I was wondering if anyone could give me citations for people/institutions
>who may be looking at ways to *diagnose* shoulder problems other than MRI,
>or arthrogram. In particular Rotator cuff tears and Bankart lesions. I have
>done a quick review of the clinical lit. and have only found *repair* type
>papers.

I would like to thank those who responded for helping to get me up to speed.
Their edited responses are below.

-Bob

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Sender: muschler@bme.ri.ccf.org

You should find a significant number of papers describing the use of
ultrasound to diagnose rotator cuff tears..

Boman-Gray (I think this spelling is correct) is a College in North
Carolina, but I don't remember the city. I know that people at Bowman-Gray
were very active in this area 5 year ago, and more have published since.
The technique is accurate but very operator dependent.

You might speak with Dr.Shils or Dr Richmond in Radiology for more advice.
Dr. Richmond and Schils are in our department of Radiology at The Cleveland
Clinic Foundation (CCF). Both work in the Section of Musculoskeletal
Radiology. Other section members are Dr. Belhobek and Dr. Recht.

You could also speak with John Brems in Orthopaedics. He is our shoulder
specialist and may have some additional knowledge of the field.

Good Luck!!
George

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As a physiotherapist, I was taught tests to distinguish rotator cuff
tears from other shoulder problems. Unfortunately, I do not have my
textbooks here with me in Canada (I'm from Jamaica), but there is a
bit in my memory that may help. The text I used was by Hoppenfeld,
called "Examination of the spine and extremities". It's a green
hardcover book. The newest craze, and written by a Canadian, is a
book by Magee, but I do not know the title. He is at University of
Alberta, at the School of Rehabilitation Medicine.

Hope this helps.

Gillian A. Hudson-DuCasse, R.P.T.

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Sender: erich.brenner@uibk.ac.at

I don't know citations by now, but you should get into contact with:
1) Prof. Resch
Abt. fuer Unfallchirurgie
LKH Salzburg
Muellner Hauptstrasse 48
A-5020 Salzburg
or 2) OA Dr. Golser
Univ.Klinik fuer Unfallchirurgie
Universitaet Innsbruck
Anichstrasse 35
A-6020 Innsbruck

They work on these fields.

yours
Dr. Erich Brenner

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Sender: gsgh@physocc.lan.mcgill.ca
From: "Gillian April Hudson DuCasse"

As a physiotherapist, I was taught tests to distinguish rotator cuff
tears from other shoulder problems. Unfortunately, I do not have my
textbooks here with me in Canada (I'm from Jamaica), but there is a
bit in my memory that may help. The text I used was by Hoppenfeld,
called "Examination of the spine and extremities". It's a green
hardcover book. The newest craze, and written by a Canadian, is a
book by Magee, but I do not know the title. He is at University of
Alberta, at the School of Rehabilitation Medicine.

Hope this helps.

Gillian A. Hudson-DuCasse, R.P.T.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~
Sender: kriel@electra.cc.umanitoba.ca

At the Human Performance Lab at the School of Medical
Rehabilitation, University of Manitoba we have been examing
internal and external rotation strength in four groups. Impingement
syndrome patients, scope repaired Bankart lesions, open repair
Bankart lesions and controls without shoulder pathology. We have
able to clearly identify differences in strength between the groups.
In short, we have observed eccentric external rotation deficits in
all of the patient groups. This has implications for; 1) the surgical
technique, 2) the rehab exercise program both prior to surgery and
after, 3) the etiology of lesions and impingement.

I would be happy to discuss the findings with you.

Dean Kriellaars, Ph.D.

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