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Summary: Bankart / Rotator Cuff diagnosis

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  • Summary: Bankart / Rotator Cuff diagnosis

    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

    START OF SUMMARRY ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    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

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~


    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: 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

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~
    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.

    END OF SUMMARRY~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~
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