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20231225220823.0 |
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231225s2021 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2021.06.008
|2 doi
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|a pubmed24n1110.xml
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|a (NLM)34766089
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|a DE-627
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|c DE-627
|e rakwb
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|a eng
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| 100 |
1 |
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|a Dimitriou, Dimitris
|e verfasserin
|4 aut
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| 245 |
1 |
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|a Superior humeral head migration might be a radiological aid in diagnosing patients with adhesive capsulitis of the shoulder
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|c 2021
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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| 338 |
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|a ƒa Online-Ressource
|b cr
|2 rdacarrier
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|a Date Revised 28.04.2022
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2021 The Author(s).
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|a BACKGROUND: The diagnosis of adhesive capsulitis (AC) of the shoulder might be challenging, as it is a diagnosis of exclusion and mainly based on the clinical examination. The purpose of the present study was to investigate the validity and reliability of 4 commonly reported radiological parameters suggesting a superior humeral head migration on anteroposterior (a/p) shoulder radiograph in identifying patients with AC
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|a METHODS: The a/p shoulder radiographs of 100 patients with AC and 100 control subjects were retrospectively reviewed. A disruption of the normal scapulohumeral arch (≥2 mm), the acromiohumeral interval (AHI), the inferior glenohumeral distance (IGHD), and the upward migration index (UMI) were measured
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|a RESULTS: A disruption of the scapulohumeral arch was observed in 80% in the AC and 20% in the control group. The mean AHI was 9.3 ± 1.3 mm and 11.0 ± 1.7 mm (P < .001), the mean IGHD was 3.9 ± 3.0 mm and 0.9 ± 1.9 mm (P < .001), and the mean UMI was 1.37 ± 0.1 and 1.44 ± 0.1 (P < .001) in patients with AC and control subjects, respectively. The scapulohumeral arch's disruption demonstrated the best test characteristics with a sensitivity and specificity of 80% in detecting patients with an AC. Patients with a disruption of the scapulohumeral arch had 16 times increased odds of having an AC
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|a CONCLUSION: Measuring the superior humeral head migration might be a simple and clinically relevant tool in diagnosing an AC of the shoulder and could be reliably used by clinicians adjacent to the clinical examination without any additional cost. Especially a disruption of the scapulohumeral arch on the a/p shoulder radiograph should raise concerns of AC in the absence of a massive rotator cuff tear
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|a Journal Article
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4 |
|a Acromiohumeral interval
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| 650 |
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4 |
|a Adhesive capsulitis
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| 650 |
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4 |
|a Diagnosis
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4 |
|a Frozen shoulder
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| 650 |
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4 |
|a Radiograph
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| 650 |
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4 |
|a Superior humeral head migration
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| 700 |
1 |
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|a Mazel, Peter
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Hochreiter, Bettina
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Fritz, Benjamin
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Bouaicha, Samy
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Wieser, Karl
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Grubhofer, Florian
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t JSES international
|d 2020
|g 5(2021), 6 vom: 17. Nov., Seite 1086-1090
|w (DE-627)NLM307818438
|x 2666-6383
|7 nnns
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| 773 |
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|g volume:5
|g year:2021
|g number:6
|g day:17
|g month:11
|g pages:1086-1090
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| 856 |
4 |
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|u http://dx.doi.org/10.1016/j.jseint.2021.06.008
|3 Volltext
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