Of note, in the rotator cuff interval, the coracohumeral and the superior glenohumeral ligaments coalesce into an annular sling around the intra-articular segment of the LHBT to stabilize it during all range of movements. 1C) with intermittent pain, click sensation, and progressive damage of the humeral head cartilage (“chondral print” sign) are likely to be seen. Because of insufficient stabilization in the rotator cuff interval, a “windshield wiper effect” of the unstable tendon ( Fig. In this sense, the lesions of the pulley system have been identified as the “primum movens” in the LHBT instability cascade. The major causes of such pain and disability are inflammation, instability, and trauma. After 4 weeks, the patient reported significant pain relief and reduction in the number of painful “shoulder clicks.”ĭisorders of the LHBT are recognized as common sources of shoulder pain and disability. Black rectangle, probe black dotted line, LHBT SSP, supraspinatus tendon SSC, subscapularis tendon Del, deltoid muscle white thick arrow, upper part of the bicipital groove white thin arrows, annular sling of the LHBT.Ī combination of high-level laser therapy and an oral nonsteroidal anti-inflammatory drug was prescribed for 12 days, followed by a personalized rehabilitation program to reduce the functional overload of the LHBT especially during overhead/sport activities. Schematic drawing illustrates the “windshield wiper effect” (C). Position of the probe in the coracoacromial view for assessing the proximal rotator cuff interval (A).Corresponding ultrasound image shows mild fluid (asterisks) around the LHBT (B).
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |