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Posterior humeral greater tuberosity...
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Rogers, Kenneth John.
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Posterior humeral greater tuberosity subchondral cyst effects on the treatment disposition of rotator cuff pathology.
Record Type:
Electronic resources : Monograph/item
Title/Author:
Posterior humeral greater tuberosity subchondral cyst effects on the treatment disposition of rotator cuff pathology./
Author:
Rogers, Kenneth John.
Description:
116 p.
Notes:
Source: Dissertation Abstracts International, Volume: 64-02, Section: B, page: 0683.
Contained By:
Dissertation Abstracts International64-02B.
Subject:
Health Sciences, Rehabilitation and Therapy. -
Online resource:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3081780
Posterior humeral greater tuberosity subchondral cyst effects on the treatment disposition of rotator cuff pathology.
Rogers, Kenneth John.
Posterior humeral greater tuberosity subchondral cyst effects on the treatment disposition of rotator cuff pathology.
- 116 p.
Source: Dissertation Abstracts International, Volume: 64-02, Section: B, page: 0683.
Thesis (Ph.D.)--Temple University, 2003.
The purpose of this study was to determine the effect that a posterior humeral greater tuberosity subchondral cyst (PHGTSC) has on the treatment disposition of patients with rotator cuff pathology. Patients (43 males and 28 females) from a single orthopedic surgeon's practice participated in the study: 32 with PHGTSC and 39 without PHGTSC. Patients were on average 49.6 ± 12.6 years of age at initial exam. The study consisted of a retrospective cohort research design: patient medical charts were reviewed and a follow up assessment was completed. Study follow up post treatment disposition was on average 3.3 years ± 18.0 months. Independent variables were PHGTSC (cyst and no cyst), rotator cuff pathology stage (Neer I, Neer II, and Neer III), and treatment disposition (rehabilitation exercises, rehabilitation exercise with corticosteroid injection, and surgery). Dependent variables were active shoulder ranges of motion (abduction, flexion, internal rotation, and external rotation), isometric shoulder muscle strength (abduction, flexion, internal rotation, and external rotation), and Standardized Shoulder Assessment Form (SSAF) scores (pain, function, and total). Alpha was set at <italic> p</italic> ≤ .05.Subjects--Topical Terms:
1017926
Health Sciences, Rehabilitation and Therapy.
Posterior humeral greater tuberosity subchondral cyst effects on the treatment disposition of rotator cuff pathology.
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Posterior humeral greater tuberosity subchondral cyst effects on the treatment disposition of rotator cuff pathology.
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116 p.
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Source: Dissertation Abstracts International, Volume: 64-02, Section: B, page: 0683.
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Major Adviser: Michael R. Sitler.
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Thesis (Ph.D.)--Temple University, 2003.
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The purpose of this study was to determine the effect that a posterior humeral greater tuberosity subchondral cyst (PHGTSC) has on the treatment disposition of patients with rotator cuff pathology. Patients (43 males and 28 females) from a single orthopedic surgeon's practice participated in the study: 32 with PHGTSC and 39 without PHGTSC. Patients were on average 49.6 ± 12.6 years of age at initial exam. The study consisted of a retrospective cohort research design: patient medical charts were reviewed and a follow up assessment was completed. Study follow up post treatment disposition was on average 3.3 years ± 18.0 months. Independent variables were PHGTSC (cyst and no cyst), rotator cuff pathology stage (Neer I, Neer II, and Neer III), and treatment disposition (rehabilitation exercises, rehabilitation exercise with corticosteroid injection, and surgery). Dependent variables were active shoulder ranges of motion (abduction, flexion, internal rotation, and external rotation), isometric shoulder muscle strength (abduction, flexion, internal rotation, and external rotation), and Standardized Shoulder Assessment Form (SSAF) scores (pain, function, and total). Alpha was set at <italic> p</italic> ≤ .05.
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No significant association existed between patients with and without PHGTSC and gender, side of injury, rotator cuff pathology stage, injury history, and previous treatment. A significantly greater (<italic>p</italic> = .03) proportion of patients were right hand dominant. No significant differences existed between patients with and without PHGTSC and age at injury; age at follow up; number of visits to treatment disposition; and timeline from injury to magnetic resonance imaging (MRI), clinical exam to MRI, clinical exam to treatment disposition, clinical exam to total treatment care, and treatment disposition to follow up examination.
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No association existed between the presence or absence of a PHGTSC and treatment disposition. Furthermore, no significant differences existed in active shoulder ranges of motion; isometric shoulder muscle strength; and SSAF pain, function, and total scores between patients with and without PHGTSC.
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In conclusion, the presence of PHGTSC does not effect the treatment disposition of patients with NEER classified rotator cuff pathology. Active shoulder ranges of motion, isometric shoulder muscle strength, and SSAF scores are similarly not affected. Clinical decision making for rotator cuff pathology is independent of the presence of a PHGTSC.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3081780
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