ABSTRACT
@#Isolated infraspinatus atrophy is rare and difficult to confirm based on physical examination, although external rotation lag signs may provide a clue to the diagnosis. We present a case of isolated infraspinatus weakness caused by suprascapular neuropathy presenting as abnormal shoulder posture.
ABSTRACT
Hiccups can sometimes become intractable. We report two cases of hiccups in which acupuncture practices to the lump of the infraspinatus muscle (Terasawa point) were effective. Case 1 was an 85-year-old male, an inpatient with bacterial pleuritis. His hiccups had persisted for 11 days. Several pharmacotherapeutic approaches were partially effective, but the hiccups were not completely abolished. In situ acupuncture therapy to bilateral Terasawa points was done, and his hiccups disappeared the next day. Case 2 was a 68-year-old male. He experienced insufficient sleep due to hiccups. We inserted needles into bilateral Terasawa points and heated the surrounding area with an electrothermo-acupuncture device using a curved heating plate. When this combination therapy was done, his hiccups disappeared during treatment. Acupuncture at the Terasawa point is one of the therapeutic approaches for hiccups and a rapid effect can be expected.
ABSTRACT
In the previous article, the author reported on the relationship between shinkahiko and transport points. However, acupuncture manipulation to these points never diminished fullness in the chest and hypochondrium (kyokyokuman). Thus the author searched a new lump of back muscles and finally discovered that the infraspinatus muscle is a critical point which is closely rerated with kyokyokuman. The author also discovered that this point improves hiccup. It is well known that this lump is present in patients with shoulder stiffness and so on. Some patients with kyokyokuman present this lump simultaneously. This report intends to clarify a kyokyokuman that appears related tense condition of diaphragm, by means of both two concrete clinical cases and fifteen cases discussing to the pathophysiological background of this phenomenon.
ABSTRACT
Malignant fibrous histiocytoma (MFH) is a type of highly malignant soft tissue sarcoma with a predilection for the extremities of adults. We report a patient with MFH in the infraspinatus muscle for which wide resection including total resection of the infraspinatus muscle was performed, followed by transfer of the latissimus dorsi muscle for shoulder reconstruction in a onestage operation with good postoperative function.
El histiocitoma fibroso maligno (HFM) es un tipo de sarcoma del tejido suave, altamente maligno, con predilección por las extremidades de los adultos. Reportamos el caso de un paciente con HFM en el músculo infraespinoso, al cual se le hizo una amplia resección que incluyó la resección total del músculo infraespinoso, seguida de una transferencia del músculo latissimus dorsi para la reconstrucción del hombro, en una operación de una sola etapa con buena función postoperatoria.
Subject(s)
Adult , Female , Humans , Histiocytoma, Malignant Fibrous/surgery , Muscle, Skeletal/pathology , Muscle, Skeletal/surgery , Plastic Surgery Procedures/methods , Shoulder/surgery , Soft Tissue Neoplasms/surgery , Surgical Flaps , Biopsy , Contrast Media , Gadolinium DTPA , Histiocytoma, Malignant Fibrous/diagnosis , Magnetic Resonance Imaging , Soft Tissue Neoplasms/diagnosis , Tomography, X-Ray ComputedABSTRACT
PURPOSE: The current study assessed the factors affecting outcomes of primary repair procedures in tears of multiple rotator cuff tendons. MATERIALS AND METHODS: Among the cases of rotator cuff tears involving two or more tendons receiving operations between 1997 and 2003, The clinical results of 19 cases with more than 2 years follow-up were evaluated by the UCLA score. We evaluated the correlation of trauma, active motion, acromiohumeral distance, tear size, and surface area with the UCLA score using Pearson's linear correlation coefficient (PLCC). RESULTS: UCLA scores increased significantly in all cases, from 9 to 26.1 on average. However, the results were good in 53%, and poor in 47% according to Ellman's criteria. Trauma, active elevation, acromiohumeral distance, and tear size did not correlate with the UCLA score, but the tear surface area was inversely correlated with the score (PLCC=- 0.696). Cases with degeneration of the infraspinatus muscle above Goutallier grade III on MRI showed worse results than cases with less degeneration. CONCLUSION: The clinical results of primary repair of rotator cuff tears involving multiple tendons were satisfactory in 53% of patients. Large tear surface area and severe degeneration of the infraspinatus were poor prognostic factors.
Subject(s)
Humans , Follow-Up Studies , Magnetic Resonance Imaging , Rotator Cuff , TendonsABSTRACT
Suprascapular nerve injury restricted to the infraspinatus muscle is an uncommon condition. We present a 29 year-old man who complained of right shoulder pain and weakness for 8 months. Physical examination revealed atrophy of right infraspinatus muscle and T2 weighted MRI of the right shoulder revealed a mass with homogeneous high intensity at the spinoglenoid notch and atrophy of right infraspinatus muscle. EMG study revealed abnormal spontaneous activities and reduced recruitment pattern of motor units in right infraspinatus muscle. Symptoms improved after the excision of a mass which was a ganglion cyst by pathologic examination. We were reporting a case of suprascapular nerve injury restricted to the infraspinatus muscle.