Pre-eclampsia is a pregnancy complication characterized by hypertension and proteinuria. There are several factors associated with an increased risk of developing pre-eclampsia, one of which is increased uterine artery resistance, referred to as "notching". However, some women do not progress into pre-eclampsia whereas others may have a higher risk of doing so. The placenta, central in pre-ecla...

Anterior femoral notching during total knee arthroplasty is a potential risk factor for periprosthetic supracondylar femur fracture. We conducted a study to determine if the design of the femoral implant changes the risk for periprosthetic supracondylar femur fractures after anterior cortical notching. An anterior cortical defect was created in 12 femoral polyurethane models. Six femora were in...

BACKGROUND Appropriate motion of the scapula is important for dynamic positioning of the glenoid during humeral elevation. A number of studies have described the typical scapular kinematics during humeral elevation in adults. However, children and adults may have differences in scapulothoracic musculature and scapular osteology. To our knowledge, no study has been performed examining scapular k...

BACKGROUND Patients with full thickness rotator cuff tears typically demonstrate an increase in scapular motion, both in the clinic and under controlled laboratory conditions. To better understand the mechanisms behind this pattern of motion, we propose a suprascapular nerve block as an appropriate model of dysfunction of the supraspinatus and infraspinatus, which are the two tendons most commo...

Spastic scapular dyskinesia after stroke is rare, which causes impaired shoulder active range of motion (ROM). To date, there has been no report about botulinum toxin injection to spastic periscapular muscles. This study presents botulinum toxin A injection for management of spastic periscapular muscles after stroke in 2 cases.This is a retrospective study of 2 cases of spastic scapular dyskine...

SUMMARY The universally accepted method of measuring glenoid version to determine proper alignment of the glenoid component during total shoulder arthroplasty does not account for the complex and variable relationship of the glenoid vault with the scapular body. Existing evidence indicates that the glenoid and the scapular body development are controlled by independent genetic and biomechanical...

Letter by Hayashi et al Regarding Article, “Heritability of Early Repolarization: A Population-Based Study” To the Editor: We read with much interest the article published by Reinhard et al.1 The article described a high rate of heritability of early repolarization (ER) in a general population. Early repolarization was characterized by ECG morphological features of the QRS complex (ie, notching...

p i J a To the Editor: The transition from the QRS complex to the ST-segment on the 12-lead electrocardiogram (ECG) has been conventionally termed the ST junction (STj). Occasionally, the terminal portion of the QRS complex manifests a notch or slur when transiting into the ST-segment. This has been described as a normal variant in healthy individuals (1) in whom STj is very often elevated. The...

CONTEXT Overhead athletes commonly have poor posture. Commercial braces are used to improve posture and function, but few researchers have examined the effects of shoulder or scapular bracing on posture and scapular muscle activity. OBJECTIVE To examine whether a scapular stabilization brace acutely alters posture and scapular muscle activity in healthy overhead athletes with forward-head, ro...