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  1. Article ; Online: Adaptive pathology: new insights into the physical examination and imaging of the thrower's shoulder and elbow.

    Kuhn, John E

    Journal of shoulder and elbow surgery

    2023  Volume 33, Issue 2, Page(s) 474–493

    Abstract: Throwing with high velocity requires extremes of glenohumeral external rotation of the abducted arm where particularly high forces in the shoulder and elbow are endured. Repeated throwing leads to dominant-arm bony remodeling of the humerus, glenoid, and ...

    Abstract Throwing with high velocity requires extremes of glenohumeral external rotation of the abducted arm where particularly high forces in the shoulder and elbow are endured. Repeated throwing leads to dominant-arm bony remodeling of the humerus, glenoid, and elbow, and multiple soft tissue changes that would be considered abnormal. Many of these features are thought to be adaptive and protective. The purpose of this work is to (1) define the concept of adaptive pathology; (2) review the mechanics of the throwing motion; (3) review pertinent physical examination and imaging findings seen in asymptomatic throwers' shoulders and elbows and describe how these changes develop and may be adaptive-allowing the thrower to perform at high levels; and then (4) review the principles of surgical treatment in the throwing athletes, which should focus on reducing symptoms, but not necessarily restoring the thrower's anatomy to normal.
    MeSH term(s) Humans ; Shoulder ; Elbow ; Athletic Injuries/diagnostic imaging ; Athletic Injuries/surgery ; Baseball ; Physical Examination ; Range of Motion, Articular ; Shoulder Joint/diagnostic imaging ; Shoulder Joint/surgery
    Language English
    Publishing date 2023-08-29
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1170782-3
    ISSN 1532-6500 ; 1058-2746
    ISSN (online) 1532-6500
    ISSN 1058-2746
    DOI 10.1016/j.jse.2023.07.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Nonoperative Treatment of Rotator Cuff Tears.

    Dickinson, Rebecca N / Kuhn, John E

    Physical medicine and rehabilitation clinics of North America

    2023  Volume 34, Issue 2, Page(s) 335–355

    Abstract: Rotator cuff tears are common with prevalence increasing with age. Diagnosis by physical examination may require a cluster of tests. Although radiographs can be helpful, MRI, MRI arthrography, and ultrasound represent the most used imaging technique to ... ...

    Abstract Rotator cuff tears are common with prevalence increasing with age. Diagnosis by physical examination may require a cluster of tests. Although radiographs can be helpful, MRI, MRI arthrography, and ultrasound represent the most used imaging technique to identify rotator cuff tears. Although surgery is sometimes necessary, a large portion of patients may respond to conservative treatment including physical therapy and injections. Physical therapy should include restoring the range of motion, addressing any pectoralis minor or posterior capsule stiffness, and restoring motor control/strength to the scapula and rotator cuff. Other conservative treatments may include nonsteroidal anti-inflammatory drugs, corticosteroid injects, and platelet-rich plasma.
    MeSH term(s) Humans ; Rotator Cuff Injuries/diagnostic imaging ; Rotator Cuff Injuries/therapy ; Rotator Cuff/diagnostic imaging ; Rotator Cuff/surgery ; Magnetic Resonance Imaging ; Physical Examination ; Range of Motion, Articular
    Language English
    Publishing date 2023-03-31
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1196791-2
    ISSN 1558-1381 ; 1047-9651
    ISSN (online) 1558-1381
    ISSN 1047-9651
    DOI 10.1016/j.pmr.2022.12.002
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  3. Article ; Online: Review articles and database studies.

    Mallon, William J / Jed Kuhn, John E

    Journal of shoulder and elbow surgery

    2023  Volume 32, Issue 5, Page(s) 907–908

    MeSH term(s) Review Literature as Topic ; Databases as Topic
    Language English
    Publishing date 2023-02-04
    Publishing country United States
    Document type Editorial
    ZDB-ID 1170782-3
    ISSN 1532-6500 ; 1058-2746
    ISSN (online) 1532-6500
    ISSN 1058-2746
    DOI 10.1016/j.jse.2023.01.012
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  4. Article ; Online: Intraoperative modification of implants.

    Mallon, William J / Jed Kuhn, John E

    Journal of shoulder and elbow surgery

    2023  Volume 32, Issue 7, Page(s) 1347

    MeSH term(s) Humans ; Prostheses and Implants ; Intraoperative Period
    Language English
    Publishing date 2023-02-18
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1170782-3
    ISSN 1532-6500 ; 1058-2746
    ISSN (online) 1532-6500
    ISSN 1058-2746
    DOI 10.1016/j.jse.2023.02.003
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  5. Article ; Online: Artificial intelligence and the creation of scientific papers.

    Sánchez-Sotelo, Joaquín / Jed Kuhn, John E / Mallon, William J

    Journal of shoulder and elbow surgery

    2023  Volume 32, Issue 4, Page(s) 685–686

    MeSH term(s) Humans ; Artificial Intelligence ; Publishing
    Language English
    Publishing date 2023-02-18
    Publishing country United States
    Document type Editorial
    ZDB-ID 1170782-3
    ISSN 1532-6500 ; 1058-2746
    ISSN (online) 1532-6500
    ISSN 1058-2746
    DOI 10.1016/j.jse.2023.02.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cat scratch disease scapular osteomyelitis: a case report.

    Reardon, Patrick J / Gilbert, William B / Kuhn, John E

    JSES reviews, reports, and techniques

    2022  Volume 2, Issue 4, Page(s) 576–579

    Language English
    Publishing date 2022-07-30
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2666-6391
    ISSN (online) 2666-6391
    DOI 10.1016/j.xrrt.2022.06.007
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  7. Article: Upper Extremity Pain and Overuse Injuries in Fly-Fishing: A North American Cross-Sectional Survey and Implications for Injury Prevention.

    Kuhn, Andrew W / Kuhn, John E

    Orthopaedic journal of sports medicine

    2020  Volume 8, Issue 10, Page(s) 2325967120959303

    Abstract: Background: Fly-fishing requires rhythmic, coordinated movements to successfully cast a fly line. Previous studies have shown that the biomechanical demands of fly-casting may cause some individuals to develop upper extremity pain or injuries.: ... ...

    Abstract Background: Fly-fishing requires rhythmic, coordinated movements to successfully cast a fly line. Previous studies have shown that the biomechanical demands of fly-casting may cause some individuals to develop upper extremity pain or injuries.
    Purpose: To report the rates, trends, and contributing factors of upper extremity pain and overuse injuries in a sample of North American recreational fly-fishers.
    Study design: Descriptive epidemiology study.
    Methods: Participants were reached via 3 popular online fly-fishing forums in April 2019. Each consenting North American participant over 18 years of age was given a link to a unique survey that recorded his or her demographic and orthopaedic histories, fly-fishing experience, equipment, casting techniques, upper extremity pain after fly-fishing, and chronic outcomes.
    Results: The 162 fly-fishers included were 63.3 (± 11.5) years of age, and 95.1% were men. In total, 59 (36.4%) reported experiencing upper extremity pain immediately after fly-fishing. Pain was rated a 4.0 (interquartile range, 3.0-6.0) on a 10-point Likert scale, commonly lasting less than 1 day (45.0%) or between 1 day and 1 week (45.0%). The majority (62.7%) reported not needing to see a medical provider for their pain/soreness. Those who did most commonly received diagnoses of elbow or rotator cuff tendinitis. Pain/soreness was associated with casting in an elliptical/sidearm fashion, compared with overhead or 2-handed casting (
    Conclusion: In this sample of recreational fly-fishers, no aspects of fly-fishing were associated with long-term upper extremity disability, and only a little more than a third reported having transient pain immediately after fishing. Casting style, using weighted lines or added weight, and grip style were all associated with pain. These are modifiable risk factors that can be adjusted to reduce the risk of upper extremity pain immediately after fly-fishing.
    Language English
    Publishing date 2020-10-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2706251-X
    ISSN 2325-9671
    ISSN 2325-9671
    DOI 10.1177/2325967120959303
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Throwing, the Shoulder, and Human Evolution.

    Kuhn, John E

    American journal of orthopedics (Belle Mead, N.J.)

    2016  Volume 45, Issue 3, Page(s) 110–114

    Abstract: Throwing with accuracy and speed is a skill unique to humans. Throwing has many advantages and the ability to throw has likely been promoted through natural selection in the evolution of humans. There are many unsolved questions regarding the anatomy of ... ...

    Abstract Throwing with accuracy and speed is a skill unique to humans. Throwing has many advantages and the ability to throw has likely been promoted through natural selection in the evolution of humans. There are many unsolved questions regarding the anatomy of the human shoulder. The purpose of this article is to review many of these mysteries and propose that the answer to these questions can be understood if one views the shoulder as a joint that has evolved to throw.
    MeSH term(s) Biological Evolution ; Humans ; Ligaments, Articular/anatomy & histology ; Ligaments, Articular/physiology ; Motor Activity/physiology ; Range of Motion, Articular/physiology ; Rotator Cuff/anatomy & histology ; Rotator Cuff/physiology ; Selection, Genetic ; Shoulder/anatomy & histology ; Shoulder/physiology ; Shoulder Joint/anatomy & histology ; Shoulder Joint/physiology
    Language English
    Publishing date 2016-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2365753-4
    ISSN 1934-3418 ; 1078-4519
    ISSN (online) 1934-3418
    ISSN 1078-4519
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Nonoperative Treatment of Rotator Cuff Tears.

    Kuhn, John E

    American journal of orthopedics (Belle Mead, N.J.)

    2016  Volume 45, Issue 2, Page(s) 66–67

    MeSH term(s) Humans ; Informed Consent ; Physical Therapy Modalities ; Rotator Cuff Injuries ; Tendon Injuries/therapy
    Language English
    Publishing date 2016-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2365753-4
    ISSN 1934-3418 ; 1078-4519
    ISSN (online) 1934-3418
    ISSN 1078-4519
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  10. Article: Why Measure Outcomes?

    Kuhn, John E

    Instructional course lectures

    2016  Volume 65, Page(s) 583–586

    Abstract: The concept of measuring the outcomes of treatment in health care was promoted by Ernest Amory Codman in the early 1900s, but, until recently, his ideas were generally ignored. The forces that have advanced outcome measurement to the forefront of health ... ...

    Abstract The concept of measuring the outcomes of treatment in health care was promoted by Ernest Amory Codman in the early 1900s, but, until recently, his ideas were generally ignored. The forces that have advanced outcome measurement to the forefront of health care include the shift in payers for health care from the patient to large insurance companies or government agencies, the movement toward assessing the care of populations not individuals, and the effort to find value (or cost-effective treatments) amid rising healthcare costs. No ideal method exists to measure outcomes, and the information gathered depends on the reason the outcome information is required. Outcome measures used in research are best able to answer research questions. The methods for assessing physician and hospital performance include process measures, patient-experience measures, structure measures, and measures used to assess the outcomes of treatment. The methods used to assess performance should be validated, be reliable, and reflect a patient's perception of the treatment results. The healthcare industry must measure outcomes to identify which treatments are most effective and provide the most benefit to patients.
    MeSH term(s) Humans ; Orthopedics/methods ; Orthopedics/standards ; Outcome Assessment (Health Care)/organization & administration ; Patient Care Management/standards ; Patient Preference ; Quality of Health Care/standards ; Reproducibility of Results
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article
    ZDB-ID 802490-x
    ISSN 0065-6895
    ISSN 0065-6895
    Database MEDical Literature Analysis and Retrieval System OnLINE

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