The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Dec 2018
Reliability of the Mechanical Diagnosis and Therapy System in Patients With Spinal Pain: A Systematic Review.
An updated summary of the evidence for the reliability of the Mechanical Diagnosis and Therapy (MDT) system in patients with spinal pain is needed. ⋯ The MDT system appears to have acceptable interrater reliability for classifying patients with back pain into main and subsyndromes when applied by therapists who have completed the credentialing examination, but unacceptable reliability in other therapists. We found conflicting evidence regarding the reliability of the MDT system in patients with neck pain or mixed pain locations. J Orthop Sports Phys Ther 2018;48(12):923-933. Epub 22 Jun 2018. doi:10.2519/jospt.2018.7876.
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J Orthop Sports Phys Ther · Dec 2018
Case ReportsLarge Partial-Thickness Tear of the Subscapularis Tendon.
A 27-year-old active-duty male sailor directly accessed physical therapy for deep left anterior shoulder pain. The patient sustained his injury the previous day, when he threw a left hook into the body of his sparring partner, creating a sudden high-energy external rotation force. ⋯ The images revealed a large partial tear, with retraction of the subscapularis tendon at the lesser tuberosity, a labral tear, and an intratendon biceps tendon tear with subluxation. J Orthop Sports Phys Ther 2018;48(12):983. doi:10.2519/jospt.2018.8221.
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J Orthop Sports Phys Ther · Dec 2018
Case ReportsPectoralis Major Tear and Extensive Capsulolabral Injury After Military Combatives Class.
A 26-year-old man presented to a direct-access physical therapy clinic with right shoulder pain that began 1 week prior, after forceful abduction and external rotation during combatives training. Radiographs were noncontributory. ⋯ The magnetic resonance images confirmed complete pectoralis major tendon detachment from the humerus, and the magnetic resonance arthrogram confirmed an extensive, near-circumferential labral tear with a reverse Bankart fracture. J Orthop Sports Phys Ther 2018;48(12):982. doi:10.2519/jospt.2018.7808.