Kine Sport Rehab

25/09/2025

01/09/2025

Surgical treatment seems to be the best solution in First time Anterior Shoulder Dislocation Before the age of 25!

https://ow.ly/mxcz50WOMhK

31/08/2025

📃Physical examination tests in the acute phase of shoulder injuries with negative radiographs: a diagnostic accuracy study,
(June 2025)

📌 Background

Rotator cuff tears may easily be missed in patients with acute shoulder trauma.

Evidence in support of shoulder physical examination tests has been considered insufficient in reviews and meta-analyses.

Purpose: explore whether physical examination tests can effectively predict or rule out acute full-thickness rotator cuff tears.

🧪 Methods

120 consecutive patients aged ≥ 40 years with acute shoulder injury without fracture on plain x-rays were enrolled prospectively.

Thirteen physical examination tests and ultrasound screening as reference standard, were performed blinded to each other.

👥 Participants

Median age 55 years, 51% female.

Prevalence of rotator cuff full-thickness tear and/or occult fracture of the insertion: 38%.

Almost all tears involved the supraspinatus tendon (n = 36).

🧾 Results

Highest test accuracy: inability to abduct above 90°, resisted abduction pain, and external rotation strength.

Inability to abduct above 90°: Sensitivity 84%, Specificity 71%, Diagnostic Odds Ratio (DOR) 12.9.

External rotation strength (small finger test): Sensitivity 66%, Specificity 86%, DOR 12.4.

Combining inability to abduct above 90° + weakness in external rotation: Sensitivity > 90%, DOR > 22, but specificity decreased.

🩺 Conclusions

Two simple tests (inability to abduct above 90° and weakness in external rotation) may effectively predict full-thickness tears of the supra- and infraspinatus and/or occult fracture at their insertion.

The test combination may be useful for selecting patients for advanced imaging and for diagnostic purposes when such imaging is not available.

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⚠️Disclaimer: Sharing a study or a part of it is NOT an endorsement. Please read the original article and evaluate critically.

Link to Article 👇

28/08/2025

🧪 Physical examination can help differentiate shoulder from neck pathology although there can be overlap.

💪 Absence of biceps muscle stretch reflex is highly specific for cervical radiculopathy.

🔎 Spurling’s test has high specificity (0.93) for cervical radiculopathy.

✋ Shoulder abduction plays a key role in differentiation:

Davidson et al showed that 68% of patients with cervical radiculopathy had relief with abduction of the arm, which elevates the dorsal root ganglion away from osteophytes and varicosities causing compression.

📉 Viikari-Juntura et al showed that Spurling’s test and the shoulder abduction test were both specific for cervical radiculopathy but were not sensitive.

⚠️ Caliş et al showed that:

Shoulder abduction pain was highly specific for subacromial impingement

Drop arm test: specificity 0.97

Painful arc test: specificity 0.80

🤲 Gumina et al proposed the arm squeeze test:

Hypothesizes that compression of brachial plexus nerves affected by radiculopathy in the middle arm results in increased pain compared with various shoulder pathologies

Sensitivity 0.96 and specificity 0.90 for detection of cervical radiculopathy

👉Link to article in the comment

26/08/2025

22/08/2025

Participants only passed on average 47% of the post-Bankart repair CBRTS protocol tests. https://www.sciencedirect.com/science/article/pii/S0749806325000659?utm_source=hootsuite&utm_medium=&utm_term=&utm_content=&utm_campaign=

21/08/2025

19/08/2025

📣 Introducing the SWEREX study 📄

Understanding anterior cruciate ligament reconstruction rates in higher-level athletes

🔑
1️⃣ Higher incidence in females 🏃‍♀️
2️⃣ 1.7x higher in second division compared to first 🥈
3️⃣ Incidence varies between sports 🏀 🤾‍♂️

NEW 👉 https://bit.ly/3J3yYap

15/08/2025

-Montpellier - Centre SPORTREHAB ANTIGONE :

Nous recherchons, suite à un désistement de dernière minute, une personne disponible pour un poste à temps plein pour le cabinet Sportrehab Antigone à partir de Septembre-Octobre.
Centre spécialisé en ortho-traumato, kiné du sport ⚽️🎾⛷🏋️‍♀️, ré-entraînement à l’effort, PAS de domicile.

Plateau technique isocinétisme + Technogym + BFR + EMG + blazepods + ondes de choc+ K-Invent… travail en réathlétisation et possibilité de suivi d'équipe sportive

2 secrétaires au top pour gérer les rdv et l’administratif
MK motivés(es) pour une prise en charge EBP et dynamique de nos patients ! Formation assurée en kiné du sport/isocinétisme/BFR et sur K-invent.

Contact en MP ou au 06.08.93.72.26
A bientôt !
https://sportrehab.fr/
instagram.com/sportrehab_montpellier/

09/08/2025

The Big Picture of Achilles Tendinopathy

🦶 Achilles tendinopathy is a multifactorial condition related to an interaction of intrinsic and extrinsic factors that leads to an imbalance of tendon and whole-person capacity ⬇️ in relation to tendon and whole-person load⬆️ (allostatic load, https://pubmed.ncbi.nlm.nih.gov/35202474/).

📘The following infographic based on Traweger et al. (2025, https://www.nature.com/articles/s41572-025-00609-2) illustrates the Big Picture of Achilles Tendinopathy.

💡Addressing and modulating these factors is crucial in the pathway of personalised treatments in tendinopathy and offers an opportunity to improve outcomes (https://pubmed.ncbi.nlm.nih.gov/35990762/).

✅ So treat the person, not just the tendon!

29/07/2025

This image is a diagnostic differential (D.D) radiographic comparison of several conditions affecting the calcaneus (heel bone). Here's a breakdown of each condition shown:

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🔸 Calcaneal / Plantar / Heel Spur

Location: Inferior aspect of the calcaneus.

Appearance: Pointed bony outgrowth (osteophyte).

Associated with: Plantar fasciitis.

Radiograph: Lateral heel X-ray shows a sharp spur projecting from the bottom of the calcaneus.

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🔸 Achilles Insertional Spur / Enthesophyte

Location: Posterior aspect of the calcaneus at the Achilles tendon insertion.

Appearance: Bone spur extending from the back of the calcaneus.

Radiograph: Lateral view shows a bony spur where the Achilles tendon attaches.

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🔸 Calcific Plantar Fasciitis

Location: Along the plantar fascia origin.

Appearance: Cloudy or linear calcifications near the heel.

Radiograph: Soft tissue calcification in the plantar aspect near the calcaneus.

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🔸 Calcific Achilles Fasciitis

Location: Posterior calcaneus near Achilles insertion.

Appearance: Soft tissue calcifications around the Achilles tendon.

Radiograph: Radiopaque deposits (arrows) seen in soft tissues above the heel.

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🔸 Calcaneal Stress Fracture

Location: Within the body of the calcaneus.

Appearance: Sclerotic line or periosteal reaction.

Radiograph: Subtle linear lucency or sclerosis (arrows point to fracture lines).

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🔸 Summary Illustration (Center Image)

A diagrammatic representation showing both dorsal and plantar spurs on the calcaneus for anatomical orientation.

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✅ Purpose of Image:

To assist in differentiating causes of heel pain based on radiographic findings