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Injuries of the shoulder sustained by Surfboard riders

Published on: 9th January, 2018

OCLC Number/Unique Identifier: 7317656813

Background: To determine the spectrum of shoulder pathologies suffered by surfers. Methods: Prospective descriptive study. Surfers with shoulder injuries who were referred to a sub-speciality orthopaedic shoulder private practice situated on the Northern beaches of Sydney (Australia) were recruited over a three-year period. Results: 42 shoulders in 37 subjects were included-12 acute injuries (29.3%), 9 acute on chronic (22%) and 20 chronic injuries. Average age 48 years (range 20-72 years). Seventeen subjects (46%) had manual occupations and 20 subjects (54%) had office-based occupations. Spectrum of pathologies included rotator cuff tendon tears, long head of biceps tendon pathology, labral tears, acromioclavicular and glenohumeral joint osteoarthritis. Discussion: There is a wide spectrum of acute and chronic shoulder injuries sustained by surfers. The most common presentation was for chronic pathology. The average age of 48 suggests that age may play a role in attritional/degenerative change and therefore an increased likelihood of injury.
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Atypical Ductal Hyperplasia: Factors predicting upstaging to carcinoma

Published on: 6th July, 2020

OCLC Number/Unique Identifier: 8633817372

Aim: Percutaneous core needle biopsy (CNB) is considered the gold standard technique for initial histological diagnosis of suspicious breast lesions seen on screening mammogram, but it is less reliable for diagnosing atypical ductal hyperplasia (ADH) due to significant rates of diagnosis upstaging to malignant disease after excision biopsy. The purpose of this study was to identify factors that predict diagnosis upstage to carcinoma in patients diagnosed with ADH on core biopsy. Methods: A retrospective database search identified 52 consecutive CNB of suspicious breast lesions revealing pure ADH. Inclusion criteria included asymptomatic women presenting for screening mammogram, who subsequently underwent surgical excision. Logistic regression analysis evaluated clinical, radiological, and histological factors. Results: A total of 52 patients with ADH on CNB were identified who met our criteria. Twenty-six of 52 patients (50%) were upstaged to ductal carcinoma in situ or invasive carcinoma, based on histological interpretation of the surgically excised specimen. Lesion size was showed to be a statistically significant predictor on univariable logistic regression analysis. Multivariate logistic regression analysis revealed Asian ethnicity and lesion size as independent predictors of malignancy (p = 0.050 and 0.011, respectively). Conversely, women of Middle Eastern and European origin and lesions < 15 mm on mammography were negative predictors of malignancy. Conclusion: Lesion size ≥ 15 mm on mammography and Asian ethnicity are independent risk factors for breast carcinoma in asymptomatic patients diagnosed with ADH on CNB.
Cite this ArticleCrossMarkPublonsHarvard Library HOLLISGrowKudosResearchGateBase SearchOAI PMHAcademic MicrosoftScilitSemantic ScholarUniversite de ParisUW LibrariesSJSU King LibrarySJSU King LibraryNUS LibraryMcGillDET KGL BIBLiOTEKJCU DiscoveryUniversidad De LimaWorldCatVU on WorldCat