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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...

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Assessing Forelimb Function after Unilateral Cervical SCI using Novel Tasks: Limb Step-alternation, Postural Instability and Pasta Handling

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Defining pseudoparalysis and pseudoparesis: a consensus study.

Eoghan T Hurley¹, Tom R Doyle¹, Jay M Levin¹

¹Department of Orthopedics, Duke University, Durham, NC, USA.

Journal of Shoulder and Elbow Surgery

|June 13, 2024

Summary

This summary is machine-generated.

Consensus was sought on defining shoulder pseudoparalysis and pseudoparesis. While some diagnostic criteria reached agreement, a unifying definition for these conditions, especially concerning rotator cuff tears, remains elusive.

Keywords:

Rotator cuff tear cuff tear arthropathy fatty infiltration pseudoparalysis pseudoparesis shoulder

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Area of Science:

Orthopedics
Sports Medicine
Surgical Consensus

Background:

Shoulder pseudoparalysis and pseudoparesis lack standardized definitions.
Establishing clear diagnostic criteria is crucial for accurate patient assessment and treatment.

Purpose of the Study:

To achieve consensus on the definition of shoulder pseudoparalysis and pseudoparesis using a modified Delphi process.
To identify key diagnostic indicators and exclusions for these shoulder conditions.

Main Methods:

A modified Delphi technique involving 26 international shoulder/sports surgeons.
Statements on diagnosis were circulated, with consensus defined by 80%-99% agreement.

Main Results:

Strong consensus was achieved on excluding unaffected passive range of motion and lidocaine test results from diagnosis.
Consensus was reached that pain must be excluded and distinctions based on range of motion, not tear characteristics.
No consensus was achieved on rotator cuff tear characteristics or differentiating pseudoparalysis from pseudoparesis.

Conclusions:

A modified Delphi process highlighted a lack of consensus on defining shoulder pseudoparalysis and pseudoparesis.
A unifying definition for pseudoparalysis in rotator cuff tears could not be established.
Explicitly defining these terms in research is recommended due to the lack of agreement.