No abstract available.
Shoulder Pain* ; Shoulder*

No abstract available.
Shoulder Pain* ; Shoulder*

In the literature, the scapular neck fracture with ipsilateral acromioclavicluar dislocation(type I), mid-clavicular fracture(type II) or sternoclavicular dislocation(type III) is defined as floating shoulder. Authors managed 4 cases of type II floating shoulder, 3 cases by open reduction and internal fixation for the clavicular fracture only and 1 case by conservative therapy. The final results were excellent in 3 cases of the operative group and good in 1 case of the conservative group, by UCLA shoulder rating scale. There were no complications, including drooping or limited motion in the operative treatment group. However, there was shoulder pain in the case of the conservative treatment. It is thought that internal fixation for the clavicular fracture only may be the simple and sufficient treatment method for type lI floating shoulder.
Neck ; Shoulder Pain ; Shoulder*

Suprascapular neuropathy is a rare cause of non-specific shoulder pain affecting all age groups. Magnetic resonance imaging is the most common modality utilized to investigate the cause of suprascapular neuropathy. We report here a case of 22 year old man who presented with diffuse right shoulder region pain and severe wasting of the right infraspinatus muscle of 2 months duration. He was engaged in regular overhead activities at a gymnasium for about 2 years. A possible diagnosis of suprascapular nerve entrapment was considered. The patient was investigated with high resolution neurosonography, which showed a ganglion (paralabral) cyst at the spinoglenoid notch compressing the suprascapular nerve. We propose the use of neurosonography as an economical and effective tool for initial screening of non-specific shoulder pain with or without wasting/weakness of scapular muscles. An early identification of the cause of the neuropathy prior to the onset of muscle weakness/ wasting, and therapeutic intervention is able to avoid permanent disability
Shoulder Pain

No abstract available.
Diagnosis* ; Shoulder Pain*

No abstract available.
Diagnosis* ; Shoulder Pain*

Background: Shoulder pain is a common secondary complication of hemiplegia patients after stroke. To treat and rehabilitate shoulder pain is not only helpful to the recovery of movements for the arms, hands and keeping balance, but also to relieve the pain for patients. Objectives: (1) To determine the prevalence, risk factors of shoulder pain of hemiplegia patients after a stroke; and (2) To assess the treatment results of shoulder pain in hemiplegia patients after a stroke. Subjects: 110 stroke-related hemiplegia patients with the mean age of 60.2 years, treated at the Rehabilitation Department, Bach Mai Hospital from March to November 2007. Method: Descriptive, prospective, interventional study. Data was analyzed by Epi-Info software, version 6.13. Results and conclusion: The prevalence of shoulder pain was 47.27%.Risk factors of shoulder pain were the level of arm movement (r= - 0.75) and duration of disease (r= 0.53). After 1 month of treatment and rehabilitation, compare with the self-exercise group. The level of arm movement and shoulder pain of the intervention group were significantly improved.
shoulder pain ; hemiplegia

Authors applied an acromioplasty, eg., division of coraco-acromial ligament and an excision of lateral 1cm of clavicle to 4 out of 50 cases who complained of persistent shoulder pain following mild trauma in spite of conservative care for several months. We believe that surgical intervention to post-traumatic shoulder pain is worth while.
Clavicle ; Ligaments ; Shoulder Pain

BACKGROUND: Prolotherapy is an effective treatment for pain due to ligament or tendon laxity. The purpose of this study was to determine the effects of prolotherapy on the relief of shoulder pain. METHODS: Twenty-nine patients who complained of shoulder pain were investigated using a pain score system. Prolotherapy was performed using 15% dextrose to regions according to Hemwall's pattern. We recorded numeric rating scale (NRS) pain scores just before prolotherapy and 1, 2, 4 and 8 weeks later. RESULTS: For the 29 patients, prolotherapy proved to be effective and satisfactory in 83% (NRS; 7.2 +/- 0.8 before, 2.0 +/- 1.3 after prolotherapy). CONCLUSIONS: Prolotherapy with 15% dextrose resulted in a clinically significant improvement of shoulder pain due to ligamentopathy.
Glucose ; Humans ; Ligaments ; Shoulder Pain* ; Shoulder* ; Tendons

PURPOSE: The purposes of this study were to investigate the relationship between partial thickness articular side tear of the subscapularis tendon and anterior internal impingement, and to evaluate the clinical outcomes. MATERIALS AND METHODS: We reviewed 27 cases who underwent surgery for tears in the deep surface of the subscapularis tendon. On arthroscopic examination, fraying or tear less than 10% thickness of the subscapularis tendon was observed in 9 cases, 10-30% in 5, more than 30% in 5, and longitudinal tear in 8. Tears were treated with debridement only in 21 cases, arthroscopic repair in 5, and open repair in 1. Labral or SLAP repair was also performed in 6 cases. Analysis was done by the preoperative clinical test, coracoid index and coracohumeral distance from the MR images, associated lesion and the presence or absence of anterior internal impingement on arthroscopic evaluation. Clinical results were assessed using the University of California at Los Angeles shoulder rating scale. RESULTS: Anterior labral lesions were present in 59% of the cases. Hawkins test was positive in 16 cases (59%). Among these cases, labral lesions were seen in 14 (88%). The results were satisfactory in 81%. CONCLUSION: We thought that anterior internal impingement between the partial thickness tear of the subscapularis tendon and the anterior glenoid labrum may cause shoulder pain and possibly induce progression of tear in deep surface of the subscapularis tendon, and Hawkins test is helpful for diagnosis. Satisfactory outcomes could be obtained with debridement or repair in partial tear of the deep surface of the subscapularis tendon.
California ; Debridement ; Diagnosis ; Shoulder ; Shoulder Pain ; Tendons*