肩関節
Online ISSN : 1881-6363
Print ISSN : 0910-4461
ISSN-L : 0910-4461
脳卒中片麻痺患者の肩関節痛の病態と治療
橋内 智尚櫻井 悟良尾崎 二郎今田 光一
著者情報
キーワード: 片麻痺, 肩痛
ジャーナル フリー

2001 年 25 巻 3 号 p. 415-418

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The purpose of this study is to investigate the pathogenesis and treatment of shoulder pain in hemiplegia.60 shoulders in 60 patients were available and separated into three types on the bases of pain (no or slight, mild, severe). The duration of the hemiplegia, tenderness points, range of motion, manual muscle testing, sensory deficit, edema and the X-ray findings were statistically analyzed. The subacromial bursae of 31 shoulders in 60 patients were injected (A group: 9 shoulders, xylocaine and dexamethazone / B group: 22 shoulders, sodium hyaluronate). Then 4 shoulders were operated on using the one portal arthroscopy. The tenderness points of the C-A arch and around the C-A arch increased with the pain. The improvement rates of pain were 61.7% in A group and 59.1% in B group. A decrease in pain was noted in all of the patients who had been operated on with the one portal arthroscopy. Pain of the shoulder in hemiplegia may be attributable to the C-A arch. Attention to the C-A arch may be of importance.

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© 日本肩関節学会
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