Magnetic Resonance Arthrographic Findings of the Painful Hemiplegic Shoulder
Journal of the Korean Academy of Rehabilitation Medicine
;
: 657-663, 2008.
Artigo
em Coreano
| WPRIM
| ID: wpr-722507
ABSTRACT
OBJECTIVE:
To identify the etiology of hemiplegic shoulder pain by magnetic resonance (MR) arthrography.METHOD:
The study included seventy-four hemiplegic patients with shoulder pain. After several physical examinations, all patients had fluoroscopically guided injection by a physiatrist with a maximum of 12~15 ml of contrast agent. Then T1-weighted, T2-weighted and fat-suppressed T1-weighted images were taken at the oblique coronal plane. In addition, fat-suppressed T1-weighted images were obtained at the oblique sagittal and oblique coronal plane.RESULTS:
Except for the 9 patients who did not finish the study, the mean age of the participants was 61.5+/-8.9 years and mean duration of the cerebrovascular accident (CVA) was 15.7+/-9.7 weeks. The findings were as follows 40% supraspinatus tendinitis, 30.8% superior labrum anterior to posterior (SLAP) lesion, 29.2% adhesive capsulitis, 24.6% supraspinatus partial tear, 23.1% biceps tendinitis, 13.8% supraspinatus full thickness tear, 7.7% infraspinatus partial tear. The SLAP lesion had significant statistic relationship with biceps tendinitis (p<0.05) but not with rotator cuff lesion.CONCLUSION:
We found that causes of hemiplegic shoulder pain were various. The prevalence of the SLAP lesion was high (30.8%). We recommend the MR arthrography when the hemiplegic shoulder pain does not improve by conventional therapy or the cause of the pain is uncertain.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Exame Físico
/
Ombro
/
Bursite
/
Artrografia
/
Espectroscopia de Ressonância Magnética
/
Prevalência
/
Manguito Rotador
/
Dor de Ombro
/
Acidente Vascular Cerebral
/
Tendinopatia
Tipo de estudo:
Estudo diagnóstico
/
Estudo de prevalência
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Academy of Rehabilitation Medicine
Ano de publicação:
2008
Tipo de documento:
Artigo
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