Anterior Displacement of Humeral Head in Hemiplegic Shoulder Subluxation.

, Cheong, Jee Young; , Shin, Hye Sung; , Han, Soo Jeong; , Hwang, Jeong Hye; , Lee, Chyung Ki

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2002;26(6):658-666.

Cheong, Jee Young , Shin, Hye Sung , Han, Soo Jeong , Hwang, Jeong Hye , Lee, Chyung Ki

Department of Rehabilitation Medicine, Ewha Womans University College of Medicine, Korea. chyungki@mm.ewha.ac.kr

편마비성 견관절 아탈구의 상완골두 전방전위

정지영·신혜성·한수정·황정혜·이청기

이화여자대학교 의과대학 재활의학교실

Abstract

Objective
To measure anterior displacement of the humeral head and to observe its relationship with clinical findings in the subluxed hemiplegic shoulders.
Method
Seventeen hemiplegic patients, having the subluxed shoulder over one finger breadth were subjected. We measured shoulder pain, muscle power of the shoulder abductors, Brunnstrom stage and spasticity in the affected upper extremity. To measure the humeral displacement of the shoulder subluxation, the AP and transthoracic lateral views of simple radiologic picture were taken on both affected and unaffected shoulders, and repeated after donning three kinds of arm slings.
Results
Its anterior displacement as well as the inferior displacement occured in all subjects, and was significantly related with the value of shoulder pain and spasticity, and the inferior displacement with Brunnstrom stage and muscle power of the shoulder abductors in the subluxed hemiplegic shoulder (p＜0.05). Correction of the humeral displacement occured significantly in anterior direction as well as inferior by use of all tested arm slings.
Conclusion
Clinical implications of the shoulder subluxation were different according to direction of the humeral displacement, and anterior displacement will be considered for its symptom in hemiplegic shoulder. (J Korean Acad Rehab Med 2002; 26: 658-666)

Key Words: Hemiplegia, Shoulder subluxation, Anterior displacement