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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(3):630-635.
Observation of Treatment Outcome with Radiography in Adhesive Capsulitis of Shoulder.
Yun, Dong Hwan , Kim, Hee Sang , Ahn, Kyung Hoi , Hwang, Chi Moon
1Department of Rehabilitation Medicine, Kyung Hee University College of Medicine.
2Department of Rehabilitation Medicine, Joong Moon College of Medicine.
유착성 견관절낭염의 치료에 대한 방사선학적 평가
윤동환, 김희상, 안경회, 황치문1
경희대학교 의과대학 재활의학교실, 1포천중문의대 재활의학교실
Abstract

Objective
In adhesive capsulitis, assessment of the mobility of the shoulder are likely to have intrinsic error because of the altering scapulohumeral rhythm and extrinsic error. For more objective and the precise assessment of shoulder mobility in adhesive capsulitis, we observed proper glenohumeral movement, the change of scapulohumeral angle, the scapulohumeral rhythm were evaluated with radiography and compared with clinical measurement of shoulder range of motion (ROM).


Method
The subjects were 19 patients (21 shoulder) with adhesive capsulitis of the shoulder and undertook combination treatment of distention arthrography, per os medication of non-steroid anti- inflammatory drug, stellate ganglion block, physical therapy including exercise. We assessed change in visual analogue scale (VAS), joint space capacity, shoulder mobility by measurement of ROM, and scapulohumeral angle in active shoulder abduction under the fluroscopy.


Results
All the subjects experienced pain relief, increased shoulder mobility and restoration of scapulohumeral rhythm. The improvement of the shoulder extension and scapulohumeral angle is well correlated with the change of VAS and joint capacity. However, the improvement of the shoulder flexion, abduction, external rotation and internal rotation were poor correlated with them.


Conclusion
We propose the measurement of scapulohumeral angle with active shoulder abduction in shoulder AP view as an assessment method for shoulder mobility in adhesive capsulitis.

Key Words: Assessment, Shoulder mobility, Adhesive capsulitis of shoulder scapulohumeral rhythm, Scapulohumeral angle


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