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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(3):622-629.
Ultrasonographic Evaluation of the Painful Hemiplegic Shoulder.
Kim, Sang Kyu , Lee, Kwang Lai , Han, Gi Seok
1Department of Rehabilitation Medicine, College of Medicine, Chungbuk National University.
2Diagnostic Radiology, College of Medicine, Chungbuk National University.
통증을 동반한 편마비 환자의 견관절 초음파 소견
김상규, 이광래, 한기석1
충북대학교 의과대학 재활의학교실, 1진단방사선과학교실

The aim of this study is to know the usefulness of ultrasonographic evaluation of hemiplegic shoulder pain.

For 20 hemiplegic patients with shoulder pain, the shoulder was evaluated by simple radiographic findings, physical examinations, visual analogue scale (VAS), manual muscle test (MMT), and finally the ultrasonographic examination to define shoulder pain nature. The ultrasonographic results were compared to the simple radiography, physical examination, VAS, and MMT.

The ultrasonographic findings were variable. The positive ultrasonographic findings were 10 joint fluid collections, 3 tendinous thickenings, 4 high echogenic findings, 4 tendon surface defects, 2 tendinous gracilings, and 1 joint surface irregularity. The ultrasonographic interpretative conclusion included 6 tendon (or muscle) tears, 2 degenerative changes, 5 nonspecific simple joint fluid collections, and 7 normal shoulder joints. In comparison of ultrasonographic findings and subluxation, VAS, and fluid collection, VAS showed relatively higher correlation.

The ultrasonography is very useful as a non-invasive, inexpensive, painless, and rapid screening diagnostic method for the evaluation of painful hemiplegic shoulder.

Key Words: Ultrasonography, Hemiplegic shoulder pain, Subluxation, Visual analogue scale (VAS), Joint fluid collection


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