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Shoulder-Hand Syndrome

Shoulder Hand Syndrome Autonomic Nervous System (hand Shoulder)


Presentation

  • Abstract In the present study we evaluated the 3-month follow-up of 14 subjects with phenobarbital-induced shoulder-hand syndrome after discontinuation of their previous pharmacological treatment (group 1: gabapentin 100 mg/day; group 2: acetaminophen[ncbi.nlm.nih.gov]
  • Case presentation We report the case of a 67-year-old woman who presented with shoulder-hand syndrome as the initial manifestation of gastric cancer which had metastasized to bone.[paperity.org]
  • In this report, we described the case of a 68-year-old hemiplegic female affected by cerebrovascular accident that presented a clinical case of CRPS shoulder-hand syndrome (CRPS-SHS) at the right hand after a hemorrhagic stroke.[ncbi.nlm.nih.gov]
  • The central role of the sympathetic nerve is presently in doubt.[ncbi.nlm.nih.gov]
Arm Pain
  • The following day the patient was aware of generalised left arm pain. By the next day the pain had spread to involve her right arm.[ispub.com]
Cutaneous Manifestation
  • Spincemaille, Effect of spinal cord stimulation in Type I complex regional pain syndrome with 2 rare severe cutaneous manifestations, Journal of Neurosurgery, 110, 2, (274), (2009).[doi.org]
Frozen Shoulder
  • Diagnosis and treatment The diagnosis is made on the clinical symptoms of a frozen shoulder. The course of the disease is usually mild with spontaneous remission within a year.[diapedia.org]
  • Abstract I would appreciate an opportunity to inquire of your readers whether in their experience with children or adolescents any of them have encountered reflex dystrophy, or the shoulderhand syndrome, or an idiopathic frozen shoulder.[pediatrics.aappublications.org]
  • Journal of Medical Case Reports, Jul 2008 Introduction Shoulder-hand syndrome is a relatively rare clinical entity classified as a complex regional pain syndrome type 1 and consisting essentially of a painful 'frozen shoulder' with disability, swelling[paperity.org]
Shoulder Pain
  • pain, hand/wrist pain, edema, vasomotor changes, trophic changes and osteoporosis on x-ray.[ncbi.nlm.nih.gov]
  • Shoulder-hand syndrome shoulder-hand syndrome A condition characterised by shoulder pain, swelling, stiffness, vasomotor symptoms of arm and hand and skin oedema/induration, seen in patients above age 50 after an acute MI, or less commonly a cerebrovascular[medical-dictionary.thefreedictionary.com]
  • The shoulder capsulitis is treated by physical therapy aimed at avoiding immobility and strain of the shoulder.[diapedia.org]
  • JAMA 182 : 918–924. 5 Nichols P J, Norman P, Ennis J K (1979) Wheelchair users’ shoulder pain in patients with spinal cord lesions.[nature.com]
Peripheral Neuropathy
  • Hays, Utility of Skin Biopsy to Evaluate Peripheral Neuropathy, Current Neurology and Neuroscience Reports, 10.1007/s11910-010-0094-6, 10, 2, (101-107), (2010). Phillip J. Albrecht and Frank L.[dx.doi.org]
  • BPN is a type of peripheral neuropathy , which refers to damage to a single nerve or a set of nerves. If you have BPN, it’s the brachial plexus that’s damaged. This is an area where nerves from the spinal cord branch into the arm nerves.[healthline.com]
  • Dirksen, A Trial-Based Economic Evaluation Comparing Spinal Cord Stimulation With Best Medical Treatment in Painful Diabetic Peripheral Neuropathy, The Journal of Pain, 10.1016/j.jpain.2016.11.014, 18, 4, (405-414), (2017). Timothy R. Deer, David A.[doi.org]
  • Treatment of symptomatic diabetic peripheral neuropathy with the anti-oxidant alpha-lipoic acid. A 3-week multicentre randomized controlled trial (ALADIN Study). Diabetologia 38 : 1425–1433, 1995. Crossref PubMed ISI Google Scholar[doi.org]
Radiculopathy
  • This information is converted into noxious impulses which go to the brain. 4 There are many causes for CRPS, including trauma, radiculopathy, cerebrovascular accidents, cancer, multiple sclerosis, infections. 4 Summary Shoulder-Hand syndrome is reported[ispub.com]
  • Efstathiou, Manos Stefanakis, Christos Savva and Giannis Giakas, Effectiveness of neural mobilization in patients with spinal radiculopathy: A critical review, Journal of Bodywork and Movement Therapies, 19, 2, (205), (2015). Cielito C.[doi.org]

Treatment

  • The full syndrome recurred in six patients, all of whom responded to a second course of treatment.[ncbi.nlm.nih.gov]
  • The aim of this study was to evaluate pain and joint function in each group after cessation of treatment and to compare the results in the two groups.[ncbi.nlm.nih.gov]
  • […] has yet proven its advantage over other physical methods for reducing hand oedema; and (vi) oral corticosteroids are the most effective treatment for SHS.[ncbi.nlm.nih.gov]
  • The primary indices evaluated were pain on passive movement of the shoulder using the numeric pain rating scale (NPRS), and the number of patients with shoulder-hand syndrome at Steinbrocker stage II or III after treatment.[ncbi.nlm.nih.gov]
  • Marginal or no discomfort from treatment with the orthosis was reported in 15 patients (75%), and only a single patient (5%) felt severe discomfort during the entire treatment. Use of the orthosis during the prescribed time was 89%.[ncbi.nlm.nih.gov]

Prognosis

  • Rapid evaluation is necessary, because the earlier treatment is started, the better the prognosis [ 8 ].[jmedicalcasereports.biomedcentral.com]
  • Recovery after CRPS treatment varies The prognosis for CRPS type I is better than that of CRPS type II When the syndrome continues for more than 1 year, it is likely that residual impairment will be present Regardless of the treatment afforded, patients[orthopaedicsone.com]
  • From What is the prognosis for reflex sympathetic dystrophy (RSD) The prognosis (outlook) and response to treatment in patients with RSD is unpredictable.[medicinenet.com]
  • What is the prognosis for reflex sympathetic dystrophy (RSD) The prognosis (outlook) and response to treatment in patients with RSD is unpredictable.[medicinenet.com]

Etiology

  • Hand-Shoulder Syndrome Pain, swelling and osteoporosis Atrophy of the skin of the hand Etiology not known Reflex circulatory disturbance Seen secondary to Myocardial infraction Stroke Trauma Imaging Shoulder x-rays are usually negative Hand shows osteoporosis[learningradiology.com]
  • In this group belongs the idiopathic shoulder-hand syndrome. 33 It is becoming increasingly apparent that, although the etiology of these various syndromes may be different, many of their FULL TEXT[annals.org]
  • ETIOLOGY: Trauma (often minor). Ischemic heart disease and myocardial infarction. Spinal cord disorder. Cerebral lesions. Infections. Surgery. SIGN AND SYMPTOMS: Due to different causes, clinical manifestations.[mobilephysiotherapyclinic.in]
  • Autoimmune etiology of complex regional pain syndrome (M. Sudeck). Neurology. 2004 Nov 9. 63(9):1734-6. [Medline]. Oaklander AL, Fields HL. Is reflex sympathetic dystrophy/complex regional pain syndrome type I a small-fiber neuropathy?.[emedicine.medscape.com]

Epidemiology

  • The capsulitis results in a 'frozen shoulder' with movement limitation in all directions, Epidemiology Shouder capsulitis occurs in 10% of patients with type 1 diabetes, in 25% of patients with type 2 diabetes and in 2% of the general population.[diapedia.org]
  • Read more Within TREND 5 research programmes can be discerned: Epidemiology, Assessment technology, Trials, Genetics, and Biomarkers. Within each research programme multiple research projects are performed.[web.archive.org]
  • All Mayo Clinic and Olmsted Medical Group medical records with codes for reflex sympathetic dystrophy (RSD), CRPS, and compatible diagnoses in the period 1989–1999 were reviewed as part of the Rochester Epidemiology Project.[dx.doi.org]
  • Valley Royal Hospital, Larbert, Stirlingshire, UK Correspondence to Dr Ishaq Abu-Arafeh, Department of Paediatrics, Forth Valley Royal Hospital, Larbert, Stirlingshire FK5 4WR, UK; iabu-arafeh{at}nhs.net Abstract Objective To study the clinical and epidemiological[doi.org]
Sex distribution
Age distribution

Pathophysiology

  • We conclude that a SHS complicating CSCI is associated with increased amplitude of the SSR, supporting the theory that sympathetic hyperactivity is important in the pathophysiology of reflex sympathetic dystrophy in this setting.[ncbi.nlm.nih.gov]
  • A great diversity of pathophysiological and therapeutic insight was found.[ncbi.nlm.nih.gov]
  • The pathophysiology is not completely clear but a predominant 'sympathetic' factor affecting the neural and vascular supply to the affected parts seems to be involved.[paperity.org]
  • Pain. 93(2):165–171, AUG 2001 DOI: 10.1016/S0304-3959(01)00309-8, PMID: 11427328 Issn Print: 0304-3959 Publication Date: 2001/08/01 Checking for direct PDF access through Ovid Abstract In order to analyze the pathophysiology behind the clinical similarity[doi.org]

Prevention

  • Swelling and contracture of the hands continued to develop despite oral corticosteroid therapy, and one patient underwent surgery in an attempt to prevent the development of further deformity.[ncbi.nlm.nih.gov]
  • In the majority of stroke patients, this clinical phenomenon seems to be preventable by avoiding shoulder trauma.[ncbi.nlm.nih.gov]
  • CONCLUSION: The protocol helped to prevent development of SHS. Copyright 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation[ncbi.nlm.nih.gov]
  • CONCLUSIONS: The orthosis examined in this trial has been successfully shown to reduce and prevent the development of clinical symptoms of shoulder-hand syndrome.[ncbi.nlm.nih.gov]
  • These studies investigated continuous passive motion and neuromuscular stimulation in hand oedema as well as oral corticosteroids, intramuscular calcitonin and trauma prevention in SHS.[ncbi.nlm.nih.gov]

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