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Periarthropathia humeroscapularis and cervical disc herniation.

A Benini1, F J Wagenhäuser

  • 1Neurochirurgische Klinik, Kantonsspital St. Gallen.

Neurochirurgia
|March 1, 1989
PubMed
Summary

Cervical disc herniation can cause shoulder dysfunction, known as periarthropathia humeroscapularis (PHS). This study found PHS occurred in patients before and after surgery for cervical disc issues.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Physical Medicine and Rehabilitation

Background:

  • Periarthropathia humeroscapularis (PHS) involves shoulder girdle dysfunction due to periarticular tissue and joint capsule issues.
  • Secondary PHS can be caused by cervical spine conditions, notably cervical disc herniation.
  • The relationship between cervical disc herniation and PHS requires further clinical investigation.

Purpose of the Study:

  • To investigate the incidence and clinical significance of periarthropathia humeroscapularis (PHS) in patients undergoing surgery for cervical disc herniation.
  • To determine the prevalence of PHS before and after surgical intervention for cervical disc herniation.
  • To analyze the characteristics of patients developing PHS in the context of cervical disc herniation.

Main Methods:

  • Retrospective analysis of 141 patients operated on for cervical disc herniation.
  • Clinical assessment for the presence of periarthropathia humeroscapularis (PHS) syndrome before and after surgery.
  • Evaluation of patient demographics and severity of cervical spondylosis.

Main Results:

  • Out of 141 patients, 14 (9.9%) presented with PHS prior to surgery for cervical disc herniation.
  • A significant number of patients, 31 (22%), developed PHS postoperatively.
  • The patient cohort was relatively young, and severe cervical spondylosis was not a prominent feature.

Conclusions:

  • Cervical disc herniation is associated with the development of periarthropathia humeroscapularis (PHS), both preoperatively and postoperatively.
  • Spondylogenous cervical spine conditions, particularly disc herniation, are important etiological factors for secondary PHS.
  • Further research is warranted to understand the mechanisms and optimize management strategies for PHS in this patient population.

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