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Arthrographic findings in hemiplegic shoulders.
Archives of Physical Medicine and Rehabilitation
|November 1, 1984
Summary
Hemiplegia significantly increases adhesive changes in affected shoulders, with higher rates observed in paralyzed limbs compared to non-paralyzed ones. Capsular contracture may prevent tears during arthrography, but rotator cuff tears showed no significant difference between sides.
Area of Science:
- Orthopedics
- Neurology
- Radiology
Background:
- Hemiplegia, a condition resulting from stroke or brain injury, often leads to motor deficits and can affect musculoskeletal health.
- Shoulder complications are common in hemiplegic patients, impacting mobility and quality of life.
Purpose of the Study:
- To investigate the arthrographic changes in shoulders affected by hemiplegia.
- To compare arthrographic findings between paralyzed and non-paralyzed shoulders in hemiplegic patients.
- To explore the correlation between arthrographic changes and hemiplegic condition characteristics.
Main Methods:
- A comparative study involving 77 patients with hemiplegia.
- Arthrographic examination of both paralyzed and non-paralyzed shoulders in each patient.
- Statistical analysis to compare findings and identify correlations.
Main Results:
- Paralyzed shoulders showed a significantly higher incidence of adhesive changes (54.6%) compared to non-paralyzed shoulders (32.5%).
- Contrast leakage from capsular tears was more frequent on the non-paralyzed side, suggesting protective capsular contracture on the paralyzed side.
- No significant difference in rotator cuff tear occurrence was found between paralyzed and non-paralyzed shoulders.
Conclusions:
- Hemiplegia is associated with increased adhesive capsulitis in the affected shoulder.
- Capsular contracture in hemiplegic shoulders may alter the risk of tears during arthrography.
- Shoulder pain preceding hemiplegia was the only characteristic correlated with arthrographic changes in paralyzed shoulders.