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BASIC CONCEPTS ABOUT SHOULDER-ARM SYNDROME

BASIC CONCEPTS ABOUT SHOULDER-ARM SYNDROME The shoulder-arm syndrome is a painful disability that sometimes follows a sprain, laceration, or simple fracture. Although the immediate cause may have been trivial, the patient continues to have a swollen, discolored, tender, painful, and functionless arm and hand. An accurate diagnosis must be made before treatment is begun, and the possibility that the patient has an incompletely reduced dislocation, ununited fracture, or neuroma must be excluded. If the diagnosis is correct, it will be confirmed by the relief-afforded by injecting a short-acting anesthetic agent about the stellate ganglion on the same side as the disability. Such relief corroborates the diagnosis, makes it possible to start physical therapy on a previously painful limb, and indicates a good prognosis. The psychological complications of this syndrome are such that sometimes the special abilities of a psychiatrist are absolutely necessary for special and difficult patients. The structural and functional components of the condition must both be treated, and the best results are obtained by the physician who is most genuinely interested in the patient. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

BASIC CONCEPTS ABOUT SHOULDER-ARM SYNDROME

Pender, John W.
JAMA , Volume 169 (8) – Feb 21, 1959
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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1959.03000250013005
Publisher site
See Article on Publisher Site

Abstract

The shoulder-arm syndrome is a painful disability that sometimes follows a sprain, laceration, or simple fracture. Although the immediate cause may have been trivial, the patient continues to have a swollen, discolored, tender, painful, and functionless arm and hand. An accurate diagnosis must be made before treatment is begun, and the possibility that the patient has an incompletely reduced dislocation, ununited fracture, or neuroma must be excluded. If the diagnosis is correct, it will be confirmed by the relief-afforded by injecting a short-acting anesthetic agent about the stellate ganglion on the same side as the disability. Such relief corroborates the diagnosis, makes it possible to start physical therapy on a previously painful limb, and indicates a good prognosis. The psychological complications of this syndrome are such that sometimes the special abilities of a psychiatrist are absolutely necessary for special and difficult patients. The structural and functional components of the condition must both be treated, and the best results are obtained by the physician who is most genuinely interested in the patient.

Journal

JAMA – American Medical Association

Published: Feb 21, 1959

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