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Rehabilitation Practice and Science

Translated Title

肩鎖關節擾亂症

Abstract

The purpose of this study were to evaluate the acromicolavicular joint factor eliciting the shoulder pain and limitation of movement. We collected 30cases with suspected the A-C joint lesion disclosed by physical examination from O.P.D of the Rehabilation Dept. V.G.H.-T.C sine Sept. '86 to March. '87. The physical findings were (1) local tenderness at the A-C joint area, (2) painful arc at 150 to 180 degree, (3) limited R. O.M. during horizontal adduction and elicited pain at the end range. The patient recieved intra-articular injection at the A-C joint with kenacort 0.5cc +2% xylocaine 0.5cc for therapeutic diagnosis. The patients whose symptoms subsided within three minutes after injection recieved the special view of the shoulder joint in order to demostrate A-C joint clearly to rule out dislocation, subluxation, R.A,.O.A. TB. and tumors.After disapearance of the physical findings and negative finding of the special X-ray examination was documented we called it A-C joint derangement. The results were (1) in 21out of 30cases symptoms were free after injection (2) in 15 out of 21cases negative finding of X-ray examination was noted. That is, 15 cases were labeled as the A-C joint derangement. The mangement should be focused on the A-C joint and achiefed by hot pad, ultrasound, stretching and mobilization.

Language

Traditional Chinese

First Page

35

Last Page

37

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