卒中患者偏瘫侧肩关节病变的高频超声诊断

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Abstract Objective To explore ultrasonographic characteristics of hemiplegic shoulders and investigate the cause of shoulder pain with high-resolution ultrasound.Methods A total of 93 patients who suffered from post-stroke hemiplegic shoulders for the first time underwent high frequency ultrasonography of shoulders. Subjects were assigned to shoulder pain group and without pain group. Variables were compared between patients with shoulder pain and those without. Modified Ashworth scores and Brunnstrom recovery stages were used to evaluate the muscle tone and motor function of the upper limb of patients.Results Seventy-five cases(80.7%)of abnormal ultrasound findings were found among the ninety-three stroke patients. The findings of ultrasound disclosed 25 cases of rotator cuff injury, 31 cases of bursitis and bursa effusion, 28 cases of shoulder subluxation and 50 cases of lesions of the long head of biceps tendon. There was significant difference in the incidence of the diseases mentioned above between the two groups (χ²=8.67,P<0.01; χ²=6.99,P<0.01; χ²=13.44,P<0.01; χ²=3.87,P<0.05). There was, however, no significant difference in the age, gender, side of hemiplegia, type and duration, upper limb muscle tone and motor function between these two groups.Conclusions High frequency ultrasound is a good means to test shoulder pain in patients with post-stroke hemiplegia. Sonographic findings provide data for the diagnosis and recovery of patients with hemiplegic shoulder pain.

Key words： stroke hemiplegia shoulder pain ultrasound diagnosis

Received: 06 September 2016

ZTFLH:	R743.3
	R445.1

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I6/554

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