Dead arm syndrome: Difference between revisions
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==References== |
==References== |
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* Rowe, |
*{{cite journal |author=Rowe CR, Zarins B |title=Recurrent transient subluxation of the shoulder |journal=J Bone Joint Surg Am |volume=63 |issue=6 |pages=863–72 |year=1981 |month=July |pmid=7240326 }} |
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* Leffert, |
*{{cite journal |author=Leffert RD, Gumley G |title=The relationship between dead arm syndrome and thoracic outlet syndrome |journal=Clin. Orthop. Relat. Res. |volume= |issue=223 |pages=20–31 |year=1987 |month=October |pmid=3652577 }} |
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* Blevins |
*{{cite journal |author=Blevins FT |title=Rotator cuff pathology in athletes |journal=Sports Med |volume=24 |issue=3 |pages=205–20 |year=1997 |month=September |pmid=9327536 }} |
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* Ticker, |
*{{cite journal |author=Ticker JB, Beim GM, Warner JJ |title=Recognition and treatment of refractory posterior capsular contracture of the shoulder |journal=Arthroscopy |volume=16 |issue=1 |pages=27–34 |year=2000 |pmid=10627342 |url=http://linkinghub.elsevier.com/retrieve/pii/S0749806300275026}} |
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* Bach, |
*{{cite journal |author=Bach HG, Goldberg BA |title=Posterior capsular contracture of the shoulder |journal=J Am Acad Orthop Surg |volume=14 |issue=5 |pages=265–77 |year=2006 |month=May |pmid=16675620 |url=http://www.jaaos.org/cgi/pmidlookup?view=long&pmid=16675620}} |
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Revision as of 14:00, 22 December 2009
This article may be in need of reorganization to comply with Wikipedia's layout guidelines. (March 2008) |
Dead arm syndrome starts with repetitive motion and forces on the posterior capsule of the shoulder. The posterior capsule is a band of fibrous tissue that interconnects with tendons of the rotator cuff of the shoulder. Four muscles and their tendons make up the rotator cuff. They cover the outside of the shoulder to hold, protect and move the joint.
Overuse can lead to a build up of tissue around the posterior capsule called hypertrophy. The next step is tightness of the posterior capsule called posterior capsular contracture. This type of problem reduces the amount the shoulder can rotate inwardly.
Over time, with enough force, a tear may develop in the labrum. The labrum is a rim of cartilage around the shoulder socket to help hold the head of the humerus (upper arm) in the joint. This condition is called a superior labrum anterior posterior (SLAP) lesion. The final outcome in all these steps is the dead arm phenomenon.
The shoulder is unstable and dislocation may come next. Dead arm syndrome won't go away on its own with rest -- it must be treated. If there's a SLAP lesion, then surgery is needed to repair the problem. If the injury is caught before a SLAP tear, then physical therapy with stretching and exercise can restore it.
References
- Rowe CR, Zarins B (1981). "Recurrent transient subluxation of the shoulder". J Bone Joint Surg Am. 63 (6): 863–72. PMID 7240326.
{{cite journal}}
: Unknown parameter|month=
ignored (help) - Leffert RD, Gumley G (1987). "The relationship between dead arm syndrome and thoracic outlet syndrome". Clin. Orthop. Relat. Res. (223): 20–31. PMID 3652577.
{{cite journal}}
: Unknown parameter|month=
ignored (help) - Blevins FT (1997). "Rotator cuff pathology in athletes". Sports Med. 24 (3): 205–20. PMID 9327536.
{{cite journal}}
: Unknown parameter|month=
ignored (help) - Ticker JB, Beim GM, Warner JJ (2000). "Recognition and treatment of refractory posterior capsular contracture of the shoulder". Arthroscopy. 16 (1): 27–34. PMID 10627342.
{{cite journal}}
: CS1 maint: multiple names: authors list (link) - Bach HG, Goldberg BA (2006). "Posterior capsular contracture of the shoulder". J Am Acad Orthop Surg. 14 (5): 265–77. PMID 16675620.
{{cite journal}}
: Unknown parameter|month=
ignored (help)