Journal of Bone and Joint Surgery, 1971;53:1307-1312.
© 1971 by The Journal of Bone and Joint Surgery, Inc
Surgical Treatment of the Painful Shoulder Contracture in the Stroke Patient
RICHARD M. BRAUN M.D.1,
FRANCIS WEST M.D.1,
VERT MOONEY M.D.1,
VERNON L. NICKEL M.D.1,
BRIAN ROPER F.R.C.S.1, and
CHARLENE CALDWELL O.T.R.1
1 From Rancho Los Amigos Hospital, Downey
Spastic hemiplegic patients are frequently afflicted with painful shoulder contractures. Although most patients will respond to a limited exercise program and mild analgesics, there are some patients who continue to demonstrate increasing localized shoulder pain associated with spasticity of the internal rotator mechanism. These patients can be assisted with surgical release and an immediate postoperative exercise regimen. The results of such a program designed to diminish pain and increase range of asymptomatic motion are presented.
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