Smith R G, Cruikshank J G, Dunbar S, Akhtar A J
Br Med J (Clin Res Ed). 1982 Apr 24;284(6324):1224-6. doi: 10.1136/bmj.284.6324.1224.
One hundred and ten consecutive patients (51 men, 59 women) admitted to a stroke unit were studied for radiographic changes at the shoulder on the affected side. Malalignment was found in 51 (46%) patients, of whom 37 (72.5%) had changes on the initial x-ray film and a further 14 (27.5) developed malalignment over the following 12 months. These findings indicate that malalignment of the shoulder is common in the early stages of a stroke and may be missed unless radiographs are taken with the patient erect and the arm unsupported. Malalignment may lead to delay and limitation in restoration of function. The consequences of malalignment can be prevented by correct handling, positioning, and full passive movement of the shoulder from the onset of the stroke.
对连续收治到卒中单元的110例患者（51例男性，59例女性）进行患侧肩部影像学改变研究。51例（46%）患者出现关节对线不良，其中37例（72.5%）在初次X线片上就有改变，另外14例（27.5%）在接下来的12个月内出现关节对线不良。这些发现表明，肩部关节对线不良在卒中早期很常见，除非患者直立且手臂无支撑时拍摄X线片，否则可能会漏诊。关节对线不良可能导致功能恢复延迟和受限。从卒中发作开始，通过正确处理、摆放体位以及对肩部进行充分的被动活动，可以预防关节对线不良的后果。
