Robinson M D, Hussey R W, Ha C Y
Walter Reed Army Medical Center, Physical Medicine and Rehabilitation Service, Washington, DC.
Arch Phys Med Rehabil. 1993 Mar;74(3):324-7.
Shoulder pain is a common affliction, posing particular limitations on the spinal cord injured person. Abnormalities of the rotator cuff mechanism are a common cause of shoulder injury in the general population and it has recently been observed that a large percentage of persons with paraplegia suffer from chronic shoulder pain. This report describes six cases of impingement syndrome in four spinal cord injured persons who depend on upper extremity function for the execution of activities of daily living and mobility. All had failed prolonged trials of conservative therapy and subsequently underwent anterior acromioplasty and when indicated, repair of the supraspinatus tendon. In each case, functional capacity that approached or equalled premorbid levels was achieved. Pain complaints also markedly decreased from preoperative levels. It is suggested that surgical decompression of shoulder impingement and rotator cuff repair may be beneficial in spinal cord injured persons who have failed conservative therapy. Further study is required to determine the long-term efficacy of surgical intervention in this population.
肩部疼痛是一种常见的病痛，给脊髓损伤患者带来了特别的限制。肩袖机制异常是普通人群肩部损伤的常见原因，最近观察到很大比例的截瘫患者患有慢性肩部疼痛。本报告描述了4例脊髓损伤患者中的6例撞击综合征病例，这些患者依靠上肢功能进行日常生活活动和移动。所有患者长期保守治疗均失败，随后接受了前路肩峰成形术，并在必要时修复了冈上肌腱。在每例病例中，均达到了接近或等同于病前水平的功能能力。疼痛主诉也较术前水平明显减轻。提示对于保守治疗失败的脊髓损伤患者，手术减压治疗肩部撞击和修复肩袖可能有益。需要进一步研究以确定手术干预对该人群的长期疗效。
