Orthopedics Book


Shoulder Band Syndrome

Aka: Shoulder Band Syndrome
  1. See Also
    1. Shoulder Pain
    2. Reflex Sympathetic Dystrophy
  2. Pathophysiology
    1. Reflex Neurovascular Dystrophy
    2. Related to reflex Sympathetic stimulation
    3. Associated with recent acute medical illness
      1. Myocardial Infarction
      2. Cerebrovascular Accident (CVA)
      3. Respiratory disease
  3. Epidemiology
    1. Age over 50 years more commonly affected
  4. Symptoms
    1. Shoulder Pain and swelling
    2. Shoulder stiffness
    3. Vasomotor phenomena in involved extremity
  5. Differential Diagnosis
    1. See Shoulder Pain
  6. Management
    1. Active Exercise program
      1. Shoulder Range of Motion Exercises
      2. Physical Therapy
    2. Analgesics
    3. Short trial of Prednisone 10-20 mg/day
    4. Stellate Ganglion block
  7. Prognosis
    1. Resolves spontaneously over several months
  8. Complications
    1. Frozen Shoulder (common)

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