This Article  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

K. THOMAS ROBBINS, MD
San Diego, Calif

Arch Otolaryngol Head Neck Surg. 1991;117(10):1084.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Carolynn Patten, MD, Seattle, Wash, presented a study examining the role of adhesive capsulitis of the glenohumeral joint in the 11th nerve syndrome, which is frequently suffered by patients who have undergone a neck dissection. Forty-four patients were evaluated prospectively; 31 were found to have the classic symptoms of shoulder droop, pain, and limited active range of motion in lateral abduction of the arm. Of this group of patients, 71% to 83% were found to have physical abnormalities related to pathologic changes of the glenohumeral joint (adhesive capsulitis) rather than neuromuscular deinnervation from injury to the spinal accessory nerve. Recovery from symptoms of adhesive capsulitis were also found to be more prolonged.

The observations from this work are quite important. It confirms the belief that the 11th nerve syndrome is more than a neuromuscular problem, implying the importance of physiotherapy and other measures to treat the glenohumeral joint component of . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?