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The Management of the Frozen Shoulder in Hemiplegia

机译：偏瘫肩部的管理

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A painful stiffness of the shoulder joint characterized by limitation of movement is used to discribe "frozen shoulder". A sizeable proportion of frozen shoulder cases has been found following hemiplegia. Various aetio-logical factors could give rise to this condition including the shoulder -hand syndrome of CPRS. Therefore Bonica, recommended for the management of the frozen shoulder on sympathetic blockade in the form of stellate ganglion or block of the suprascapular nerve, since sympathetic fibres as well as sensory and motor ones supplying the shoulder joint run in the latter. The suprascapular nerve passes through the suprascapular notch and enters the supraspinous fossa, where it gives off several branches to the acomioclavicular and the shoulder joints. Then it runs deep to the suprasp-inatus and curves round the lateral border of the spine of the scapula to gain the infraspinous fossa where it gives off more branches to including articular rami to the shoulder joint. (Figure 1).
机译：肩关节的疼痛刚度，其特征在于运动的限制，用于区分“冷冻肩”。在偏瘫下发现了额外的冷冻肩壳比例。各种Aetio逻辑因素可能会产生这种情况，包括CPRS的肩膀综合征。因此，Bonica建议在同情封锁中的冰冻肩膀上以星状神经节或初步神经块的形式进行管理，因为同情纤维以及供应肩关节在后者运行的感觉和电动机。初步血管神经通过初产表凹口并进入Supraspinous FOSTA，在那里它将几个分支送到Acomioclaviculular和肩关节上。然后它始于冈腔内的脊柱和围绕肩胛骨脊柱的横向边缘，以获得侵蚀的碎石，在那里它释放出更多的树枝，包括肩关节的关节rami。 （图1）。

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