Article

The aims of this study were: (i) to determine whether the severity of
post-hemiplegic shoulder subluxation in stroke patients correlates with
soft-tissue injury; and (ii) to determine the shoulder subluxation measurement
cut-off points that are indications for further ultrasound examination for
soft-tissue injuries in these patients. DESIGN: Cross-sectional study. PATIENTS:
A total of 39 stroke patients with shoulder subluxation.
METHODS: Shoulder
subluxation was evaluated by physical examination, radiography and ultrasound.
Soft-tissue injuries were assessed by ultrasound. Subluxation parameters were
entered into stepwise logistic regression analyses to predict biceps and
supraspinatus tendonitis. With the assumption that shoulder subluxation can be a
predisposing factor for tendonitis, receiver operating characteristic curves for
shoulder subluxation parameters of the affected side were used to determine
cut-off points for optimal sensitivity and specificity of biceps and
supraspinatus tendonitis. RESULTS: Shoulder subluxation lateral distance,
measured by physical examination, is a predictor for supraspinatus tendonitis
(odds ratio = 34.9, p = 0.036). Further ultrasound investigation for soft-tissue
injury is indicated when subluxation lateral distance, measured by physical
examination is >/= 2.25 cm or, measured by radiographic examination, >/= 3.18 cm
for lateral distance, >/= 3.08 cm for vertical distance, or >/= 2.65 cm for
horizontal distance. CONCLUSION: When post-hemiplegic shoulder subluxation
measurements exceed the above-mentioned cut-off points in physical or
radiographic examinations, further ultrasound evaluation for soft-tissue injury is recommended.

Langue : ANGLAIS