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To investigate shoulder ultrasonography findings in spinal cord injury (SCI) and identify factors associated with ultrasongraphic abnormalities. : A cross-sectional descriptive study : Srinagarind hospital, Thailand Spinal cord injury patients who attended the Srinagarind Hospital rehabilitation department. Baseline characteristics, physical examination, Physical Examination of the Shoulder Scale (PESS), and the ultrasonography of both shoulders of SCI patients were prospectively evaluated. Ninety-one SCI patients were enrolled in this study, (56 with paraplegia and 35 with quadriplegia). Most patients in both groups had incomplete SCI. Wheelchairs were the most commonly used assistive devices in both groups. The top three ultrasonographic abnormalities in patients with quadriplegia were unilateral subdeltoid-subacromion bursitis (65.7%), unilateral supraspinatus tendinosis (45.7%), and unilateral biceps tendon effusion (37.2%). The most common abnormalities in those with paraplegia were unilateral subdeltoid-subacromion bursitis (64.3%), unilateral biceps tendon effusion (55.4%), and unilateral supraspinatus tendinosis (53.6%). Abnormal shoulder US findings were prevalent in individuals with SCI. The most common ultrasonographic abnormalities in patient with SCI was unilateral subdeltoid-subacromion bursitis.
This article was published in the following journal.
Name: The journal of spinal cord medicine
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Repair of the damaged neuron function after SPINAL CORD INJURY or SPINAL CORD DISEASES.
A syndrome associated with traumatic injury to the cervical or upper thoracic regions of the spinal cord characterized by weakness in the arms with relative sparing of the legs and variable sensory loss. This condition is associated with ischemia, hemorrhage, or necrosis involving the central portions of the spinal cord. Corticospinal fibers destined for the legs are spared due to their more external location in the spinal cord. This clinical pattern may emerge during recovery from spinal shock. Deficits may be transient or permanent.
Pathologic conditions which feature SPINAL CORD damage or dysfunction, including disorders involving the meninges and perimeningeal spaces surrounding the spinal cord. Traumatic injuries, vascular diseases, infections, and inflammatory/autoimmune processes may affect the spinal cord.
Reduced blood flow to the spinal cord which is supplied by the anterior spinal artery and the paired posterior spinal arteries. This condition may be associated with ARTERIOSCLEROSIS, trauma, emboli, diseases of the aorta, and other disorders. Prolonged ischemia may lead to INFARCTION of spinal cord tissue.
Ischemia or infarction of the spinal cord in the distribution of the anterior spinal artery, which supplies the ventral two-thirds of the spinal cord. This condition is usually associated with ATHEROSCLEROSIS of the aorta and may result from dissection of an AORTIC ANEURYSM or rarely dissection of the anterior spinal artery. Clinical features include weakness and loss of pain and temperature sensation below the level of injury, with relative sparing of position and vibratory sensation. (From Adams et al., Principles of Neurology, 6th ed, pp1249-50)
Spinal Cord Disorders
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A joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including Arthritis - inflammation of a joint causes pain, stiffness, and swelling with ...