J Korean Acad Rehabil Med.  2002 Dec;26(6):658-666.

Anterior Displacement of Humeral Head in Hemiplegic Shoulder Subluxation

• Cheong JY
• Shin HS
• Han SJ
• Hwang JH
• Lee CK

Abstract

OBJECTIVE
To measure anterior displacement of the humeral head and to observe its relationship with clinical findings in the subluxed hemiplegic shoulders. METHOD: Seventeen hemiplegic patients, having the subluxed shoulder over one finger breadth were subjected. We measured shoulder pain, muscle power of the shoulder abductors, Brunnstrom stage and spasticity in the affected upper extremity. To measure the humeral displacement of the shoulder subluxation, the AP and transthoracic lateral views of simple radiologic picture were taken on both affected and unaffected shoulders, and repeated after donning three kinds of arm slings.
RESULTS
Its anterior displacement as well as the inferior displacement occured in all subjects, and was significantly related with the value of shoulder pain and spasticity, and the inferior displacement with Brunnstrom stage and muscle power of the shoulder abductors in the subluxed hemiplegic shoulder (p<0.05). Correction of the humeral displacement occured significantly in anterior direction as well as inferior by use of all tested arm slings.
CONCLUSION
Clinical implications of the shoulder subluxation were different according to direction of the humeral displacement, and anterior displacement will be considered for its symptom in hemiplegic shoulder.

Keyword

Hemiplegia; Shoulder subluxation; Anterior displacement

MeSH Terms

Arm
Fingers
Hemiplegia
Humans
Humeral Head*
Muscle Spasticity
Shoulder Pain
Shoulder*
Upper Extremity