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Surgical Treatment of the Painful Shoulder Contracture in the Stroke Patient
RICHARD M. BRAUN; FRANCIS WEST; VERT MOONEY; VERNON L. NICKEL; BRIAN ROPER; CHARLENE CALDWELL
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From Rancho Los Amigos Hospital, Downey
1971 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1971 Oct 01;53(7):1307-1312
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Abstract

Spastic hemiplegic patients are frequently afflicted with painful shoulder contractures. Although most patients will respond to a limited exercise program and mild analgesics, there are some patients who continue to demonstrate increasing localized shoulder pain associated with spasticity of the internal rotator mechanism. These patients can be assisted with surgical release and an immediate postoperative exercise regimen. The results of such a program designed to diminish pain and increase range of asymptomatic motion are presented.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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