Severe lymphedema of the arm as a potential cause of shoulder trauma
Identifieur interne : 008D01 ( Main/Exploration ); précédent : 008D00; suivant : 008D02Severe lymphedema of the arm as a potential cause of shoulder trauma
Auteurs : R. Avrahami [Israël] ; E. Gabbay [Israël] ; B. Bsharah [Israël] ; M. Haddad [Israël] ; A. Koren [Israël] ; J. Dahn [Israël] ; A. Zelikovsky [Israël] ; .... [Israël]Source :
- Lymphology [ 0024-7766 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Aisselle, Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Lésions de l'épaule, Mastectomie (effets indésirables), Scapulalgie (étiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie, Traumatismes du bras (), Traumatismes du bras (étiologie), Tumeurs du sein ().
- MESH :
- effets indésirables : Lymphadénectomie, Mastectomie.
- étiologie : Lymphoedème, Scapulalgie, Traumatismes du bras.
- Pascal (Inist)
- Adulte d'âge moyen, Aisselle, Appareil circulatoire pathologie, Femelle, Humains, Lésions de l'épaule, Sujet âgé, Sujet âgé de 80 ans ou plus, Système lymphatique, Physiothérapie, Lymphatique pathologie, Douleur, Homme, Lymphoedème, Chirurgie, Glande mammaire pathologie, Techniques de physiothérapie, Traumatisme, Traumatismes du bras, Tumeurs du sein, Ultrason, Chronique, Tumeur maligne, Bursite, Anatomopathologie, Traitement, Drainage, Dérivation, Intermittent, Mobilité, Cancer sein.
- Wicri :
- topic : Homme, Chirurgie, Traumatisme, Drainage.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Anatomic pathology, Arm Injuries (etiology), Arm Injuries (therapy), Axilla, Breast Neoplasms (surgery), Breast cancer, Bursitis, Bypass, Cardiovascular disease, Chronic, Drainage, Female, Human, Humans, Intermittent, Lymph Node Excision (adverse effects), Lymphatic system, Lymphatic vessel disease, Lymphedema, Lymphedema (etiology), Malignant tumor, Mammary gland diseases, Mastectomy (adverse effects), Middle Aged, Mobility, Pain, Physical Therapy Modalities, Physiotherapy, Shoulder Injuries, Shoulder Pain (etiology), Surgery, Trauma, Treatment, Ultrasound.
- MESH :
- adverse effects : Lymph Node Excision, Mastectomy.
- etiology : Arm Injuries, Lymphedema, Shoulder Pain.
- surgery : Breast Neoplasms.
- therapy : Arm Injuries.
- Aged, Aged, 80 and over, Axilla, Female, Humans, Middle Aged, Physical Therapy Modalities, Shoulder Injuries.
Abstract
The aim of this study was to determine whether lymphedema of the arm is associated with traumatic injury to the shoulder and to assess the role of lymphatic physiotherapy in reducing disabling shoulder pain. The study group consisted of 10 women aged 58-81 years (mean 66.9) with arm lymphedema after surgery for breast cancer. The average interval between the operation and the appearance of lymphedema was 9.8 years. All patients complained of shoulder pain. Five patients had a tear in the supraspinatus muscle diagnosed by ultrasound examination, and 5 had chronic bursitis; the nonaffected arm showed no pathology. The mean volume of the affected arm was 568 ml greater. Treatment consisted of manual lymphatic drainage and intermittent sessions of pneumatic compression with the LymphaPress device. This led to an average decrease in arm volume of 170 ml, with improvement of arm mobility and a drastic reduction in shoulder pain. In conclusion, lymphedema of the arm can cause severe shoulder trauma, pain and disability. Proper physiotherapy can reduce these effects. Patients should be referred for early treatment and follow-up to avoid permanent damage to the shoulder muscles.
Affiliations:
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Dahn</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sackler Faculty of Medicine, Tel Aviv University</s1><s2>Tel Aviv</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Zelikovsky, A" sort="Zelikovsky, A" uniqKey="Zelikovsky A" first="A." last="Zelikovsky">A. 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Avrahami</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sackler Faculty of Medicine, Tel Aviv University</s1><s2>Tel Aviv</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Gabbay, E" sort="Gabbay, E" uniqKey="Gabbay E" first="E." last="Gabbay">E. Gabbay</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Vascular Surgery and Physiotherapy Institute, Rabin Medical Center, Beilinson Campus</s1><s2>Petah Tiqva</s2><s3>ISR</s3><sZ>2 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Petah Tiqva</wicri:noRegion></affiliation></author><author><name sortKey="Bsharah, B" sort="Bsharah, B" uniqKey="Bsharah B" first="B." last="Bsharah">B. Bsharah</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sackler Faculty of Medicine, Tel Aviv University</s1><s2>Tel Aviv</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Haddad, M" sort="Haddad, M" uniqKey="Haddad M" first="M." last="Haddad">M. Haddad</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sackler Faculty of Medicine, Tel Aviv University</s1><s2>Tel Aviv</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Koren, A" sort="Koren, A" uniqKey="Koren A" first="A." last="Koren">A. Koren</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sackler Faculty of Medicine, Tel Aviv University</s1><s2>Tel Aviv</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Dahn, J" sort="Dahn, J" uniqKey="Dahn J" first="J." last="Dahn">J. Dahn</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sackler Faculty of Medicine, Tel Aviv University</s1><s2>Tel Aviv</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Zelikovsky, A" sort="Zelikovsky, A" uniqKey="Zelikovsky A" first="A." last="Zelikovsky">A. Zelikovsky</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sackler Faculty of Medicine, Tel Aviv University</s1><s2>Tel Aviv</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author><author><name sortKey="" sort="" uniqKey="" last=".">....</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Sackler Faculty of Medicine, Tel Aviv University</s1><s2>Tel Aviv</s2><s3>ISR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Aviv</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Anatomic pathology</term><term>Arm Injuries (etiology)</term><term>Arm Injuries (therapy)</term><term>Axilla</term><term>Breast Neoplasms (surgery)</term><term>Breast cancer</term><term>Bursitis</term><term>Bypass</term><term>Cardiovascular disease</term><term>Chronic</term><term>Drainage</term><term>Female</term><term>Human</term><term>Humans</term><term>Intermittent</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphatic system</term><term>Lymphatic vessel disease</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Malignant tumor</term><term>Mammary gland diseases</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Mobility</term><term>Pain</term><term>Physical Therapy Modalities</term><term>Physiotherapy</term><term>Shoulder Injuries</term><term>Shoulder Pain (etiology)</term><term>Surgery</term><term>Trauma</term><term>Treatment</term><term>Ultrasound</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Lésions de l'épaule</term><term>Mastectomie (effets indésirables)</term><term>Scapulalgie (étiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Techniques de physiothérapie</term><term>Traumatismes du bras ()</term><term>Traumatismes du bras (étiologie)</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Arm Injuries</term><term>Lymphedema</term><term>Shoulder Pain</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Arm Injuries</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Scapulalgie</term><term>Traumatismes du bras</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Axilla</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Physical Therapy Modalities</term><term>Shoulder Injuries</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Appareil circulatoire pathologie</term><term>Femelle</term><term>Humains</term><term>Lésions de l'épaule</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Système lymphatique</term><term>Physiothérapie</term><term>Lymphatique pathologie</term><term>Douleur</term><term>Homme</term><term>Lymphoedème</term><term>Chirurgie</term><term>Glande mammaire pathologie</term><term>Techniques de physiothérapie</term><term>Traumatisme</term><term>Traumatismes du bras</term><term>Tumeurs du sein</term><term>Ultrason</term><term>Chronique</term><term>Tumeur maligne</term><term>Bursite</term><term>Anatomopathologie</term><term>Traitement</term><term>Drainage</term><term>Dérivation</term><term>Intermittent</term><term>Mobilité</term><term>Cancer sein</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Chirurgie</term><term>Traumatisme</term><term>Drainage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to determine whether lymphedema of the arm is associated with traumatic injury to the shoulder and to assess the role of lymphatic physiotherapy in reducing disabling shoulder pain. The study group consisted of 10 women aged 58-81 years (mean 66.9) with arm lymphedema after surgery for breast cancer. The average interval between the operation and the appearance of lymphedema was 9.8 years. All patients complained of shoulder pain. Five patients had a tear in the supraspinatus muscle diagnosed by ultrasound examination, and 5 had chronic bursitis; the nonaffected arm showed no pathology. The mean volume of the affected arm was 568 ml greater. Treatment consisted of manual lymphatic drainage and intermittent sessions of pneumatic compression with the LymphaPress device. This led to an average decrease in arm volume of 170 ml, with improvement of arm mobility and a drastic reduction in shoulder pain. In conclusion, lymphedema of the arm can cause severe shoulder trauma, pain and disability. Proper physiotherapy can reduce these effects. Patients should be referred for early treatment and follow-up to avoid permanent damage to the shoulder muscles.</div></front></TEI><affiliations><list><country><li>Israël</li></country></list><tree><country name="Israël"><noRegion><name sortKey="Avrahami, R" sort="Avrahami, R" uniqKey="Avrahami R" first="R." last="Avrahami">R. Avrahami</name></noRegion><name sortKey="" sort="" uniqKey="" last=".">....</name><name sortKey="Bsharah, B" sort="Bsharah, B" uniqKey="Bsharah B" first="B." last="Bsharah">B. Bsharah</name><name sortKey="Dahn, J" sort="Dahn, J" uniqKey="Dahn J" first="J." last="Dahn">J. Dahn</name><name sortKey="Gabbay, E" sort="Gabbay, E" uniqKey="Gabbay E" first="E." last="Gabbay">E. Gabbay</name><name sortKey="Haddad, M" sort="Haddad, M" uniqKey="Haddad M" first="M." last="Haddad">M. Haddad</name><name sortKey="Koren, A" sort="Koren, A" uniqKey="Koren A" first="A." last="Koren">A. Koren</name><name sortKey="Zelikovsky, A" sort="Zelikovsky, A" uniqKey="Zelikovsky A" first="A." last="Zelikovsky">A. Zelikovsky</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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