Severe lymphedema of the arm as a potential cause of shoulder trauma.
Identifieur interne : 001D10 ( Ncbi/Checkpoint ); précédent : 001D09; suivant : 001D11Severe lymphedema of the arm as a potential cause of shoulder trauma.
Auteurs : R. Avrahami [Israël] ; E. Gabbay ; B. Bsharah ; M. Haddad ; A. Koren ; J. Dahn ; A. ZelikovskySource :
- 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.
- Adulte d'âge moyen, Aisselle, Femelle, Humains, Lésions de l'épaule, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie, Traumatismes du bras, Tumeurs du sein.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Arm Injuries (etiology), Arm Injuries (therapy), Axilla, Breast Neoplasms (surgery), Female, Humans, Lymph Node Excision (adverse effects), Lymphedema (etiology), Mastectomy (adverse effects), Middle Aged, Physical Therapy Modalities, Shoulder Injuries, Shoulder Pain (etiology).
- 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.
PubMed: 15693538
Affiliations:
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Avrahami</name><affiliation wicri:level="1"><nlm:affiliation>Department of Vascular Surgery and Physiotherapy Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel. ramav@clalit.org.il</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Vascular Surgery and Physiotherapy Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqva</wicri:regionArea><wicri:noRegion>Petah Tiqva</wicri:noRegion></affiliation></author><author><name sortKey="Gabbay, E" sort="Gabbay, E" uniqKey="Gabbay E" first="E" last="Gabbay">E. Gabbay</name></author><author><name sortKey="Bsharah, B" sort="Bsharah, B" uniqKey="Bsharah B" first="B" last="Bsharah">B. Bsharah</name></author><author><name sortKey="Haddad, M" sort="Haddad, M" uniqKey="Haddad M" first="M" last="Haddad">M. Haddad</name></author><author><name sortKey="Koren, A" sort="Koren, A" uniqKey="Koren A" first="A" last="Koren">A. Koren</name></author><author><name sortKey="Dahn, J" sort="Dahn, J" uniqKey="Dahn J" first="J" last="Dahn">J. Dahn</name></author><author><name sortKey="Zelikovsky, A" sort="Zelikovsky, A" uniqKey="Zelikovsky A" first="A" last="Zelikovsky">A. Zelikovsky</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Arm Injuries (etiology)</term><term>Arm Injuries (therapy)</term><term>Axilla</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (etiology)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Physical Therapy Modalities</term><term>Shoulder Injuries</term><term>Shoulder Pain (etiology)</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="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aisselle</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>Techniques de physiothérapie</term><term>Traumatismes du bras</term><term>Tumeurs du sein</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><noCountry><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></noCountry><country name="Israël"><noRegion><name sortKey="Avrahami, R" sort="Avrahami, R" uniqKey="Avrahami R" first="R" last="Avrahami">R. 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