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Omuz sıkışma sendromunun konservatif tedavisi

Conservative treatment of the shoulder impingement syndrome

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2006

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Keywords (Original Language):

Author Name
Abstract (2. Language): 
Rotator cuff diseases are a common reason of shoulder pain. Impingement syndrome is one of the cuff diseases. Painful shoulder and limited range of motion are frequently observed in patients with impingement syndrome. Conservative treatments, in addition to surgical ones, have a great importance in the treatment of impingement syndrome. This treatment provides decrease in the pain and improvement in the range of shoulder motion. These treatment modalities are succesfully performed in the early stages of impingement syndrome. In this study we evaluated the conservative treatment results of 25 patients who were diagnosed to have impingement syndrome after applying to our clinic with shoulder pain. Cases had a mean age of 49.12 years (range 29 to 65 years), 17 and 8 eight of them were female and male, respectively, and the mean follow up period was 4.5 months (range 3 to 7 months). Symptoms of all the patients with stage 1 or stage 2 tendon injury regressed. The mean pretreatment Constant and Murley shoulder score was 57.9 (range 6 to 98), whereas the posttreatment one was 88.4 (range 20 to 100). We suggest that conservative treatment is a succesful treatment modality in the early stages of patients with impingement syndrome.
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Abstract (Original Language): 
Rotator manşet hastalıkları omuz ağrısının sık nedenidir. "Impingement" sendromu ise manşet hastalıklarından biridir. Bu sendroma sahip hastalarda sıklıkla omuz ağrısı ve hareket kısıtlılığı görülür. Tedavide cerrahi tedavi kadar, konservatif tedavilerin büyük yeri vardır. Konservatif tedavi ağrının giderilmesi ve omuz eklem hareket açıklığının düzelmesini sağlar. Bu tedavi yöntemleri erken evre sıkışma sendromlu hastalarda başarı ile uygulanmaktadır. Bu çalışmada kliniğimize omuz ağrısı ile başvuran ve sıkışma sendromu tanısı konan 25 olgunun konservatif tedavi sonuçlarını inceledik. Yaş ortalaması 49.12 yıl (dağılım 29-65 yıl) olan olguların 17'si kadın, 8'i erkek ve ortalama takip süresi 4.5 ay (dağılım 3-7 ay) idi. Tendon patolojileri evre 1 ve 2 olan tüm hastaların konservatif tedavi sonrası şikayetleri geriledi. Tedavi öncesi Constant ve Murley omuz skoru 57.9 (dağılım 6-98) iken, tedavi sonrası 88.4 (dağılım 20-100) olarak saptandı. Omuz sıkışma sendromlu hastalarda konservatif tedaviyi erken dönemde başarılı bir tedavi yöntemi olarak önermekteyiz.
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  • 4
208-214
  • Turkish

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