Không ai trong số các tác giả sau hoặc các phòng ban với nào Họ là liên ĐÃ nhận bất cứ điều gì có giá trị từ hoặc sở hữu cổ phiếu trong một công ty thương mại hoặc tổ chức liên quan trực tiếp hoặc gián tiếp đến chủ đề của bài viết này: Tiến sĩ và Tiến sĩ Bạch Goldberg. | Posterior Capsular Contracture of the Shoulder H. Gregory Bach MD Benjamin A. Goldberg MD Dr. Bach is Resident Department of Orthopaedic Surgery University of Illinois-Chicago Chicago IL. Dr. Goldberg is Assistant Professor Department of Orthopaedic Surgery University of Illinois-Chicago and Senior Attending Surgeon Division of Orthopaedic Surgery Cook County Hospital Chicago. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Bach and Dr. Goldberg. Reprint requests Dr. Goldberg Department of Orthopaedic Surgery University of Illinois-Chicago 835 S Wolcott Avenue M C 844 Chicago IL 60612. J Am Acad Orthop Surg 2006 14 265-277 Copyright 2006 by the American Academy of Orthopaedic Surgeons. Abstract Posterior capsular contracture is a common cause of shoulder pain in which the patient presents with restricted internal rotation and reproduction of pain. Increased anterosuperior translation of the humeral head occurs with forward flexion and can mimic the pain reported with impingement syndrome however the patient with impingement syndrome presents with normal range of motion. Initial management of posterior capsular contracture should be nonsurgical emphasizing range-of-motion stretching with the goal of restoring normal motion. For patients who fail nonsurgical management arthroscopic posterior capsule release can result in improved motion and pain relief. In the throwing athlete repetitive forces on the posteroinferior capsule may cause posteroinferior capsular hypertrophy and limited internal rotation. This may be the initial pathologic event in the so-called dead arm syndrome leading to a superior labrum anteroposterior lesion and possibly rotator cuff tear. Management involves regaining internal rotation such that the loss of internal rotation is not greater than the increase in .
