Læknablaðið - 01.06.1960, Page 80

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LÆKNABLAÐIÐ
vægt sé, að sami læknir hafi
eftirlit með sjúklingnum frá
byrjun meðferðar til loka, hjálpi
þeim með hreyfiæfingum og
gæti þess við notkun sjúkraleik-
fimi, að ekki sé beitt teyging-
um eða nuddi.
TILVlSANIR:
1. BAYLES, T. B.: Bursitis and
Fibrosis, Med. Clin. N. Amer.,
Sept. 1955.
2. CODMAN, E. A.: The Shoulder,
Boston 1934.
3. DePALMA, A. F.: Frozen Shoul-
der, Surg. Clin. N. Amer., Dec.
1953.
4. FLETCHER, E.: Medical Dis-
orders of The Locomotor Sys-
tem, Edinburgh 1951.
5. KALBAK, K.: Diagnostische
Probleme der Schulter-Arm-Re-
gion ...., Deutsch. Medizin.
Journal, Vol. 9:3; 1958: 131—
140.
6. LINDBLOM, K.: On The Patho-
* genesis of Rupture of The Ten-
don Aponeurosis of The Shoul-
der Joint, Acta Radiol., Vol. XX:
1939.
7. MADSEN, C. T.: Röntgenbe-
handling af Peritendinitis cal-
carea humeri, Nord. Med., 1948:
37:7.
8. MOBERG E.: Överextremite-
tens kirurgiska sjukdomar,
Nord. Lærebog i Kirurgi, Kö-
benhavn 1955.
9. MUSTAKALLIO, S.: Acta Ra-
diol., Vol. XX: 1939.
10. PELLICORE, R.: Common af-
fections about The Shoulder
Joint, Med. Clin. N. Amer., Jan.
1958.
11. RECHTMAN, A. M. & WOHL,
M. A.= Common Orthopedic
Problems, Med. Clin. N. Amer.,
Sept. 1956.
12. SCHWARTZ, M. & MEULEN-
GRACHT, E.: Nord. Med., 1951:
46:1629.
13. STEFFENSEN, K. A.: Nord.
Med., 1945:27:1889.
14. STEINBROCKER, O. & al.:
Ann. Int. Medicine, 1948:29:22.
15. STEINBROCKER, O., NEU-
STADT, D„ BOSCH, S. J.: Pain-
ful Shoulder Syndromes, Med.
Clin. N. Amer., March 1955.
16. WATSON—JONES, R. J.: Frac.
tures and Joint Injuries, Edin-
burgh 1955.
17. BREKKAN, Á.: Behandlings-
resultat vid Periarthritis hume-
roscapularis, fyrirl. og handr.
1958, birting ásamt viðbæti und-
irbúin.
SUMMARY.
Brekkan, Ásmundur:
HUMEROSCAPULAR
PERITENDINITIS.
After a short review of the func-
tional anatomy and pathology of the
shoulder region, some clinical as-
pects of the painful shoulder synd-
romes are discussed with special re-
ference to differential diagnosis and
the more serious neurovascular com-
plicátions of inadequate therapy.
which are discussed at some length.
The dangers of prolonged immobili-
sation as well as any form of forc-
ible manipulations are stressed.
From perusal of litterature and per-
sonal experience gathered in the
therapy and follow-up studies of a
considerable number of these pa-
tients, it is the opinion of the author
that carefully planned Roentgen
ray therapy for the elimination of
pain followed by individually graded
active exercise under the super-
vision of the physician and a skilled
physiotherapist is still a rewarding
and effective treatment of the pain-
ful shoulder.