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The Treatment of a Droopy Shoulder Syndrome Patient -A case report-  

Park, Eun Young (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Shim, Jae Kwang (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Rhee, Ho Dong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Kim, Won Oak (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Yoon, Kyung Bong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Yoon, Duck Mi (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
Publication Information
The Korean Journal of Pain / v.19, no.2, 2006 , pp. 296-298 More about this Journal
Abstract
Droopy shoulder syndrome (DSS) is a rare disease, characterized by drooping shoulders, which stretches the brachial plexus, and causes pain, but without any signs of neurological impairment. These patients suffer from pain in the neck, shoulders, arms and hands, which result in long, graceful, swan necks, low-set shoulders, and horizontal or down sloping clavicles. No abnormalities in the vascular, neurological or electrical findings have also been known. The T1 and/or T2 bodies can be seen in the lateral view in a radiological study of the cervical spine. In the majority of cases, conservative treatments, such as postural correction and shoulder girdle strengthening exercise, are commonly recommended. However, DSS may be misdiagnosed as severe thoracic outlet syndrome or herniated cervical disc disease, leading to unnecessary and hazardous invasive treatments. The presented case was consistent with DSS, and was treated with stellate ganglion block, trigger point injection, and shoulder girdle strengthening exercise.
Keywords
brachial plexus; droopy shoulder syndrome; thoracic outlet syndrome;
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