NECK TREATMENT AND SHOULDER MORBIDITY: STILL A CHALLENGE


Bradley P. J. , Ferlito A., Silver C. E. , Takes R. P. , Woolgar J. A. , Strojan P., ...More

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, vol.33, no.7, pp.1060-1067, 2011 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 33 Issue: 7
  • Publication Date: 2011
  • Doi Number: 10.1002/hed.21495
  • Title of Journal : HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
  • Page Numbers: pp.1060-1067

Abstract

Shoulder complaints and functional impairment are common sequelae of neck dissection. This is often attributed to injury of the spinal accessory nerve by dissection or direct trauma. Nevertheless, shoulder morbidity may also occur in cases in which the spinal accessory nerve has been preserved. In this article, the physiology and patho-physiology of the shoulder are discussed, followed by a consideration of the impact of neck dissection on shoulder complaints, functional impairment, and quality of life. Finally, rehabilitation will be considered. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 1060-1067, 2011