The Sonography and Physical Findings on Shoulder after Selective Neck Dissection in Patients with Head and Neck Cancer: A Pilot Study
The aim of this study is to investigate soft tissue disorders of affected shoulders after nerve-sparing selective neck dissection (SND) in patients with head and neck cancers (HNCs) by sonography. Eighteen HNCs patients with shoulder disability after SND were enrolled. Shoulder motions, pain, and th...
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| Veröffentlicht in: | BioMed research international 2019, Vol.2019 (2019), p.1-7 |
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| creator | Leong, Chau-Peng Chien, Chih-Yen Chen, Yi-Cun Chen, Po-Cheng Tso, Hui-Hsin Lee, Yan-Yuh Huang, Yu-Chi Chung, Ya-Ju |
| description | The aim of this study is to investigate soft tissue disorders of affected shoulders after nerve-sparing selective neck dissection (SND) in patients with head and neck cancers (HNCs) by sonography. Eighteen HNCs patients with shoulder disability after SND were enrolled. Shoulder motions, pain, and the sonographic findings were measured and analyzed. Significantly decreased flexion, abduction, and increased pain were found on affected shoulders compared with normal shoulders. There were significant decrease in thickness of trapezius muscle (p=0.001), abnormal findings of supraspinatus tendon (p=0.022), and subdeltoid bursa (p=0.018) on surgical side. The ratio of trapezius muscle atrophy was related to shoulder pain (p=0.010). Patients with subdeltoid abnormalities had significant limitation on shoulder flexion and abduction. Abnormalities of supraspinatus tendon and subdeltoid bursa on sonography and trapezius muscle atrophy may play a key role in shoulder pain and shoulder flexion and abduction limitations. |
| doi_str_mv | 10.1155/2019/2528492 |
| format | Article |
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Eighteen HNCs patients with shoulder disability after SND were enrolled. Shoulder motions, pain, and the sonographic findings were measured and analyzed. Significantly decreased flexion, abduction, and increased pain were found on affected shoulders compared with normal shoulders. There were significant decrease in thickness of trapezius muscle (p=0.001), abnormal findings of supraspinatus tendon (p=0.022), and subdeltoid bursa (p=0.018) on surgical side. The ratio of trapezius muscle atrophy was related to shoulder pain (p=0.010). Patients with subdeltoid abnormalities had significant limitation on shoulder flexion and abduction. Abnormalities of supraspinatus tendon and subdeltoid bursa on sonography and trapezius muscle atrophy may play a key role in shoulder pain and shoulder flexion and abduction limitations.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2019/2528492</identifier><identifier>PMID: 31428629</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Abnormalities ; Adult ; Aged ; Archives & records ; Atrophy ; Cancer ; Cancer patients ; Care and treatment ; Comparative analysis ; Cross-Sectional Studies ; Dissection ; Female ; Head & neck cancer ; Head and Neck Neoplasms - diagnostic imaging ; Head and Neck Neoplasms - physiopathology ; Head and Neck Neoplasms - surgery ; Humans ; Injuries ; Kidnapping ; Lymphatic system ; Male ; Metastasis ; Middle Aged ; Muscles ; Neck Dissection ; NMR ; Nuclear magnetic resonance ; Oncology, Experimental ; Otolaryngology ; Pain ; Pilot Projects ; Prospective Studies ; Quality of life ; Shoulder ; Shoulder - diagnostic imaging ; Shoulder - physiopathology ; Shoulder - surgery ; Shoulder Pain - diagnostic imaging ; Shoulder Pain - physiopathology ; Shoulder Pain - surgery ; Soft tissues ; Studies ; Surgery ; Trapezius muscle ; Ultrasonic imaging ; Ultrasonography ; Ultrasound imaging</subject><ispartof>BioMed research international, 2019, Vol.2019 (2019), p.1-7</ispartof><rights>Copyright © 2019 Yu-Chi Huang et al.</rights><rights>COPYRIGHT 2019 John Wiley & Sons, Inc.</rights><rights>Copyright © 2019 Yu-Chi Huang et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2019 Yu-Chi Huang et al. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-a1ed7a683de4af4ef6d307ce6742174dd2bb603e6a0f5f78a6f771f794ba8e4b3</citedby><cites>FETCH-LOGICAL-c499t-a1ed7a683de4af4ef6d307ce6742174dd2bb603e6a0f5f78a6f771f794ba8e4b3</cites><orcidid>0000-0003-1619-9686 ; 0000-0002-6386-2850 ; 0000-0002-4198-4910</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679839/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679839/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31428629$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ferri, Andrea</contributor><contributor>Andrea Ferri</contributor><creatorcontrib>Leong, Chau-Peng</creatorcontrib><creatorcontrib>Chien, Chih-Yen</creatorcontrib><creatorcontrib>Chen, Yi-Cun</creatorcontrib><creatorcontrib>Chen, Po-Cheng</creatorcontrib><creatorcontrib>Tso, Hui-Hsin</creatorcontrib><creatorcontrib>Lee, Yan-Yuh</creatorcontrib><creatorcontrib>Huang, Yu-Chi</creatorcontrib><creatorcontrib>Chung, Ya-Ju</creatorcontrib><title>The Sonography and Physical Findings on Shoulder after Selective Neck Dissection in Patients with Head and Neck Cancer: A Pilot Study</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>The aim of this study is to investigate soft tissue disorders of affected shoulders after nerve-sparing selective neck dissection (SND) in patients with head and neck cancers (HNCs) by sonography. Eighteen HNCs patients with shoulder disability after SND were enrolled. Shoulder motions, pain, and the sonographic findings were measured and analyzed. Significantly decreased flexion, abduction, and increased pain were found on affected shoulders compared with normal shoulders. There were significant decrease in thickness of trapezius muscle (p=0.001), abnormal findings of supraspinatus tendon (p=0.022), and subdeltoid bursa (p=0.018) on surgical side. The ratio of trapezius muscle atrophy was related to shoulder pain (p=0.010). Patients with subdeltoid abnormalities had significant limitation on shoulder flexion and abduction. Abnormalities of supraspinatus tendon and subdeltoid bursa on sonography and trapezius muscle atrophy may play a key role in shoulder pain and shoulder flexion and abduction limitations.</description><subject>Abnormalities</subject><subject>Adult</subject><subject>Aged</subject><subject>Archives & records</subject><subject>Atrophy</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Care and treatment</subject><subject>Comparative analysis</subject><subject>Cross-Sectional Studies</subject><subject>Dissection</subject><subject>Female</subject><subject>Head & neck cancer</subject><subject>Head and Neck Neoplasms - diagnostic imaging</subject><subject>Head and Neck Neoplasms - physiopathology</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Injuries</subject><subject>Kidnapping</subject><subject>Lymphatic system</subject><subject>Male</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Muscles</subject><subject>Neck Dissection</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Oncology, Experimental</subject><subject>Otolaryngology</subject><subject>Pain</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Shoulder</subject><subject>Shoulder - diagnostic imaging</subject><subject>Shoulder - physiopathology</subject><subject>Shoulder - surgery</subject><subject>Shoulder Pain - diagnostic imaging</subject><subject>Shoulder Pain - physiopathology</subject><subject>Shoulder Pain - surgery</subject><subject>Soft tissues</subject><subject>Studies</subject><subject>Surgery</subject><subject>Trapezius muscle</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasound imaging</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkktvEzEUhUcIRKvSHWtkiQ0ShPo19pgFUhRailRBpJS15RlfZ1wmdhjPtMoP4H_XaUIKrPDCD91Px_fqnKJ4SfB7QsryjGKizmhJK67ok-KYMsIngnDy9HBn7Kg4TekG51URgZV4XhzlEq0EVcfFr-sW0CKGuOzNut0gEyyat5vkG9OhCx-sD8uEYkCLNo6dhR4ZN-R9AR00g78F9BWaH-iTT2n7zqAPaG4GD2FI6M4PLboEYx90H8iZCQ30H9AUzX0XB7QYRrt5UTxzpktwuj9Piu8X59ezy8nVt89fZtOrScOVGiaGgJVGVMwCN46DE5Zh2YCQnBLJraV1LTADYbArnayMcFISJxWvTQW8ZifFx53ueqxXYJvcZG86ve79yvQbHY3Xf1eCb_Uy3mohpKqYygJv9gJ9_DlCGvTKpwa6zgSIY9KUMaEqiUWZ0df_oDdx7EMeT1MqKioEK-UjtTQdaB9czP82W1E9FZjgbBMhmXq3o5o-ptSDO7RMsN4GQW-DoPdByPirP8c8wL9tz8DbHdBmh82d_085yAw480gTyhTm7B7OusRn</recordid><startdate>2019</startdate><enddate>2019</enddate><creator>Leong, Chau-Peng</creator><creator>Chien, Chih-Yen</creator><creator>Chen, Yi-Cun</creator><creator>Chen, Po-Cheng</creator><creator>Tso, Hui-Hsin</creator><creator>Lee, Yan-Yuh</creator><creator>Huang, Yu-Chi</creator><creator>Chung, Ya-Ju</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1619-9686</orcidid><orcidid>https://orcid.org/0000-0002-6386-2850</orcidid><orcidid>https://orcid.org/0000-0002-4198-4910</orcidid></search><sort><creationdate>2019</creationdate><title>The Sonography and Physical Findings on Shoulder after Selective Neck Dissection in Patients with Head and Neck Cancer: A Pilot Study</title><author>Leong, Chau-Peng ; Chien, Chih-Yen ; Chen, Yi-Cun ; Chen, Po-Cheng ; Tso, Hui-Hsin ; Lee, Yan-Yuh ; Huang, Yu-Chi ; Chung, Ya-Ju</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-a1ed7a683de4af4ef6d307ce6742174dd2bb603e6a0f5f78a6f771f794ba8e4b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abnormalities</topic><topic>Adult</topic><topic>Aged</topic><topic>Archives & records</topic><topic>Atrophy</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Care and treatment</topic><topic>Comparative analysis</topic><topic>Cross-Sectional Studies</topic><topic>Dissection</topic><topic>Female</topic><topic>Head & neck cancer</topic><topic>Head and Neck Neoplasms - diagnostic imaging</topic><topic>Head and Neck Neoplasms - physiopathology</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Injuries</topic><topic>Kidnapping</topic><topic>Lymphatic system</topic><topic>Male</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Muscles</topic><topic>Neck Dissection</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Oncology, Experimental</topic><topic>Otolaryngology</topic><topic>Pain</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>Shoulder</topic><topic>Shoulder - diagnostic imaging</topic><topic>Shoulder - physiopathology</topic><topic>Shoulder - surgery</topic><topic>Shoulder Pain - diagnostic imaging</topic><topic>Shoulder Pain - physiopathology</topic><topic>Shoulder Pain - surgery</topic><topic>Soft tissues</topic><topic>Studies</topic><topic>Surgery</topic><topic>Trapezius muscle</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><topic>Ultrasound imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leong, Chau-Peng</creatorcontrib><creatorcontrib>Chien, Chih-Yen</creatorcontrib><creatorcontrib>Chen, Yi-Cun</creatorcontrib><creatorcontrib>Chen, Po-Cheng</creatorcontrib><creatorcontrib>Tso, Hui-Hsin</creatorcontrib><creatorcontrib>Lee, Yan-Yuh</creatorcontrib><creatorcontrib>Huang, Yu-Chi</creatorcontrib><creatorcontrib>Chung, Ya-Ju</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leong, Chau-Peng</au><au>Chien, Chih-Yen</au><au>Chen, Yi-Cun</au><au>Chen, Po-Cheng</au><au>Tso, Hui-Hsin</au><au>Lee, Yan-Yuh</au><au>Huang, Yu-Chi</au><au>Chung, Ya-Ju</au><au>Ferri, Andrea</au><au>Andrea Ferri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Sonography and Physical Findings on Shoulder after Selective Neck Dissection in Patients with Head and Neck Cancer: A Pilot Study</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2019</date><risdate>2019</risdate><volume>2019</volume><issue>2019</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>The aim of this study is to investigate soft tissue disorders of affected shoulders after nerve-sparing selective neck dissection (SND) in patients with head and neck cancers (HNCs) by sonography. Eighteen HNCs patients with shoulder disability after SND were enrolled. Shoulder motions, pain, and the sonographic findings were measured and analyzed. Significantly decreased flexion, abduction, and increased pain were found on affected shoulders compared with normal shoulders. There were significant decrease in thickness of trapezius muscle (p=0.001), abnormal findings of supraspinatus tendon (p=0.022), and subdeltoid bursa (p=0.018) on surgical side. The ratio of trapezius muscle atrophy was related to shoulder pain (p=0.010). Patients with subdeltoid abnormalities had significant limitation on shoulder flexion and abduction. Abnormalities of supraspinatus tendon and subdeltoid bursa on sonography and trapezius muscle atrophy may play a key role in shoulder pain and shoulder flexion and abduction limitations.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>31428629</pmid><doi>10.1155/2019/2528492</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1619-9686</orcidid><orcidid>https://orcid.org/0000-0002-6386-2850</orcidid><orcidid>https://orcid.org/0000-0002-4198-4910</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Open Access; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Abnormalities Adult Aged Archives & records Atrophy Cancer Cancer patients Care and treatment Comparative analysis Cross-Sectional Studies Dissection Female Head & neck cancer Head and Neck Neoplasms - diagnostic imaging Head and Neck Neoplasms - physiopathology Head and Neck Neoplasms - surgery Humans Injuries Kidnapping Lymphatic system Male Metastasis Middle Aged Muscles Neck Dissection NMR Nuclear magnetic resonance Oncology, Experimental Otolaryngology Pain Pilot Projects Prospective Studies Quality of life Shoulder Shoulder - diagnostic imaging Shoulder - physiopathology Shoulder - surgery Shoulder Pain - diagnostic imaging Shoulder Pain - physiopathology Shoulder Pain - surgery Soft tissues Studies Surgery Trapezius muscle Ultrasonic imaging Ultrasonography Ultrasound imaging |
| title | The Sonography and Physical Findings on Shoulder after Selective Neck Dissection in Patients with Head and Neck Cancer: A Pilot Study |
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