Pain in Shoulder and Arm An Integrated View
The "shoulder-hand syndrome" or pain in the shoulder or arm is an extremely vital subject for the multi-disciplinary approach and usually re quires more than one speciality for complete evaluation. The proceedings of this symposium - organized by the dep
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DEVELOPMENTS IN SURGERY Volume 1
Pain in Shoulder and Arm An Integrated View edited by
1.M. GREEP M.D. (Maa stricht) H.A.J. LEMMENS M.D. (M aastricht ) D.B. ROOS M.D. (Delll'er) H.C. URSCHEL M.D. (Dallas)
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1979
MARTINUS NIJHOFF PUBLISHERS THE HAGUE/ BOSTON/ LONDON
The distribution of this book is handled by the following team of publishers for the United States and Canada Kluwer Boston, Inc. 160 Old Derby Street Hingham, MA 02043 USA for all other countries Kluwer Academic Publishers Group Distribution Center P.O. Box 322 3300 AH Dordrecht The Netherlands
Library of Congress Cataloging in Publication Data Main entry under title: Pain in shoulder and arm. (Developments in surgery: I) l. Shoulder-Diseases. 2. Arm-Diseases. 3. Pain. 4. Thoracic outlet syndrome. I. Greep, 1.M. II. Lemmens, H.A.J. III. Roos, D.B. IV. Urschel, H.C. IV. Series. [DNLM:l. Shoulder-hand syndrome-Congresses. WI DE998S v. I/WE81O P144 1978] RC939.P34 617'.572'072 79-16449
ISBN-13: 978-94-009-9305-1 DOl: 10.1007/978-94-009-9303-7
Copyright
e-ISBN-13: 978-94-009-9303-7
© 1979 by Martinus Nijholf Publishers bv, The Hague.
Softcover reprint of the hardcover 1st edition 1979 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher, Martinus Nijholf Publishers bv, P.O. Box 566, 2501 CN The Hague, The Netherlands.
Preface
The "shoulder-hand syndrome" or pain in the shoulder or arm is an extremely vital subject for the multi-disciplinary approach and usually requires more than one speciality for complete evaluation. The proceedings of this symposium - organized by the department of general surgery of the University of Limburg - cover the field thoroughly with contributions from outstanding specialists from all over the world. Rheumatological, neurosurgical, orthopedic, and traumatological aspects are covered. Vascular surgeons considering both venous and arterial problems entwine with thoracic surgeons to review the thoracic outlet problem. Establishing a diagnosis in this multi-disciplinary field is extremely important and encompasses a combination of disciplines including neurology, orthopedics, surgery, and physical medicine. Likewise, the role of each contributing factor must be assessed when multiple sources were responsible for pain. In addition to adequate diagnosis, it is important to institute the appropriate therapy and to establish the proper priority and timing of such therapies. The follow-up techniques particularly regarding thoracic outlet syndrome are extremely important to provide an objective basis for evaluation. Although many advances have been made in the field of objective diagnosis and therapy, there still is a great deal of overlap and confusion which has to be clarified. Professor Greep and his organizing committee have done a wonderful job in composing a program covering all aspects of this field. T
