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Neck treatment and shoulder morbidity: Still a challenge
Author(s) -
Bradley Patrick J.,
Ferlito Alfio,
Silver Carl E.,
Takes Robert P.,
Woolgar Julia A.,
Strojan Primož,
Suárez Carlos,
Coskun Hakan,
Zbären Peter,
Rinaldo Alessandra
Publication year - 2011
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21495
Subject(s) - medicine , accessory nerve , neck dissection , functional impairment , rehabilitation , dissection (medical) , quality of life (healthcare) , surgery , physical medicine and rehabilitation , physical therapy , pathology , nursing , carcinoma
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 pathophysiology 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. © 2010 Wiley Periodicals, Inc. Head Neck, 2011