Post-Traumatic Shoulder Movement Disorders: A Challenging Differential Diagnosis Between Organic and Functional

Sanjay Pandey, Fatta Nahab, Jason Aldred, John Nutt, Mark Hallett

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Peripheral trauma may be a trigger for the development of various movement disorders, though the pathophysiology remains controversial and some of these patients have a functional (psychogenic) disorder. We report on 3 cases of shoulder movement disorders subsequent to trauma to the shoulder region. Physiology was done in all the patients to extend the physical examination. Two patients had a history of recurrent shoulder dislocation and were diagnosed with Ehlers-Danlos syndrome. One patient had shoulder injury after repeated falls while performing as a cheerleader. In 2 patients, there were some clinical features suggesting a functional etiology, but physiological studies in all 3 failed to produce objective evidence of a functional nature. Shoulder movement after trauma is uncommon. Diagnosis in such cases is challenging, considering the complex pathophysiology. The movements can be associated with prolonged pain and handicap, and once established, they appear resistant to treatment.

Original languageEnglish (US)
Pages (from-to)102-105
Number of pages4
JournalMovement Disorders Clinical Practice
Volume1
Issue number2
DOIs
StatePublished - Jun 1 2014

Fingerprint

Movement Disorders
Differential Diagnosis
Wounds and Injuries
Ehlers-Danlos Syndrome
Shoulder Dislocation
Physical Examination
Pain

Keywords

  • functional
  • movement
  • physiology
  • psychogenic
  • shoulder
  • tremor

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Post-Traumatic Shoulder Movement Disorders : A Challenging Differential Diagnosis Between Organic and Functional. / Pandey, Sanjay; Nahab, Fatta; Aldred, Jason; Nutt, John; Hallett, Mark.

In: Movement Disorders Clinical Practice, Vol. 1, No. 2, 01.06.2014, p. 102-105.

Research output: Contribution to journalArticle

@article{0c4c630dd6524aec88d1ecfcb81cbc95,
title = "Post-Traumatic Shoulder Movement Disorders: A Challenging Differential Diagnosis Between Organic and Functional",
abstract = "Peripheral trauma may be a trigger for the development of various movement disorders, though the pathophysiology remains controversial and some of these patients have a functional (psychogenic) disorder. We report on 3 cases of shoulder movement disorders subsequent to trauma to the shoulder region. Physiology was done in all the patients to extend the physical examination. Two patients had a history of recurrent shoulder dislocation and were diagnosed with Ehlers-Danlos syndrome. One patient had shoulder injury after repeated falls while performing as a cheerleader. In 2 patients, there were some clinical features suggesting a functional etiology, but physiological studies in all 3 failed to produce objective evidence of a functional nature. Shoulder movement after trauma is uncommon. Diagnosis in such cases is challenging, considering the complex pathophysiology. The movements can be associated with prolonged pain and handicap, and once established, they appear resistant to treatment.",
keywords = "functional, movement, physiology, psychogenic, shoulder, tremor",
author = "Sanjay Pandey and Fatta Nahab and Jason Aldred and John Nutt and Mark Hallett",
year = "2014",
month = "6",
day = "1",
doi = "10.1002/mdc3.12016",
language = "English (US)",
volume = "1",
pages = "102--105",
journal = "Movement Disorders Clinical Practice",
issn = "2330-1619",
publisher = "John Wiley and Sons Ltd",
number = "2",

}

TY - JOUR

T1 - Post-Traumatic Shoulder Movement Disorders

T2 - A Challenging Differential Diagnosis Between Organic and Functional

AU - Pandey, Sanjay

AU - Nahab, Fatta

AU - Aldred, Jason

AU - Nutt, John

AU - Hallett, Mark

PY - 2014/6/1

Y1 - 2014/6/1

N2 - Peripheral trauma may be a trigger for the development of various movement disorders, though the pathophysiology remains controversial and some of these patients have a functional (psychogenic) disorder. We report on 3 cases of shoulder movement disorders subsequent to trauma to the shoulder region. Physiology was done in all the patients to extend the physical examination. Two patients had a history of recurrent shoulder dislocation and were diagnosed with Ehlers-Danlos syndrome. One patient had shoulder injury after repeated falls while performing as a cheerleader. In 2 patients, there were some clinical features suggesting a functional etiology, but physiological studies in all 3 failed to produce objective evidence of a functional nature. Shoulder movement after trauma is uncommon. Diagnosis in such cases is challenging, considering the complex pathophysiology. The movements can be associated with prolonged pain and handicap, and once established, they appear resistant to treatment.

AB - Peripheral trauma may be a trigger for the development of various movement disorders, though the pathophysiology remains controversial and some of these patients have a functional (psychogenic) disorder. We report on 3 cases of shoulder movement disorders subsequent to trauma to the shoulder region. Physiology was done in all the patients to extend the physical examination. Two patients had a history of recurrent shoulder dislocation and were diagnosed with Ehlers-Danlos syndrome. One patient had shoulder injury after repeated falls while performing as a cheerleader. In 2 patients, there were some clinical features suggesting a functional etiology, but physiological studies in all 3 failed to produce objective evidence of a functional nature. Shoulder movement after trauma is uncommon. Diagnosis in such cases is challenging, considering the complex pathophysiology. The movements can be associated with prolonged pain and handicap, and once established, they appear resistant to treatment.

KW - functional

KW - movement

KW - physiology

KW - psychogenic

KW - shoulder

KW - tremor

UR - http://www.scopus.com/inward/record.url?scp=84969645048&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84969645048&partnerID=8YFLogxK

U2 - 10.1002/mdc3.12016

DO - 10.1002/mdc3.12016

M3 - Article

AN - SCOPUS:84969645048

VL - 1

SP - 102

EP - 105

JO - Movement Disorders Clinical Practice

JF - Movement Disorders Clinical Practice

SN - 2330-1619

IS - 2

ER -