Shoulder hand syndrome is a relatively rare clinical entity. It consists essentially of a painful frozen shoulder with the closely associated pain and puffy swelling in the homolateral hand. There are associated vasomotor changes.
The condition is usually seen after myocardial infraction, hemiplegia and painful conditions of neck and shoulder.
The name shoulder hand syndrome is derived from the predominant features of the condition—painful disability of the shoulder with associated painful disability vasomotor changes with swelling, or dystrophic changes in the hand.
The shoulder condition usually precedes, sometimes accompanies or rarely follows the changes in the hand.
The condition is more common in elderly people. Apart from the causes listed above, other predisposing disorders are apical tumours of the lung, thoracoplasty, lung and heart operations and isoniazid therapy.
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