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Ernest W. Johnson, MD; Anthony N. Pannozzo, MD

JAMA. 1966;195(2):108-110.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Although much has been written about the diagnosis. and management of shoulder-hand syndrome, diverse opinions remain with respect to the optimal treatment. For purposes of definition, the shoulder-hand syndrome should be considered an aspect of the more general term—reflex sympathetic dystrophy. There are many names which have been used for this clinical condition, including reflex physiopathia, reflex neurovascular dystrophy, posttraumatic fibrosis, Sudeck's atrophy, causalgia, atrophic hand, and postinfarctional sclerodactylia, among many others. Our purpose in reviewing our experience with the shoulder-hand syndrome over the last ten years is to reemphasize the successful results of physical treatment, which Silas Weir Mitchell recommended in his description of causalgia in 1864.

Review of the Literature

Mitchell¹ described causalgia of the hands and feet resulting from gun-shot wounds in the Civil War. The syndrome included burning pain and a swollen, shiny extremity. He noted that many soldiers filled their boots with water for . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Physical Medicine, College of Medicine, Ohio State University, Columbus.

Footnotes
Read before the Section on Physical Medicine at the 114th annual convention of the American Medical Association, New York, June 23, 1965.

Reprint requests to 410 W Tenth Ave, Columbus, Ohio 43210 (Dr. Johnson).

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