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Abstract Objective To investigate the reasonsof shoulder dysfunctioncomplications developed in patients with hand injury and the treatments for these patients.Methods 167 patients were included in this study and received rehabilitation therapy in our department from 2014 to 2016.Among the patients.128 of them were male and 39 were female.The age range from 20 to 58 with an average of 34.3.The patientswho had a history of shoulder injury were excluded.Considering the time and the type of the developed shoulder dysfunctioncomplications by reviewingthe patients' medical history，the patients were divided into three groups according to the time point for starting the rehabilitation therapy.Results 43 patients (25.75％) developed shoulder dysfunctioncomplications 4～8 weeks after they had the hand injury.The mean age of the patients with shoulder complications was 34.81 years，roughly equal to the average age of the patient without shoulder dysfunctioncomplications.And the difference was not statistically significant by the chi-square test.The optimal rate of improvement of shoulder joint function was 100％ in the group of 3 months after the system rehabilitation training.Inthe 3～6 months of rehabilitation training group，the optimal rate was 95.8％.Inthe 6～12 months of rehabilitation training group，the optimal rate was 27.3％.Conclusion As compared the patients who take the therapy 6 months after hand injury，the shoulder complication significantly relieved in patients who received the therapy in 3 month after injury.Early rehabilitation therapy can significantly reduce the chance of shoulder dysfunction complication developed in patients with hand injury.
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