Özet:

Acrylic web syndrome (AWS) is a pathology characterized by fibrotic veins and lymphatic tissues (cording) in the form of a network in the acrylic area, which causes a decrease in shoulder pain and joint movement openness (EHA). The presentations of the facts about the Idiopathic AWS are few in literature, and the facts presented here are the third facts in literature within our knowledge. A twenty-nine-year-old male patient, left-side shoulder pain and anxieties accompanied by a decrease in the EHA appeared to our clinic with a sign of "cord" stretching in the shape of a strip in the area. Diagnostic ultrasound and magnetic resonance images have been diagnosed with idiopathic AWS. The shoulder, arm EHA and progressive resistant exercise, shoulder flexors and abductors and cord myophasial relaxation treatments were applied. Infrared, therapeutic ultrasound and transcutaneous electrical nerve stimulation were applied from their physical modes. As a result of the treatment, the patient's shoulder pain and the cords in the axils fell down, the shoulder EHA increased. In patients with shoulder pain and reduced EHA, AWS diagnosis should be considered and a detailed shoulder examination should be carried out. AWS’s first stage treatment has not yet been determined. Its detection, early treatment and thus the development of chronic shoulder disability will prevent.

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