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Bilateral suprascapular nerve entrapment.

Teoman Aydin1, Nihal Ozaras, Sevgi Tetik

  • 1Department of Physical Therapy and Rehabilitation, SSK Vakif Gureba Hospital, Istanbul, Turkey. nozaras@hotmail.com

Yonsei Medical Journal
|March 9, 2004
PubMed
Summary

Bilateral suprascapular nerve entrapment is rare, causing shoulder pain and muscle weakness. Surgical release of the transverse scapular ligaments effectively treated a young man

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Area of Science:

  • Orthopedics
  • Neurology

Background:

  • Bilateral suprascapular nerve entrapment syndrome is an uncommon condition.
  • It typically manifests as shoulder pain, weakness, and muscle atrophy in the supraspinatus and infraspinatus.
  • Prompt diagnosis and treatment are essential for managing symptoms and preventing further complications.

Observation:

  • A case study of a 20-year-old male with bilateral shoulder pain and weakness.
  • Electromyography indicated a neupraxic lesion of the left suprascapular nerve and axonal loss in the right.
  • Conservative treatment failed to alleviate the patient's symptoms.

Findings:

  • Surgical bilateral excision of the transverse scapular ligaments was performed.
  • Post-surgery, the patient experienced significant reduction in pain, weakness, and muscle atrophy.

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  • Six-week follow-up demonstrated marked improvement in shoulder function.

    • Implications:

    • Suprascapular nerve entrapment should be considered in the differential diagnosis of shoulder pain.
    • Surgical intervention may be effective for refractory cases of bilateral suprascapular nerve entrapment.
    • This case highlights the importance of considering surgical options when conservative management fails.