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[Incisura scapulae syndrome].
P Habermeyer1, D Rapaport, E Wiedemann
1Chirurgischen Klinik und Poliklinik Innenstadt, Ludwig-Maximilians-Universität München.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|May 1, 1990
Summary
Suprascapular nerve entrapment causes shoulder pain and muscle weakness. Surgical decompression offers promising results for persistent cases unresponsive to conservative treatment.
Area of Science:
- Orthopedic Surgery
- Neurology
- Sports Medicine
Context:
- Suprascapular nerve entrapment is a rare condition affecting shoulder function.
- It can stem from various causes including trauma, anatomical variations, or compression.
- Symptoms include deep shoulder pain, muscle atrophy, and restricted external rotation.
Purpose:
- To outline the causes, diagnosis, and management of suprascapular nerve entrapment.
- To highlight the diagnostic criteria, including clinical presentation and electrodiagnostic findings.
- To discuss treatment options, from conservative measures to surgical decompression.
Summary:
- Diagnosis relies on characteristic pain, muscle weakness, limited external rotation, lidocaine tests, and specific EMG findings.
- Initial management involves immobilization, analgesics, and physiotherapy, with rotator cuff tears and frozen shoulder excluded by arthrography.
- Persistent cases with pathological EMG findings warrant surgical decompression of the nerve by releasing the transverse scapular ligament.
Impact:
- Provides a comprehensive overview for clinicians managing shoulder pain and nerve injuries.
- Emphasizes the importance of accurate diagnosis for effective treatment selection.
- Highlights surgical decompression as a viable and promising option for refractory suprascapular nerve entrapment.