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[Neurologic syndromes affecting the shoulder (author's transl)]
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|December 1, 1979
Summary
Peripheral nervous system diseases in the shoulder-arm region are common, including radicular syndromes and neuralgic amyotrophy. Accurate diagnosis is crucial to differentiate these from other conditions like brachial plexus paralysis.
Area of Science:
- Neurology
- Peripheral Nervous System Disorders
- Shoulder-Arm Pain Syndromes
Context:
- The shoulder-arm region is a common site for various peripheral nervous system (PNS) diseases.
- Radicular syndromes due to cervical spine issues are frequent, often mistaken for other conditions.
- Differentiating between various nerve-related shoulder pain causes is clinically significant.
Purpose:
- To outline the differential diagnosis of shoulder-arm pain and neurological deficits.
- To highlight key distinctions between conditions like radicular syndromes, neuralgic amyotrophy, and brachial plexus injuries.
- To guide clinicians in identifying less common but important causes such as thoracic outlet syndromes and referred pain.
Summary:
- Peripheral nervous system diseases manifest in the shoulder-arm region, including radicular syndromes from cervical spine issues and neuralgic amyotrophy.
- Conditions like brachial plexus paralysis, often misdiagnosed, are typically traumatic, unlike other syndromes.
- Other considerations include thoracic outlet syndromes, Pancoast tumors, Paget-von Schrötter's syndrome, syringomyelia, carpal tunnel syndrome, and neuromuscular diseases.
Impact:
- Improved diagnostic accuracy for shoulder-arm pain and neurological symptoms.
- Reduced misdiagnosis of brachial plexus injuries and other PNS conditions.
- Enhanced clinical understanding of the diverse etiologies of shoulder and arm dysfunction.