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[A strong man with a weak shoulder].
Marjolijn Henket1, Geert J Lycklama á Nijeholt, Peer van der Zwaal
1Medisch Centrum Haaglanden, Den Haag.
Nederlands Tijdschrift Voor Geneeskunde
|December 12, 2013
Summary
Idiopathic neuritis of the accessory nerve caused shoulder pain and weakness in a former Olympic athlete. This condition led to muscle atrophy and scapular dyskinesia without prior trauma.
Area of Science:
- Neurology
- Sports Medicine
- Orthopedics
Background:
- Accessory nerve neuritis can present with shoulder dysfunction.
- Idiopathic causes require thorough clinical evaluation.
Observation:
- A 47-year-old former Olympic athlete presented with left shoulder pain and weakness.
- No history of trauma was reported.
- Full range-of-motion was maintained, but scapular dyskinesia was noted.
- Atrophy of the trapezius and sternocleidomastoideus muscles was observed.
Findings:
- Diagnosis of idiopathic neuritis of the accessory nerve was established.
- Clinical presentation included shoulder pain, weakness, and specific muscle atrophy.
Implications:
- Highlights the importance of considering nerve-related pathologies in athletes with shoulder complaints.
- Underscores the need for accurate diagnosis to guide appropriate treatment and rehabilitation strategies.
- Suggests potential for accessory nerve involvement in athletic shoulder injuries.
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