scholarly journals GLENOID LABRAL CYST PRESENTING WITH SUPRASCAPULAR NERVE PALSY

2014 ◽  
Vol 04 (03) ◽  
pp. 105-108
Author(s):  
Siddharth M. Shetty ◽  
Rajsankar N. R. ◽  
B. Jayaprakash Shetty
Keyword(s):  
Nerve Palsy ◽  
Muscle Wasting ◽  
Supraspinatus Tendon ◽  
Suprascapular Nerve ◽  
Left Shoulder ◽  
Rare Entity ◽  
Mri Scan ◽  
Compressive Neuropathy ◽  
Diagnostic Arthroscopy ◽  
Infraspinatus Muscle

Abstract Introduction: Glenoid labral cyst in shoulder is an entity akin to meniscal cysts in knee. It usually manifests with features similar to impingement syndrome or rotator cuff weakness. Clinical Picture: A 42yr old male patient with complaints of left shoulder pain and restriction of movement for 2 months with muscle wasting in left supraspinatus and infraspinatus region. MRI left shoulder showed partial tear of supraspinatus tendon, glenoid labral cyst in closed proximity and causing compression to suprascapular nerve with atrophy of infraspinatus muscle. Treatment: Left shoulder diagnostic arthroscopy was done and followed with ganglion excision done through a posterior approach and suprascapular nerve was decompressed. Histopathology report showed features of an inflammatory cystic lesion. Outcome: patient experienced resolution of symptoms within 4 months of surgery with significant restoration of rotator function and bulk. Conclusion: Suprascapular nerve compressive neuropathy secondary to glenoid labral cyst is a rare entity but easily recognizable on a MRI scan and responds quickly to decompression.

scholarly journals Isolated Suprascapular Nerve Palsy: a Review of Nine Cases

1995 ◽  
Vol 22 (4) ◽  
pp. 301-304 ◽  
Author(s):  
Henry Berry ◽  
Kester Kong ◽  
Alan R. Hudson ◽  
Richard J. Moulton
Keyword(s):  
Nerve Palsy ◽  
Muscle Wasting ◽  
Cervical Vertebrae ◽  
Frozen Shoulder ◽  
Suprascapular Nerve ◽  
Weight Lifting ◽  
Suprascapular Notch ◽  
Infraspinatus Muscle ◽  
Post Traumatic ◽  
Brachial Plexus Neuritis

AbstractBackgroundIn nine patients, suprascapular nerve palsy followed serious accidents associated with fractures of the cervical vertebrae, clavicle or scapula and after weight lifting, wrestling and a fall on the elbow or shoulder.MethodAll patients were examined as to muscle wasting, weakness and shoulder fixation. EMG examination was done in all cases and six patients underwent surgical exploration.ResultsThe palsy was incomplete on clinical and EMG examination in all patients. On exploration, scarring, entrapment, tethering or kinking at the suprascapular notch was found in four and two had post-traumatic neuromas.ConclusionsIn contrast to published studies, none of our patients presented with shoulder pain, a spontaneous onset nor with involvement limited to the infraspinatus muscle. The differential diagnosis should include C5 root lesion, brachial plexus neuritis, frozen shoulder and tear of the rotator cuff.

scholarly journals A partial articular-sided supraspinatus tear caused by the biceps tendon: a novel etiology of internal impingement

2021 ◽  
Author(s):  
Alexander Rosinski ◽  
James Chen ◽  
Patrick McGahan
Keyword(s):  
Shoulder Pain ◽  
External Rotation ◽  
Biceps Tendon ◽  
Supraspinatus Tendon ◽  
Left Shoulder ◽  
Internal Impingement ◽  
Supraspinatus Tear ◽  
Diagnostic Arthroscopy

Our patient is a 19-year-old female who presented with left shoulder pain. Diagnostic arthroscopy revealed an articular-sided supraspinatus tear. When the shoulder was taken out of traction and placed in 90 degrees of abduction and external rotation, we visualized the biceps tendon directly impinging the undersurface of the supraspinatus tendon.

Acute isolated suprascapular nerve palsy limited to the infraspinatus muscle: A case report

2002 ◽  
Vol 83 (4) ◽  
pp. 565-567 ◽  
Author(s):  
Sanjay Mittal ◽  
Michael Turcinovic ◽  
Elaine S. Gould ◽  
S.Murthy Vishnubhakat
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
Suprascapular Nerve ◽  
Infraspinatus Muscle

scholarly journals Infraspinatus atrophy due to Bennett lesion causing suprascapular nerve palsy

2021 ◽  
Vol 21 (85) ◽  
pp. e177-e181
Author(s):  
Juan Miranda Bautista ◽  
◽  
Javier Fernández-Jara ◽  
Santiago Miranda Bautista ◽  
Pablo Menéndez Fernández-Miranda ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Nerve Palsy ◽  
Suprascapular Nerve ◽  
Muscle Denervation ◽  
Sports Activity ◽  
Volleyball Player ◽  
Infraspinatus Muscle ◽  
Repetitive Trauma ◽  
Nerve Entrapment Syndrome ◽  
Infraspinatus Atrophy

We report the case of a 19-year-old professional volleyball player who presented with right shoulder pain exacerbated during sports activity. On physical examination, infraspinatus atrophy was evident. As the clinical setting suggested suprascapular nerve entrapment syndrome, shoulder MR and later CT were performed. The results showed radiological signs of subacute-chronic infraspinatus muscle denervation and a Bennett lesion of the shoulder, presumably due to chronic repetitive trauma during the classical overhead swing in volleyball. The patient agreed to surgical treatment, and arthroscopic decompression was achieved. After months of rehabilitation, the pain gradually subsided, the infraspinatus muscle recovered its trophism, and the patient progressively returned to her regular sports activity.

scholarly journals Evaluation of suprascapular nerve neurotization after nerve grafting or transfer in the treatment of brachial plexus traction lesions

2004 ◽  
Vol 16 (5) ◽  
pp. 1-13
Author(s):  
Martijn J. A. Malessy ◽  
Godard C. W. de Ruiter ◽  
Kees S. de Boer ◽  
Ralph T. W. M. Thomeer
Keyword(s):  
Brachial Plexus ◽  
Muscle Power ◽  
Nerve Transfer ◽  
Deltoid Muscle ◽  
Suprascapular Nerve ◽  
Shoulder Function ◽  
Axillary Nerve ◽  
Infraspinatus Muscle ◽  
Function Recovery ◽  
Grade 3

Object The aim of this retrospective study was to evaluate the restoration of shoulder function by means of supra-scapular nerve neurotization in adult patients with proximal C-5 and C-6 lesions due to a severe brachial plexus traction injury (BPTI). The primary goal of brachial plexus reconstructive surgery was to restore the biceps muscle function and, secondarily, to reanimate shoulder function. Methods Suprascapular nerve neurotization was performed by grafting the C-5 nerve in 24 patients and by accessory or hypoglossal nerve transfer in 29 patients. Additional neurotization involving the axillary nerve could be performed in 18 patients. Postoperative needle electromyography studies of the supraspinatus, infraspinatus, and deltoid muscles showed signs of reinnervation in most patients; however, active glenohumeral shoulder function recovery was poor. In nine (17%) of 53 patients supraspinatus muscle strength was Medical Research Council (MRC) Grade 3 or 4 and in four (8%) infraspinatus muscle power was Grade 3 or 4. In 18 patients in whom deltoid muscle reinnervation was attempted, MRC Grade 3 or 4 function was demonstrated in two (11%). In the overall group, eight patients (15%) exhibited glenohumeral abduction with a mean of 44 ± 17° (standard deviation [SD]) (median 45°) and four patients (8%) exhibited glenohumeral exorotation with a mean of 48 ± 24° (SD) (median 53°). In only three patients (6%) were both functions regained. Conclusions The reanimation of shoulder function in patients with proximal C-5 and C-6 BPTIs following supra-scapular nerve neurotization is disappointingly low.

scholarly journals Isolated suprascapular nerve palsy following childbirth: A case study and literature review

2018 ◽  
Vol 11 (2) ◽  
pp. 113-115 ◽  
Author(s):  
Aritri Mandal ◽  
Madhavan C Papanna ◽  
Richard Bryant
Keyword(s):  
Operative Management ◽  
Suprascapular Nerve ◽  
Left Shoulder ◽  
Rare Occurrence ◽  
Normal Delivery ◽  
Cuff Tear ◽  
First Case ◽  
Progressive Weakness ◽  
Spontaneous Onset

We report a case of 30-year-old lady presenting with a suprascapular nerve (SSN) injury in the postpartum period. Two days following normal delivery, the patient experienced progressive weakness in her left shoulder, of spontaneous onset. Initially thought to be a rotator cuff tear, further imaging indicated a lesion in the SSN. Isolated SSN palsy is a rare occurrence. Previously reported cases of brachial plexus nerve injuries are due to trauma, traction, iatrogenic and the positioning of the patient during surgery. To our knowledge this is the first case report of SSN injury following normal delivery. In addition to the unusual presentation, our patient completely recovered from the SSN nerve injury without any operative management.

Spontaneous iliacus haematoma with femoral nerve palsy: an appeal to involve surgical teams early

2021 ◽  
Vol 14 (1) ◽  
pp. e239024
Author(s):  
Alexander M Crawford ◽  
Theodore T Guild ◽  
Brendan M Striano ◽  
Arvind G Von Keudell
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Surgical Decompression ◽  
Patient Benefit ◽  
Surgical Case ◽  
Compressive Neuropathy ◽  
Femoral Nerve Palsy ◽  
Surgical Teams ◽  
High Index Of Suspicion ◽  
Bridge Therapy

We report the case of a 68-year-old man who was placed on heparin as bridge therapy and subsequently developed an iliacus haematoma with associated femoral nerve palsy. His team involved the orthopaedic surgery team in delayed fashion after his symptom onset. Due to his active medical conditions, he did not undergo surgical decompression of his haematoma until late into his hospital course. Unfortunately, this patient did not regain meaningful function from his femoral nerve deficit. We believe this case highlights the high index of suspicion necessary for making this diagnosis as well as the repercussions of an untimely decompression for this acute, compressive neuropathy. Although we are surgeons and this is a surgical case, we hope to publish this case in a medical journal to raise awareness that surgical decompression does have a role in this diagnosis and should ultimately be pursued early in its course for optimal patient benefit.

scholarly journals Peroneal Nerve Palsy due to Bulky Osteochondroma from the Fibular Head: A Rare Case and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
T. Cherrad ◽  
M. Bennani ◽  
H. Zejjari ◽  
J. Louaste ◽  
L. Amhajji
Keyword(s):  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Common Peroneal Nerve ◽  
Complete Recovery ◽  
Foot Drop ◽  
Peroneal Nerve Palsy ◽  
Fibular Head ◽  
Success Rates ◽  
Proximal Fibula ◽  
Compressive Neuropathy

Common peroneal neuropathy is the most common compressive neuropathy in the lower extremities. The anatomical relationship of the fibular head with the peroneal nerve explains entrapment in this location. We report the case of a 14-year-old boy admitted with a left foot drop. The diagnosis was an osteochondroma of the proximal fibula compressing the common peroneal nerve. The patient underwent surgical decompression of the nerve and resection of the exostosis. Three months postoperatively, there was a complete recovery of the deficits. The association of osteochondroma and peroneal nerve palsy is rare. Early diagnosis is required in order to adjust the management and improve the results. It is worth to underscore that surgical resection is proven to be the appropriate treatment method ensuring high success rates.

Suprascapular nerve neuropathy leads to supraspinatus tendon degeneration

2020 ◽  
Vol 25 (4) ◽  
pp. 588-594 ◽  
Author(s):  
Yucheng Sun ◽  
Chuanbing Wang ◽  
Jae-Man Kwak ◽  
Hui-won Jung ◽  
Erica Kholinne ◽  
...  
Keyword(s):  
Supraspinatus Tendon ◽  
Suprascapular Nerve ◽  
Tendon Degeneration

scholarly journals Evidence-based recommendations for the treatment of mechanical outlet impingement

2020 ◽  
Vol 15 (3) ◽  
pp. 217-227
Author(s):  
Sophia M. Hünnebeck ◽  
Maurice Balke ◽  
Ralf Müller-Rath ◽  
Markus Scheibel
Keyword(s):  
Conservative Therapy ◽  
Treatment Decision ◽  
Supraspinatus Tendon ◽  
Subacromial Impingement Syndrome ◽  
Evidence Based ◽  
Subacromial Space ◽  
Subacromial Decompression ◽  
Correct Treatment ◽  
Surgical Interventions ◽  
Diagnostic Arthroscopy

Abstract Background The benefits of the various therapeutic options for the treatment of subacromial impingement syndrome are a topic of ongoing debate. Several studies on the subject are insufficiently evidence-based, with many other studies being considered controversial by members of the field. Nevertheless, a general opinion against surgical interventions is developing in the media in reference to these systematic reviews and meta-analyses based on insufficiently differentiated literature. Aim of the study This article provides an overview of the literature and examines the outcome after arthroscopic subacromial decompression compared with conservative therapy or diagnostic arthroscopy and bursectomy. Conclusion The outcome for patients treated with conservative therapy or subacromial decompression who explicitly suffered from mechanical outlet impingement (MOI) or mechanical non-outlet impingement (MNOI) has not yet been studied. The main problem concerning almost all published studies is that they are based on a mixture of pathologies. It seems likely that especially patients with a mechanical, and therefore structural, narrowing of the subacromial space can profit more from surgical management than patients with unspecific subacromial pain. Differentiation between the pathologies is crucial for the correct treatment decision, not only for the reduction of symptoms, but most importantly for the preservation of the supraspinatus tendon.

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