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Suprascapular neuropathy


Authors: A. Krajcová 1;  M. Makeľ 2;  V. Němcová 3;  T. Belšan 4,5;  R. Kaiser 5
Authors place of work: Klinika plastické chirurgie 1. LF UK a Nemocnice Na Bulovce, Praha 1;  Klinika plastické chirurgie 3. LF UK a FN Královské Vinohrady, Praha 2;  Anatomický ústav 1. LF UK, Praha 3;  Radiodiagnostické oddělení, ÚVN – VFN, Praha 4;  Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN – VFN Praha 5
Published in the journal: Cesk Slov Neurol N 2020; 83/116(6): 608-613
Category: Přehledný referát
doi: https://doi.org/10.48095/cccsnn2020608

Summary

Suprascapular neuropathy is a rare compressive neuropathy manifested by dorsal shoulder pain and weakness of shoulder abduction and external rotation. Complete symptoms are expressed in nerve compression under the suprascapular notch or in post-traumatic lesions. Isolated atrophy of the infraspinatus muscle with weakness of external rotation of the shoulder occurs in cases of compression of the distal part of the nerve by a paralabral cyst or in repetitive overhead activities, typically in elite volleyball or tennis players. Needle electromyography remains the gold standard in confirming dia­gnosis. In the vast majority of cases, conservative treatment is sufficient. In 20% of patients, surgical decompression of the nerve is indicated, leading in most cases to pain relief and improvement in muscle strength.

Keywords:

suprascapular neuropathy – shoulder pain – rotator cuff rupture – suprascapular nerve


Zdroje

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Štítky
Dětská neurologie Neurochirurgie Neurologie

Článek vyšel v časopise

Česká a slovenská neurologie a neurochirurgie

Číslo 6

2020 Číslo 6
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