[Shoulder pain due to suprascapular neuropathy].

Autor:	van Ochten JH; Tergooiziekenhuizen, afd. Orthopedie, Hilversum, the Netherlands. jhm.van.ochten@gmail.com, de Vos MJ, Maas M, Verhagen RA
Jazyk:	Dutch; Flemish
Zdroj:	Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2012; Vol. 156 (5), pp. A3719.
Abstrakt:	Background: Shoulder complaints are caused by suprascapular neuropathy in 1-2% of patients. This rare condition is characterised by slowly progressing shoulder pain, which has as a consequence restriction of movement and loss of strength. The most frequent causes are tear of the rotator cuff or a space occupying lesion. Case Description: A 30-year-old man presented with slowly arising shoulder pain with subsequent also loss of strength and atrophy of the shoulder. A MRI scan of the shoulder showed a cyst in the glenoid cavity. Using EMG suprascapular neuropathy was diagnosed. The cyst was removed by operation and the patient recovered well. Conclusion: The diagnosis 'suprascapular neuropathy' was made using EMG. Space occupying lesions of the shoulder can be excluded by X-ray and MRI. The treatment is primarily conservative, with physiotherapy and pain management.
Databáze:	MEDLINE
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