Quadrilateral space syndrome induced by a large degenerative osteophyte

Autor: Thymur Ali Chaudhry, MD, Adam M. Doedtman, BS, Elek Wellman, BS, Daniel Stanton, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Radiology Case Reports, Vol 16, Iss 9, Pp 2593-2600 (2021)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2021.06.002
Popis: A 41-year-old gentleman presented with decreased range of motion. Initial radiographs demonstrated extensive osteoarthritic changes involving the glenohumeral joint with a large inferior oriented osteophyte. Subsequent MRI of the shoulder was obtained which demonstrated isolated fatty atrophy of the teres minor and, to a lesser extent, deltoid muscles. The axillary nerve was visualized entering the quadrilateral space which, although, was severely narrowed secondary to the large osteophyte. The patient's clinical symptoms and MRI findings were consistent with quadrilateral space syndrome. The patient wanted to attempt conservative therapy first; and therefore, subsequently underwent physical therapy with improvement of shoulder strength and range of motion.
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