Compressive Syndromes of the Subscapular Nerve – Experience with Surgery

Česká verzia

Authors: M. Kanta; E. Ehler ^*; D. Laštovička; J. Habalová; J. Adamkov; S. Řehák
Authors place of work: Neurochirurgická klinika lékařské fakulty UK Hradec Králové, FN Hradec Králové ; Neurologická klinika, PKN Pardubice ^*
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 9, s. 497-501.
Category: Monothematic special - Original

Summary

Compression of suprascapular nerve at the suprascapular notch or spinoglenoid notch can be a cause of a rare mononeuropathy. Patients complain of pain in scapula and shoulder, and selective wasting and weakness of the supraspinatus and infraspinatus muscles. Tenderness at the suprascapular notch and pain by forced abduction of arm are typical and useful signs. Electromyographic signs of various grade denervation are regularly found in both muscles. Development of entrapment syndromes is associated with chronic overload, shoulder injuries, with surgical procedures, or with shoulder-arm fixation. The authors present their own group of 10 patients, who were operated on for entrapment syndrome of suprascapular nerve during 7 year period. Direct or indirect traumatic mechanisms of development of nerve compression were disclosed in most patients. During postoperative period there was not only substantial decrease of pain, but also regression of weakness and wasting of both muscles. In discussion, necessity of differential diagnostic procedures in case of pain and muscle wasting, use of appropriate imaging techniques, demand of purposeful EMG examination, and postoperative follow-ups are emphasized.

Key words:
suprascapular nerve – scapula and shoulder injury – compressive and entrapment syndromes – EMG – surgery

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