Suprascapular Nerve Injury
- PMID: 32644577
- Bookshelf ID: NBK559151
Suprascapular Nerve Injury
Excerpt
There is an increasing interest in the literature regarding the clinical presentation of suprascapular nerve (SSN) injuries. While the underlying etiology of suprascapular neuropathy remains elusive, multiple compression, traction, and inflammatory pathophysiologic cascades have been previously considered. The latter are often readily grouped together with other clinical manifestations of SSN dysfunction and inevitably become labeled as idiopathic. The anatomically tortuous course of the SSN predisposes it to direct mechanical compression at the suprascapular and spinoglenoid notches (see Image. Suprascapular Nerve Course, Arthroscopic Image). Moreover, anatomic variations along the nerve's course and occupational or athletic overuse conditions, especially in overhead athletes, can predispose the SSN to varying degrees of dysfunction.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Consultations
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Boykin RE, Friedman DJ, Higgins LD, Warner JJ. Suprascapular neuropathy. J Bone Joint Surg Am. 2010 Oct 06;92(13):2348-64. - PubMed
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- Le Hanneur M, Maldonado AA, Howe BM, Mauermann ML, Spinner RJ. "Isolated" Suprascapular Neuropathy: Compression, Traction, or Inflammation? Neurosurgery. 2019 Feb 01;84(2):404-412. - PubMed
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- Albritton MJ, Graham RD, Richards RS, Basamania CJ. An anatomic study of the effects on the suprascapular nerve due to retraction of the supraspinatus muscle after a rotator cuff tear. J Shoulder Elbow Surg. 2003 Sep-Oct;12(5):497-500. - PubMed
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- Safran MR. Nerve injury about the shoulder in athletes, part 1: suprascapular nerve and axillary nerve. Am J Sports Med. 2004 Apr-May;32(3):803-19. - PubMed
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