Pubfacts - Scientific Publication Data
  • Categories
  • |
  • Journals
  • |
  • Authors
  • Login
  • Categories
  • Journals

Search Our Scientific Publications & Authors

Publications
  • Publications
  • Authors
find publications by category +
Translate page:

Suprascapular neuropathy in a shoulder referral practice.

Authors:
Robert E Boykin Darren J Friedman Zachary R Zimmer Anne Louise Oaklander Laurence D Higgins Jon J P Warner

J Shoulder Elbow Surg 2011 Sep 1;20(6):983-8. Epub 2011 Feb 1.

Harvard Shoulder Service, Massachusetts General Hospital, Boston, MA 02114, USA.

Hypothesis: Suprascapular neuropathy (SSN) is considered a rare condition, and few studies have analyzed how commonly it is encountered in practice. Electrophysiologic studies are the gold standard for diagnosis; however, there is no consensus on diagnostic criteria. We hypothesized that SSN would be frequently diagnosed by electrophysiologic testing in a subset of patients with specific clinical and radiographic findings suggestive of the pathology. This study characterizes SSN in an academic shoulder referral practice and documents the electrodiagnostic findings that are currently being used to diagnose the condition.

Materials And Methods: A retrospective review of a 1-year period was used to identify all patients who completed electrodiagnostic studies to evaluate the suprascapular nerve. Clinical exam findings and associated shoulder pathology was documented. The specific electromyography (EMG) and nerve conduction studies (NCS) findings were analyzed.

Results: Electrodiagnostic results were available for 92 patients, and 40 (42%) had confirmed SSN. Patients with a massive rotator cuff tear were more likely to have an abnormal study than those without a tear (P = .006). The most common electrodiagnostic abnormalities were abnormal motor unit action potentials (88%), whereas only 33% had evidence of denervation. The average latency in studies reported as diagnostic of SSN was 2.90 ± 0.08 milliseconds for the supraspinatus and 3.78 ± 0.14 milliseconds for the infraspinatus.

Discussion: An electrodiagnostically confirmed diagnosis of SSN was seen in 4.3% of all new patients and in 43% of patients with clinical or radiographic suspicion of SSN. Clinical evaluation may be difficult because other shoulder pathology can have overlapping symptoms.

Conclusion: Shoulder surgeons should consider electrophysiologic evaluation of patients with clinical or radiographic signs of SSN and be cognizant of the parameters that constitute an abnormal study.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2010.10.039DOI Listing
September 2011

Publication Analysis

Top Keywords

clinical radiographic
12
abnormal study
8
referral practice
8
43% patients
8
suprascapular neuropathy
8
patients clinical
8
ssn
8
shoulder pathology
8
shoulder referral
8
patients
7
shoulder
5
clinical
5
studies
5
completed electrodiagnostic
4
average latency
4
patients completed
4
electrodiagnostic studies
4
nerve clinical
4
evidence denervation
4
denervation average
4

Keyword Occurance

Similar Publications

Long-term outcome of tibial plateau leveling osteotomy using an antimicrobial silver-based coated plate in dogs.

Authors:
Geoffrey Pagès Meike Hammer Jean-Guillaume Grand Iban Irubetagoyena

PLoS One 2022 12;17(8):e0272555. Epub 2022 Aug 12.

Surgery Department, Centre Hospitalier Vétérinaire Aquivet, Eysines, France.

Objectives: To evaluate long-term outcome using the BioMedtrix™ TPLO Curve® plate in dogs with cranial cruciate ligament disease (CrCLd) treated by tibial plateau leveling osteotomy (TPLO).

Study Design: Retrospective case study.

Animals: Dogs (n = 323, 337 stifles). Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Core Decompression Versus Nonoperative Management of Osteonecrosis of the Ankle: A Systematic Review.

Authors:
Ruby Gilmor Zhongming Chen Michael A Mont Ronald E Delanois James Nace

Surg Technol Int 2022 08 12;41. Epub 2022 Aug 12.

Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland.

Introduction: The purpose of this study is to investigate the efficacy of core decompression for treating osteonecrosis of the ankle, including the distal tibia and talus, compared to nonoperative management. A systematic review was performed to specifically evaluate: (1) clinical results (patient-reported pain as well as functional scores, physician clinical reported assessment); (2) radiographic outcomes (i.e. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Prevalence of and risk factors for postoperative complications after lower third molar extraction: A multicenter prospective observational study in Japan.

Authors:
Shin-Ichi Yamada Takumi Hasegawa Nobuhiko Yoshimura Yusuke Hakoyama Tetsuya Nitta Narihiro Hirahara Hironori Miyamoto Hitoshi Yoshimura Nobuhiro Ueda Yoshiko Yamamura Hideki Okuyama Atsushi Takizawa Yoshitaka Nakanishi Eiji Iwata Daisuke Akita Ryuichi Itoh Kiriko Kubo Seiji Kondo Hironobu Hata Yoshito Koyama Youji Miyamoto Hirokazu Nakahara Masaya Akashi Tadaaki Kirita Yasuyuki Shibuya Masahiro Umeda Hiroshi Kurita

Medicine (Baltimore) 2022 Aug;101(32):e29989

Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

Lower third molar extraction is the most common surgical treatment among routine dental and oral surgical procedures. while the surgical procedures for lower third molar extraction are well established, the difficulty of tooth extraction and the frequency of postoperative complications differ depending on the patient's background. To establish a management protocol for the lower third molars, the prevalence of and risk factors for postoperative complications after lower third molar extraction were investigated in a large number of Japanese patients in a multicenter prospective study. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Clinicoradiographic evaluation of advanced-platelet rich fibrin block (A PRF + i PRF + nanohydroxyapatite) compared to nanohydroxyapatite alone in the management of periodontal intrabony defects.

Authors:
Jayasheela Mallappa Deepa Vasanth Triveni Mavinakote Gowda Rucha Shah Gunjiganuru Vemanaradhya Gayathri Dhoom Singh Mehta

J Indian Soc Periodontol 2022 Jul-Aug;26(4):359-364. Epub 2022 Jul 2.

Department of Periodontology, Bapuji Dental College and Hospital, Davangere, Karnataka, India.

Background: Several bone grafting formulations have been given clinically acceptable outcomes in treating intrabony defects. Platelet rich fibrin (PRF), an autologous platelet concentrate holds potential to be used for regenerative treatment. The purpose of this study was to evaluate clinical and radiographic outcomes in periodontal intrabony defects treated with advanced-PRF block (A PRF + i PRF + nanohydroxyapatite [nHA]) compared to nHA alone. Read More

View Article and Full-Text PDF
July 2022
Similar Publications

Outcomes and experience after open reduction for chronic Monteggia fracture in children.

Authors:
Ping Xu Zhiqiang Zhang Bo Ning Dahui Wang

Transl Pediatr 2022 Jul;11(7):1122-1129

Department of Orthopedics, National Children's Medical Center & Children's Hospital of Fudan University, Shanghai, China.

Background: The treatment of chronic Monteggia fracture-dislocation (CMF) remains controversial and challenging for surgeons. We describe our initial experience with ulnar osteotomy and angulation on correction with modified open surgery and evaluate outcomes from clinical and radiographic findings.

Methods: We retrospectively reviewed 18 children with a mean age of 6. Read More

View Article and Full-Text PDF
July 2022
Similar Publications
}
© 2022 PubFacts.
  • About PubFacts
  • Privacy Policy
  • Sitemap