270 results match your criteria Suprascapular Neuropathy

Variations in the Course and Diameter of the Suprascapular Nerve: Anatomical Study.

Int J Environ Res Public Health 2022 Jun 9;19(12). Epub 2022 Jun 9.

Cattedra di Radiologia "R"-DICMI, Universita di Genova, 16132 Genoa, Italy.

(1) Background: Suprascapular neuropathy is an important factor contributing to shoulder pain. Given the prevalence of nerve injury and nerve block in the suprascapular notch region, as well as the frequency of arthroscopic procedures on the suprascapular notch, which are recommended in shoulder pain management, its morphology is relevant from a clinical perspective. (2) Methods: Suprascapular nerve course was studied in twelve shoulders by dissection. Read More

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Accuracy of suprascapular notch cross-sectional area by MRI in the diagnosis of suprascapular nerve entrapment syndrome - a retrospective pilot study.

Korean J Anesthesiol 2022 Jun 15. Epub 2022 Jun 15.

Department of Radiological Sciences, University of California, Irvine, CA, USA.

Background: Suprascapular nerve entrapment syndrome (SNES) is a peripheral neuropathy caused by compression of the suprascapular nerve. Previous studies have demonstrated that the suprascapular notch`s morphological change is closely correlated with SNES. Thus, we thought that the suprascapular notch cross-sectional area (SSNCSA) might be a good diagnostic parameter to assess SNES. Read More

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[Pain after Shoulder Prosthesis Is Not Always Due to Infection or Loosening].

Praxis (Bern 1994) 2022 Apr;111(5):288-290

ADUS Klinik, Dielsdorf, Schweiz.

Pain after Shoulder Prosthesis Is Not Always Due to Infection or Loosening Summary: Suprascapular nerve neuropathy is becoming increasingly recognized as a reason for persistent shoulder pain. The underlying cause may be iatrogenic, as in the case of our patient, or due to ganglionic compression or traction. Unfortunately, diagnosis and thus adequate therapy is frequently delayed. Read More

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Suprascapular neuropathy secondary to compressive paralabral cyst at the spinoglenoid notch.

Am J Phys Med Rehabil 2022 Feb 23. Epub 2022 Feb 23.

University of Toronto, Toronto Rehabilitation Institute, 550 University Ave, Toronto, ON, Canada, M5G2A2.

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February 2022

Suprascapular Neuropathy in Collegiate Tennis Player: A Case Report.

Cureus 2021 Dec 30;13(12):e20824. Epub 2021 Dec 30.

Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, USA.

Suprascapular neuropathy can be seen in overhead athletes and should be considered when evaluating an overhead athlete presenting with shoulder pain and/or weakness. The suprascapular nerve innervates the supraspinatus and the infraspinatus, but dynamic entrapment as it passes under the spinoglenoid ligament at the spinoglenoid notch can lead to isolated denervation of the infraspinatus. Specific movements common in tennis cause tensioning and compression of the spinoglenoid ligament and may predispose players to dynamic entrapment at this location. Read More

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December 2021

Authors' reply: Feedback to the Commentary on "Anatomical Variations of the Suprascapular Notch and its Importance in Suprascapular Entrapment Neuropathy".

Maedica (Bucur) 2021 Sep;16(3):542-543

Lecturer in Pharmacology, Faculty of Medical Sciences, University of The West Indies,Cave Hill Campus, BARBADOS, WI.

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September 2021

Three-dimensional analysis of baseplate screw penetration in reverse total shoulder arthroplasty: risk of iatrogenic suprascapular neuropathy by screw violation.

J Shoulder Elbow Surg 2022 May 19;31(5):940-947. Epub 2021 Nov 19.

Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Republic of Korea. Electronic address:

Background: Baseplate screws have been suggested to be a possible cause of suprascapular neuropathy after reverse total shoulder arthroplasty (RTSA). Three-dimensional analyses of screw penetration and confirmation of its clinical impacts are relevant. The study aims to investigate the association between screw penetration and the clinical outcomes. Read More

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Treatment of suprascapular nerve entrapment syndrome.

Orthop Rev (Pavia) 2021 11;13(2):25554. Epub 2021 Jul 11.

Louisiana State University Shreveport, LA.

Suprascapular nerve entrapment syndrome (SNES) is an often-overlooked etiology of shoulder pain and weakness. Treatment varies depending on the location and etiology of entrapment, which can be described as compressive or traction lesions. In some cases, treating the primary cause of impingement (ie. Read More

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Arthroscopic versus Mini-Open Rotator Cuff Repair: Should We Ignore the Mini-Open Surgery?

Acta Chir Orthop Traumatol Cech 2021 ;88(5):369-374

Health Science University Istanbul Fatih Sultan Mehmet Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.

PURPOSE OF THE STUDY To compare the functional and radiological results of the total arthroscopic treatment (TAT) performed due to the rotator cuff (RC) tear problem with the results of the arthroscopically assisted mini-open surgery (AAMOS). MATERIAL AND METHODS This study conducted over a two-year period included all had TAT or AAMOS. Patients were included in the study if they had undergone arthroscopic or mini-open rotator cuff repair, with a minimum of 2 years' follow-up. Read More

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November 2021

Ultrasonographic Diagnosis and Treatment of Suprascapular Neuropathy Secondary to Ganglion Cyst.

J Med Ultrasound 2021 Jul-Sep;29(3):221-222. Epub 2020 Oct 1.

Department of Physical Medicine and Rehabilitation, Fizikon Medical Center, Konya, Turkey.

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October 2020

Letter to the Editor: Commentary to "Anatomical Variations of the Suprascapular Notch and its Importance in Suprascapular Entrapment Neuropathy".

Maedica (Bucur) 2021 Jun;16(2):332-333

Department of Anatomy, Second Faculty of Medicine, Charles University, Prague, Czech Republic.

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Electrodiagnostic Assessment of Uncommon Mononeuropathies.

Neurol Clin 2021 11 3;39(4):957-981. Epub 2021 Sep 3.

Department of Neurology, Saint Louis University School of Medicine, Saint Louis, MO, USA.

Carpal tunnel syndrome, ulnar neuropathy at the elbow, and peroneal neuropathy are the most common mononeuropathies; however, other individual nerves may also be injured by various processes. These uncommon mononeuropathies may be less readily diagnosed owing to unfamiliarity with the presentations and vague symptoms. Electrodiagnostic studies are essential in the evaluation of uncommon mononeuropathies and can assist in localization and prognostication. Read More

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November 2021

Shoulder pain in a patient with renal cell carcinoma? Suprascapular neuropathy caused by bone metastasis of renal cell carcinoma: A case report.

Palliat Med 2021 09;35(8):1629-1633

Department of Physical Medicine and Rehabilitation, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.

Background: Pain management is crucial in palliative care for patients with advanced cancer. Here, we report a case of shoulder pain in a patient with renal cell carcinoma.

Case Presentation: A 36-year-old male diagnosed metastatic renal cell carcinoma presented with pain and weakness on left shoulder for more than 6 months. Read More

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September 2021

Muscle Degeneration Induced by Sequential Release and Denervation of the Rotator Cuff Tendon in Sheep.

Orthop J Sports Med 2021 Aug 16;9(8):23259671211025302. Epub 2021 Aug 16.

University Hospital Balgrist, Department of Orthopaedics, Zurich, Switzerland.

Background: In a sheep rotator cuff model, tenotomy predominantly induces fatty infiltration, and denervation induces mostly muscle atrophy. In clinical practice, myotendinous retraction after tendon tear or lateralization after tendon repair tear may lead to traction injury of the nerve.

Purpose/hypothesis: To analyze whether an additional nerve lesion during rotator cuff repair leads to further degeneration of the rotator cuff muscle in the clinical setting. Read More

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Morphometry and Contents of the Suprascapular Notch with Potential Clinical Implications: Α Cadaveric Study.

J Brachial Plex Peripher Nerve Inj 2021 Jan 27;16(1):e31-e36. Epub 2021 Jul 27.

Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

 The suprascapular notch (SN) represents the point along the route of the suprascapular nerve (SSN) with the greatest potential risk for injury and compression. Thus, factors reducing the area of the notch have been postulated for suprascapular neuropathy development.  Thirty-one fresh-frozen shoulders were dissected. Read More

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January 2021

Outcomes of Arthroscopic Nerve Release in Patients Treated for Large or Massive Rotator Cuff Tears and Associated Suprascapular Neuropathy: A Prospective, Randomized, Double-Blinded Clinical Trial.

Am J Sports Med 2021 07 22;49(9):2301-2308. Epub 2021 Jun 22.

Second Orthopaedic Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Background: Suprascapular neuropathy has been observed in the setting of rotator cuff tears (RCTs), but its association with these tears and their treatment are unclear.

Hypothesis: Arthroscopic suprascapular nerve release during rotator cuff repair will not alter the outcomes of neuropathy.

Study Design: Randomized controlled trial; Level of evidence, 1. Read More

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Comparison of supraclavicular nerve injuries after clavicle mid-shaft surgery via minimally invasive plate osteosynthesis versus open reduction and internal fixation.

Arch Orthop Trauma Surg 2021 May 9. Epub 2021 May 9.

Department of Orthopaedic Surgery, Shoulder and Elbow Clinic, College of Medicine, Kyung Hee University Hospital At Gangdong, Seoul, Republic of Korea.

Introduction: Only a few previous studies have evaluated the factors related to supraclavicular nerve (SCN) injury after clavicle mid-shaft fracture surgery. We analyzed the frequency and risk factors for SCN injury after clavicle mid-shaft fracture surgery via open reduction and internal fixation (ORIF) versus minimally invasive plate osteosynthesis (MIPO) MATERIALS AND METHODS: We retrospectively reviewed the cases from 59 patients who had undergone surgery for clavicle mid-shaft fractures between January 2018 and April 2019. Twenty-nine patients had undergone ORIF and 30 had undergone MIPO. Read More

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Ferumoxytol-enhanced vascular suppression in magnetic resonance neurography.

Skeletal Radiol 2021 Nov 7;50(11):2255-2266. Epub 2021 May 7.

Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY, USA.

Objective: To evaluate ferumoxytol-enhanced vascular suppression for visualizing branch nerves of the brachial plexus in magnetic resonance (MR) neurography.

Materials And Methods: Signal simulations were performed to determine ferumoxytol's effect on nerve-, fat-, and blood-to-muscle contrast and to optimize pulse sequence parameters. Prospective, in vivo assessment included 10 subjects with chronic anemia who underwent a total of 19 (9 bilateral) pre- and post-infusion brachial plexus exams using three-dimensional (3D), T-weighted short-tau inversion recovery (T-STIR) sequences at 3. Read More

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November 2021

Suprascapular Nerve Entrapment due to an Ossified Spinoglenoid Ligament After Scapular Fracture: A Case Report.

JBJS Case Connect 2020 Oct-Dec;10(4):e2000477

1Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois.

Case: A 46-year-old man underwent open reduction and internal fixation (ORIF) of left scapular, humerus, and clavicle fractures after a snowmobile accident. He subsequently developed severe left infraspinatus weakness with electromyogram evidence of suprascapular entrapment at the spinoglenoid notch. Intraoperatively, suprascapular nerve compression from an ossified spinoglenoid ligament was observed. Read More

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Open Surgical Decompression for Large Multiloculated Spinoglenoid Notch Ganglion Cyst With Suprascapular Nerve Neuropathy.

Cureus 2021 Feb 12;13(2):e13300. Epub 2021 Feb 12.

Trauma, Olympia Hospital and Research Centre, Trichy, IND.

Suprascapular nerve entrapment at the spinoglenoid notch causes infraspinatus weakness and wasting. Patients present with shoulder pain and weakness. The spinoglenoid notch cyst is the reason for suprascapular nerve compression. Read More

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February 2021

Quantitative Ultrasonographic Analysis of Changes of the Suprascapular Nerve in the Aging Population With Shoulder Pain.

Front Bioeng Biotechnol 2021 19;9:640747. Epub 2021 Feb 19.

Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey.

Background: Older people are vulnerable to painful shoulder syndromes, the majority of which are derived from degenerative rotator cuff pathologies. The suprascapular nerve (SSN) is closely related to the rotator cuff complex, and its role in shoulder pain has recently been highlighted. This study aimed to explore the differences in SSN among older people with and without shoulder pain, and to investigate the potential factors influencing the nerve size using ultrasound (US) imaging. Read More

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February 2021

Suprascapular Nerve Release: Technique Based on Anatomic Landmarks.

Arthrosc Tech 2021 Feb 15;10(2):e469-e473. Epub 2021 Jan 15.

Departamento de Anatomía, Universidad de Barcelona, Barcelona, Spain.

Dysfunction of the suprascapular nerve (SSN) is closely related to rotator cuff pathology; nerve dysfunction can lead to cuff disease and vice versa. Owing to repetitive microtrauma during overhead sports or massive cuff tears with significant tendon retraction, the SSN may suffer compression or traction neuropathy at the suprascapular notch. The SSN release technique has already been described. Read More

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February 2021

Comparison of clinical outcome of decompression of suprascapular nerve at spinoglenoid notch for patients with posterosuperior massive rotator cuff tears and suprascapular neuropathy.

BMC Musculoskelet Disord 2021 Feb 18;22(1):202. Epub 2021 Feb 18.

Orthopaedic Center, the Affiliated Hospital of Qingdao University, NO.16 Jiangsu road, Qingdao, 266100, China.

Purpose: In the present study, we aimed to determine whether decompression of suprascapular nerve (SSN) at the spinoglenoid notch could lead to a better functional outcome for the patients who underwent repairment of rotator cuff due to posterosupeior massive rotator cuff tear (MRCT) and suprascapular neuropathy.

Methods: A total of 20 patients with posterosuperior MRCT and suprascapular neuropathy were analyzed in the present work. The preoperative magnetic resonance imaging (MRI) showed rotator cuff tear in supraspinatus and infraspinatus. Read More

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February 2021

Editorial Commentary: Suprascapular Nerve Decompression Can Be Effective, But Should You Have the Nerve to Do It?

Arthroscopy 2021 02;37(2):508-509

University of Maryland School of Medicine.

Isolated suprascapular neuropathy that requires surgical decompression is rare. Arthroscopic suprascapular nerve decompression is an effective treatment for correctly indicated patients, but identifying which patients would benefit from decompression is challenging. While good outcomes and low complication rates after arthroscopic suprascapular nerve decompression have been reported by expert surgeons, this procedure has potential for neurovascular injury in inexperienced hands. Read More

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February 2021

Suprascapular Neuropathy From Malpositioned Baseplate Screws in Primary Reverse Shoulder Arthroplasty: Two Case Reports.

JBJS Case Connect 2020 10 26;10(4):e20.00096. Epub 2020 Oct 26.

Department of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut.

Cases: Two patients presented to different surgeons complaining of persistent shoulder pain after reverse total shoulder arthroplasty. Workups for fracture, instability, and periprosthetic infection were negative. Advanced imaging, nerve conduction studies, and diagnostic injections localized symptoms to the suprascapular nerve. Read More

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October 2020

Nerve Compression Syndromes of the Shoulder.

J Hand Surg Am 2021 04 16;46(4):320-326. Epub 2020 Dec 16.

Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago IL.

Nerve compression syndromes of the shoulder contribute to pain, paresthesia, and weakness of the upper extremity. This review examines the recent literature regarding thoracic outlet syndrome, suprascapular neuropathy, long thoracic nerve palsy, and quadrilateral space syndrome. Overlapping features are common among shoulder pathologies, and thus, key anatomical features, pathophysiology, clinical manifestations, diagnostic techniques, and treatments are highlighted for all aforementioned conditions. Read More

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Anatomical Variations of the Suprascapular Notch and its Importance in Suprascapular Entrapment Neuropathy.

Maedica (Bucur) 2020 Sep;15(3):298-304

Faculty of Medical Sciences, University of The West Indies, Cave Hill Campus, Barbados, West Indies.

Anatomical knowledge about the suprascapular notch is very important in understanding the risk of suprascapular nerve entrapment syndrome. Suprascapular nerve injuries have become commonly recognized as a cause of shoulder pain and dysfunction. This study aimed to describe the morphometrical influence of the suprascapular notch on the course of the suprascapular nerve. Read More

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September 2020

Ultrasound imaging of nerves in the neck: Correlation with MRI, EMG, and clinical findings.

Neurol Clin Pract 2020 Oct;10(5):415-421

Department of Radiology and Imaging (EC, BL, DBS, OKN), Department of Orthopedic Surgery (SWW, SKL), and Department of Physiatry (JHF), Hospital for Special Surgery, New York.

Objective: We evaluated the performance of ultrasound in the detection of neuropathy of the suprascapular nerve (SSN), long thoracic nerve (LTN), spinal accessory nerve (SAN), and phrenic nerve and compared this performance with MRI.

Methods: A retrospective review of 56 patients who had undergone ultrasound imaging of the SSN, LTN, SAN, and phrenic nerve was performed. Diagnoses made by ultrasound, MRI, EMG reports, and clinical and operative notes were recorded. Read More

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October 2020

Ultrasound-Guided Intralesional Methylene Blue Injection for the Arthroscopic Decompression of Spinoglenoid Notch Cyst Causing Suprascapular Neuropathy.

Arthrosc Tech 2020 Nov 20;9(11):e1785-e1789. Epub 2020 Nov 20.

Department of Orthopedics and Traumatology, Koç University School of Medicine, Istanbul, Turkey.

Symptomatic spinoglenoid ganglion cyst is a rare cause of shoulder pain and disability. Surgical treatment, which may be considered after failed nonoperative treatment, includes open or arthroscopic cyst debridement. Arthroscopic treatment is less invasive and has the advantage of addressing intraarticular pathologies; however, exposure of the cyst may be deemed difficult. Read More

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November 2020

Clinical Outcomes after Reverse Total Shoulder Arthroplasty According to Primary Diagnosis.

Clin Orthop Surg 2020 Dec 18;12(4):521-528. Epub 2020 Nov 18.

Shoulder and Elbow Clinic, Department of Orthopaedic Surgery, Kyung Hee University College of Medicine, Seoul, Korea.

Background: To compare the clinical outcomes of reverse total shoulder arthroplasty (RTSA) according to the primary diagnosis.

Methods: In 98 shoulders (97 patients), RTSA was performed for cuff tear arthropathy (45), massive rotator cuff tear without glenohumeral arthritis (31), posttraumatic arthritis (9), primary osteoarthritis (6), rheumatoid arthritis (4), and arthritis due to infection sequelae (3). The average age of the patients at surgery was 68. Read More

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December 2020