Suprascapular Neuropathy around the Shoulder : A Current Concept Review
Bozzi, Federico (Fondazione Poliambulanza (Brescia)-Università Cattolica del Sacro Cuore, Rome)
Alabau-Rodriguez, Sergi (Universitat Autònoma de Barcelona. Departament de Ciències Morfològiques)
Barrera-Ochoa, Sergi (Hospital Universitari Quiròn-Dexeus)
Ateschrang, Atesch (Orthopedic department, Gemeinschaftsklinikum Mittelrhein, Koblenz)
Schreiner, Anna J. (University of Tübingen)
Monllau García, Joan Carles (Universitat Autònoma de Barcelona. Departament de Cirurgia)
Perelli, Simone (Universitat Autònoma de Barcelona. Departament de Medicina)
Data: |
2020 |
Resum: |
Suprascapular neuropathy is an uncommon but increasingly recognized cause of shoulder pain and dysfunction due to nerve entrapment. The aim of this review is to summarize some important aspects of this shoulder pathology. An extensive research was performed on PubMed and Clinical Key. The goal was to collect all the anatomical, biomechanical and clinical studies to conduct an extensive overview of the issue. Attention was focused on researching the state of art of the diagnosis and treatment. A total of 59 studies were found suitable and included. This condition is more frequently diagnosed in over-head athletes or patients with massive rotator cuff tears. Diagnosis may be complex, whereas its treatment is safe, and it has a great success rate. Prompt diagnosis is crucial as chronic conditions have worse outcomes compared to acute lesions. Proper instrumental evaluation and imaging are essential. Dynamic compression must initially be treated non-operatively. If there is no improvement, surgical release should be considered. On the other hand, soft tissue lesions may first be treated non-operatively. However, surgical treatment by arthroscopic means is advisable when possible as it represents the gold standard therapy. Other concomitant shoulder lesions must be recognized and treated accordingly. |
Drets: |
Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. |
Llengua: |
Anglès |
Document: |
Article ; recerca ; Versió publicada |
Matèria: |
Suprascapular nerve palsy ;
Spinoglenoid notch ;
Suprascapular notch ;
Arthroscopic nerve release ;
Shoulder neuropathy ;
Over-head activities |
Publicat a: |
Journal of clinical medicine, Vol. 9 (july 2020) , ISSN 2077-0383 |
DOI: 10.3390/jcm9082331
PMID: 32707860
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Registre creat el 2022-02-07, darrera modificació el 2023-07-21