Bilateral suprascapular nerve entrapment.
Bilateral suprascapular nerve entrapment syndrome is very rare. It presents with shoulder pain, weakness and atrophy of the supraspinatus and infraspinatus muscles. We present a twenty-year old man having a history of bilateral shoulder pain associated with weakness. Electromyographic studies revealed signs of a lesion that caused a neupraxic state of the left suprascapular nerve, moderate axonal loss of the right suprascapular nerve and denervation of the right suprascapular muscle. The patient was treated with physical and medical therapy. Due to worsening of the symptoms, a surgical operation was performed by the excision of the transverse scapular ligaments bilaterally. His pain, weakness and atrophy had diminished on examination six weeks later. Suprascapular nerve entrapment should be considered in patients with shoulder pain, particularly those with weakness and atrophy of the supraspinatus and infraspinatus muscles.
Department of Physical Therapy and Rehabilitation, SSK Vakif Gureba Hospital, Istanbul, Turkey. nozaras@hotmail.com
Teoman
T
Aydin
Nihal
N
Ozaras
Sevgi
S
Tetik
Erhan
E
Emel
Hakan
H
Seyithanoglu
D000328:Adult; D001415:Back; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018908:Muscle Weakness / Q000209:etiology / Q000473:pathology*; D009133:Muscular Atrophy / Q000209:etiology / Q000473:pathology*; D009408:Nerve Compression Syndromes / Q000150:complications / Q000473:pathology*; D010146:Pain / Q000209:etiology / Q000473:pathology; D012782:Shoulder