Suprascapular Nerve: Is It Important in Cuff Pathology?
Suprascapular nerve and rotator cuff function are intimately connected. The incidence of suprascapular neuropathy has been increasing due to improved understanding of the disease entity and detection methods. The nerve dysfunction often results from a traction injury or compression, and a common cau...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2012/516985 |
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| author | Lewis L. Shi Michael T. Freehill Paul Yannopoulos Jon J. P. Warner |
| author_facet | Lewis L. Shi Michael T. Freehill Paul Yannopoulos Jon J. P. Warner |
| author_sort | Lewis L. Shi |
| collection | DOAJ |
| description | Suprascapular nerve and rotator cuff function are intimately connected. The incidence of suprascapular neuropathy has been increasing due to improved understanding of the disease entity and detection methods. The nerve dysfunction often results from a traction injury or compression, and a common cause is increased tension on the nerve from retracted rotator cuff tears. Suprascapular neuropathy should be considered as a diagnosis if patients exhibit posterosuperior shoulder pain, atrophy or weakness of supraspinatus and infraspinatus without rotator cuff tear, or massive rotator cuff with retraction. Magnetic resonance imaging and electromyography studies are indicated to evaluate the rotator cuff and function of the nerve. Fluoroscopically guided injections to the suprascapular notch can also be considered as a diagnostic option. Nonoperative treatment of suprascapular neuropathy can be successful, but in the recent decade there is increasing evidence espousing the success of surgical treatment, in particular arthroscopic suprascapular nerve decompression. There is often reliable improvement in shoulder pain, but muscle atrophy recovery is less predictable. More clinical data are needed to determine the role of rotator cuff repair and nerve decompression in the same setting. |
| format | Article |
| id | doaj-art-cd19ad60dd0848a1937ad42e8ff39807 |
| institution | OA Journals |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-cd19ad60dd0848a1937ad42e8ff398072025-08-20T02:19:53ZengWileyAdvances in Orthopedics2090-34642090-34722012-01-01201210.1155/2012/516985516985Suprascapular Nerve: Is It Important in Cuff Pathology?Lewis L. Shi0Michael T. Freehill1Paul Yannopoulos2Jon J. P. Warner3Department of Orthopaedic Surgery and Rehabilitation Medicine, The University of Chicago Hospitals, 5841 South Maryland Avenue, MC 3079, Chicago, IL 60637, USADepartment of Orthopaedic Surgery, Wake Forest University Baptist Medical Center, Medical Center Boulevard, P.O. Box 1070, Winston-Salem, NC 27157-1070, USADivision of Shoulder Surgery, Massachusetts General Hospital, Yawkey Center 3G, 55 Fruit Street, Boston, MA 02114, USADivision of Shoulder Surgery, Massachusetts General Hospital, Yawkey Center 3G, 55 Fruit Street, Boston, MA 02114, USASuprascapular nerve and rotator cuff function are intimately connected. The incidence of suprascapular neuropathy has been increasing due to improved understanding of the disease entity and detection methods. The nerve dysfunction often results from a traction injury or compression, and a common cause is increased tension on the nerve from retracted rotator cuff tears. Suprascapular neuropathy should be considered as a diagnosis if patients exhibit posterosuperior shoulder pain, atrophy or weakness of supraspinatus and infraspinatus without rotator cuff tear, or massive rotator cuff with retraction. Magnetic resonance imaging and electromyography studies are indicated to evaluate the rotator cuff and function of the nerve. Fluoroscopically guided injections to the suprascapular notch can also be considered as a diagnostic option. Nonoperative treatment of suprascapular neuropathy can be successful, but in the recent decade there is increasing evidence espousing the success of surgical treatment, in particular arthroscopic suprascapular nerve decompression. There is often reliable improvement in shoulder pain, but muscle atrophy recovery is less predictable. More clinical data are needed to determine the role of rotator cuff repair and nerve decompression in the same setting.http://dx.doi.org/10.1155/2012/516985 |
| spellingShingle | Lewis L. Shi Michael T. Freehill Paul Yannopoulos Jon J. P. Warner Suprascapular Nerve: Is It Important in Cuff Pathology? Advances in Orthopedics |
| title | Suprascapular Nerve: Is It Important in Cuff Pathology? |
| title_full | Suprascapular Nerve: Is It Important in Cuff Pathology? |
| title_fullStr | Suprascapular Nerve: Is It Important in Cuff Pathology? |
| title_full_unstemmed | Suprascapular Nerve: Is It Important in Cuff Pathology? |
| title_short | Suprascapular Nerve: Is It Important in Cuff Pathology? |
| title_sort | suprascapular nerve is it important in cuff pathology |
| url | http://dx.doi.org/10.1155/2012/516985 |
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