Hazrati Yassamin, Miller Suzanne, Moore Sandra, Hausman Michael, Flatow Evan
Leni & Peter May Department of Orthopaedics, The Mount Sinai School of Medicine, New York, NY 10029, USA.
Clin Orthop Relat Res. 2003 Jun(411):124-8. doi: 10.1097/01.blo.0000063791.32430.59.
Many causes of suprascapular nerve entrapment have been described including a small spinoglenoid notch, a tight ligament, boney spurs, and ganglion cysts. In the current patient, suprascapular nerve entrapment was caused by a lipoma in the suprascapular notch. The patient presented with painful shoulder motion that could have been attributed to rotator cuff and acromioclavicular joint disease. However, magnetic resonance imaging and electromyography were consistent with suprascapular nerve entrapment. Treatment of the rotator cuff disease and excision of the lipoma led to resolution of the patient's symptoms. This case is presented as an unusual cause of suprascapular nerve entrapment with a review of its course and anatomy.
肩胛上神经卡压的病因众多，包括肩胛下切迹过小、韧带过紧、骨赘及腱鞘囊肿等。在本例患者中，肩胛上神经卡压是由肩胛上切迹处的脂肪瘤所致。患者表现为肩部活动时疼痛，这本可归因于肩袖和肩锁关节疾病。然而，磁共振成像和肌电图检查结果与肩胛上神经卡压相符。对肩袖疾病的治疗及脂肪瘤切除后，患者症状得以缓解。本文报告此例肩胛上神经卡压的罕见病因，并对其走行及解剖结构进行回顾。
