Department of Neurology, Henry Ford Hospital, Detroit, Michigan.
School of Medicine, Wayne State University, Detroit, Michigan.
Muscle Nerve. 2019 Sep;60(3):250-253. doi: 10.1002/mus.26630. Epub 2019 Jul 22.
Suprascapular neuropathy (SSN) is rare, with an estimated prevalence of 4.3% in patients with shoulder pain.
This retrospective chart review included patients with SSN seen during a 16-year period. Demographics and clinical information were recorded. Descriptive statistics, including percentages, means, and standard deviations, were computed for the variables of interest for all patients.
Of 87 patients included in this study, trauma (n = 27) was the most common cause of SSN, followed by neuralgic amyotrophy (n = 21). Fifty-seven patients had isolated SSN. Others had SSN associated with axillary neuropathy (23 patients), brachial plexopathy (3 patients), and long thoracic, radial, or spinal accessory neuropathy (1 patient each).
SSN is commonly associated with axillary neuropathy. Trauma remains the most common cause of SSN. Electrodiagnostic findings aid in the initial diagnosis and may indicate the need for close clinical follow-up based on the severity of the axonal injury.
肩胛上神经病变（SSN）较为罕见，据估计，肩部疼痛患者的患病率为 4.3%。
本回顾性图表研究纳入了 16 年间就诊的 SSN 患者。记录了患者的人口统计学和临床信息。对所有患者的相关变量进行了描述性统计分析，包括百分比、平均值和标准差。
本研究共纳入 87 例患者，其中创伤（n=27）是 SSN 的最常见病因，其次是神经痛性肌萎缩（n=21）。57 例患者为单纯性 SSN，其他患者为合并腋神经病变（23 例）、臂丛神经病（3 例）、胸长神经、桡神经或副神经病变（各 1 例）。
SSN 常与腋神经病变相关。创伤仍然是 SSN 的最常见病因。电诊断结果有助于初步诊断，并可能根据轴索损伤的严重程度提示需要密切的临床随访。
