Sharma Gaurav Kant, Botchu Rajesh
Department of Radiology, MGM Medical College and Hospital, Jaipur, India.
Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.
J Ultrason. 2021;21(84):74-76. doi: 10.15557/JoU.2021.0012. Epub 2021 Mar 8.
There are myriad causes for upper thoracic and interscapular pain which include pathologies involving the thoracic spine, costovertebral joints, facet joints and muscles (rhomboids and levator scapulae). Dorsal scapular nerve entrapment and the resulting neuropathy is a rare case of upper thoracic and medial scapular pain. The symptoms of dorsal scapular nerve entrapment neuropathy can be similar to other pathologies mentioned above. We report a rare case of dorsal scapular nerve entrapment managed successfully by ultrasound-guided hydrodissection, and describe the technique for the same. Awareness of this rare entity is advised while evaluating upper thoracic and interscapular pain.
上胸部和肩胛间疼痛有多种原因,包括涉及胸椎、肋椎关节、小关节和肌肉(菱形肌和肩胛提肌)的病变。肩胛背神经卡压及由此导致的神经病变是上胸部和肩胛内侧疼痛的罕见病例。肩胛背神经卡压性神经病变的症状可能与上述其他病变相似。我们报告一例通过超声引导下水分离术成功治疗的肩胛背神经卡压罕见病例,并描述了该技术。在评估上胸部和肩胛间疼痛时,建议了解这种罕见情况。