Steiman I
Canadian Memorial Chiropractic College, Toronto, ON.
Arch Phys Med Rehabil. 1988 Aug;69(8):641-3.
A case of painless suprascapular nerve entrapment, resulting in isolated atrophy and weakness of the infraspinatus, is described. Electromyography was used to confirm the clinical diagnosis. The etiology of this neuropathy ranges from trauma to overexertion of the upper extremity. Consequent entrapment most often occurs at the suprascapular or spinoglenoid notch. Local ganglionic cysts have been found compressing the suprascapular nerve. Conservative management, including "benign neglect," physical therapy, and local injections, is often effective. Surgical decompression may be indicated in refractory or posttraumatic cases.
本文描述了一例无痛性肩胛上神经卡压病例，该病例导致冈下肌孤立性萎缩和无力。采用肌电图来确诊临床诊断。这种神经病变的病因范围从创伤到上肢过度劳累。随后的卡压最常发生在肩胛上切迹或肩胛冈盂切迹处。已发现局部神经节囊肿压迫肩胛上神经。保守治疗，包括“良性忽视”、物理治疗和局部注射，通常是有效的。在难治性或创伤后病例中可能需要手术减压。
