Alon M, Weiss S, Fishel B, Dekel S
Department of Rehabilitation, Ichilov Hospital, Tel Aviv, Israel.
Clin Orthop Relat Res. 1988 Sep(234):31-3.
A rare case is reported of a young woman who suffered from suprascapular nerve entrapment syndrome (SNES) of the right side and two years later developed the same syndrome on the left. At the first operation an anomalous bifid transverse ligament was found and cut. The combination of pressure effect from the congenital defect together with frequent protraction of the shoulder due to her work as a physical education teacher caused triggering of the SNES. The clinical course, electromyographic findings, and differential diagnosis are reported. Cutting of the anomalous ligament on both sides brought relief from pain, weakness, and atrophy of the shoulder muscles, enabling the patient to return to work.
报道了一例罕见病例，一名年轻女性右侧患有肩胛上神经卡压综合征（SNES），两年后左侧也出现了相同综合征。首次手术时发现并切断了一条异常的双叉横行韧带。先天性缺陷产生的压力效应，加上她作为体育教师工作时肩部频繁前伸，共同导致了SNES的触发。报告了临床病程、肌电图检查结果及鉴别诊断。双侧切断异常韧带后，肩部疼痛、无力及肌肉萎缩症状缓解，患者得以重返工作岗位。
