肩胛上神经卡压症由肩胛骨巨大血肿引起：一例报告。
Suprascapular nerve entrapment caused by a large hematoma of the scapula: a case report.
机构信息
Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, South Korea.
Department of Orthopedic Surgery, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Daejeon, South Korea.
出版信息
BMC Musculoskelet Disord. 2023 Jul 19;24(1):589. doi: 10.1186/s12891-023-06723-0.
BACKGROUND
Suprascapular nerve entrapment is a rare disorder that is frequently misdiagnosed as another disease. The suprascapular nerve is commonly entrapped at the following two sites: the suprascapular and spinoglenoid notches. Nerve entrapment at the spinoglenoid notch causes infraspinatus muscle weakness and atrophy. Patients present with posterior shoulder pain and weakness. Magnetic resonance imaging is used to confirm the diagnosis of a spinoglenoid cyst and nerve compression. Open or arthroscopic aspiration or decompression is indicated for patients with cysts in whom conservative treatment has failed and those with cysts associated with suprascapular nerve compression.
CASE PRESENTATION
Herein, we describe the case of a 49-year-old man with suprascapular nerve entrapment caused by a large cyst, namely, a hematoma, in the superior scapular and spinoglenoid notches. Open surgical decompression of the suprascapular nerve was performed owing to an intact rotator cuff and glenoid labrum.
CONCLUSION
Posterior shoulder pain promptly resolved without complications.
背景
肩胛上神经卡压是一种罕见的疾病，常被误诊为其他疾病。肩胛上神经通常在以下两个部位被卡压：肩胛上切迹和肩胛下肌与冈下肌之间的骨沟。肩胛下肌沟处的神经卡压可导致冈下肌肌无力和萎缩。患者表现为后肩部疼痛和无力。磁共振成像用于确认肩胛下肌滑囊炎和神经受压的诊断。对于保守治疗失败的囊肿患者和伴有肩胛上神经受压的囊肿患者，行开放或关节镜下抽吸或减压术。
病例介绍
本文描述了一例 49 岁男性患者，其肩胛上神经卡压是由肩胛上和肩胛下肌骨沟内的一个大囊肿（血肿）引起的。由于肩袖和关节盂唇完整，故行肩胛上神经开放性减压术。
结论
术后患者的后肩部疼痛迅速缓解，无并发症发生。
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