Arboleya L, García A
Rheumatology Unit, Río Carrión Hospital, Palencia, Spain.
Clin Exp Rheumatol. 1993 Nov-Dec;11(6):665-8.
In this paper we report the clinical and electrophysiological study of a patient with suprascapular nerve entrapment. The patient was initially diagnosed as having shoulder pain due to tendinitis, since his job involved continuous loading of the affected shoulder with heavy weights. Later, clinical exploration revealed wasting of the supra and infraspinatus muscles. Electrophysiological study confirmed the diagnosis of a neuropathy of the suprascapular nerve at the level of the coracoid notch, which improved with conservative treatment. This case report stresses the importance of suprascapular nerve entrapment as a causal factor for shoulder pain; it has an occupational origin which should be taken into account in the differential diagnosis of shoulder pain syndromes.
在本文中，我们报告了一例肩胛上神经卡压患者的临床及电生理研究。该患者最初被诊断为因肌腱炎导致肩部疼痛，因其工作需要持续用患侧肩部负重。后来，临床检查发现冈上肌和冈下肌萎缩。电生理研究证实为肩胛上神经在喙突切迹水平的神经病变，经保守治疗后病情好转。本病例报告强调了肩胛上神经卡压作为肩部疼痛病因的重要性；其有职业性起源，在肩部疼痛综合征的鉴别诊断中应予以考虑。
