Rochwerger A, Franceschi J P, Groulier P
Service de Chirurgie Orthopédique, Hôpital de la Conception, Marseille.
Rev Chir Orthop Reparatrice Appar Mot. 1996;82(4):344-7.
Compression of the supra scapular nerve by a ganglion is rare. The authors report a case evoking rotator cuff tendinitis.
A 28 year old right handed handball player was seen for increasing pain and weakness in the right shoulder. He was treated in a first time for a rotator cuff tendinitis. In a second time a new clinical examination revealed an amyotrophy of the supraspinatus fossa. Electromyographic studies showed a denervation of the infra and supraspinatus muscle. An MRI was performed and showed a ganglion cyst at the suprascapular notch.
An excision by posterior approach was performed and led to an uneventful recovery of the patient.
This case reveals that an entrapment neuropathy of the suprascapular nerve can take the appearance of an ordinary rotator cuff tendinitis.
神经节压迫肩胛上神经的情况较为罕见。作者报告了一例引发肩袖肌腱炎的病例。
一名28岁的右利手手球运动员因右肩疼痛加剧和无力前来就诊。他最初被诊断为肩袖肌腱炎并接受治疗。之后再次进行临床检查时发现冈上肌萎缩。肌电图研究显示冈下肌和冈上肌失神经支配。进行了磁共振成像(MRI)检查,结果显示肩胛上切迹处有一个神经节囊肿。
采用后入路进行了切除手术,患者恢复顺利。
该病例表明,肩胛上神经卡压性神经病可能表现为普通的肩袖肌腱炎。