Titre
Scapulalgie et neuropathie sus-scapulaire en pathologie sportive [Scapular pain and supra-scapular neuropathy in sports medicine]
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Ochsner, F.
Auteure/Auteur
Bonnard, C.
Auteure/Auteur
Chauplannaz, G.
Auteure/Auteur
Kuntzer, T.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0987-7053
Statut éditorial
Publié
Date de publication
2000
Volume
30
Numéro
1
Première page
21
Dernière page/numéro d’article
6
Peer-reviewed
Oui
Langue
français
Notes
Publication types: English Abstract ; Journal Article - Publication Status: ppublish
Résumé
Eight patients with shoulder pain are reported with a history of athletic activities. On examination, performed with a delay of several months, all patients had painful paresis and atrophy of spinati fossa. Electroneuromyography was carried out in all cases and showed a suprascapular nerve axonal loss from the spinati muscles or infraspinatus muscle, signs of denervation-reinnervation in spinati or infraspinatus muscles, normal examination of other scapular girdle muscles, and a coordinate spinati contraction with shoulder displacement excluding rotator cuff tears. All patients had conservative treatment and only two improved. Six patients underwent surgical decompression of the suprascapular nerve; in three, motor function clearly improved, and in three others pain improved. The factors leading to entrapment include stretch mechanisms associated with shoulder movements, leading to suprascapular nerve liability to mechanical lesions. In patients with shoulder pain, the authors recommend an early electrophysiological work-up to recognize an isolated suprascapular neuropathy. The surgical decompression of the nerve should be based on persistent shoulder pain after conservative treatment.
PID Serval
serval:BIB_B7050F7546EA
PMID
Date de création
2008-03-04T16:19:06.568Z
Date de création dans IRIS
2025-05-20T23:47:01Z