Abstract：
STUDY DESIGN:Case report. OBJECTIVES:To describe a case of suprascapular nerve entrapment (SNE) in a patient with a spinal cord injury (SCI) as a cause of shoulder pain. SETTING:Physical Medicine and Rehabilitation Institute, Nancy, France. REPORT:Six months after the occurrence of acute paraplegia T9 ASIA, a 45-year-old man complained of pain in the posterior and lateral areas of the left shoulder. A clinical assessment found an atrophy of the infraspinatus muscle and a muscular weakness during external shoulder rotation. SNE was suggested as a cause of pain and confirmed by nerve conduction recording. Magnetic resonance imaging excluded any compressive cyst. SNE at the spinoglenoid notch, related to upper limb overuse, was suggested. A gluco-corticoid injection in the proximity of the suprascapular nerve eliminated the pain in a few hours. Two months after the injection, the pain had not reappeared, the infraspinatus muscle atrophy was resolved, and supraspinal nerve conduction was normalized. CONCLUSION:Shoulder pain is common in individuals with paraplegia, but this is the first time that SNE has been reported as a cause of pain. This micro-traumatic pathology, well known in athletes, is probably under-diagnosed in patients with SCI who overuse their upper limbs for wheelchair propulsion and body transfers.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Facione J,Beis JM,Kpadonou GT,Lagauche D,Touillet A,Braun M,Le Chapelain L,Paysant Jdoi
10.1038/sc.2010.89subject
Has Abstractpub_date
2011-06-01 00:00:00pages
761-3issue
6eissn
1362-4393issn
1476-5624pii
sc201089journal_volume
49pub_type
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