Orthopedics Book


Suprascapular Nerve Injury

Aka: Suprascapular Nerve Injury
  1. See Also
    1. Peripheral Nerve Injury
  2. Causes
    1. Repetitive overhead activity
    2. Glenoid Labrum Tear with secondary cyst formation
  3. Symptoms
    1. Infraspinatus weakness
      1. Weak external rotation at the Shoulder
    2. Supraspinatus weakness (variably involved)
      1. Weak arm elevation overhead
  4. Differential Diagnosis
    1. Rotator Cuff Injury
  5. Diagnostics
    1. MRI Shoulder
      1. Evaluate for Rotator Cuff Tear, Labral Tear
      2. Obtain early in course (i.e. first month)
  6. Management
    1. Referral to orthopedic surgery if Rotator Cuff Injury
    2. Physical Therapy
      1. Shoulder Range of Motion Exercises
      2. Strengthen compensatory muscles
    3. Avoid reinjury
      1. Avoid heavy lifting
      2. Avoid repetitive overhead activity
  7. Course
    1. Anticipate 6-12 month course with therapy
  8. References
    1. Neal (2010) Am Fam Physician 81(2): 147-55 [PubMed]
    2. Safran (2004) Am Sports Med 32(4): 1063-76 [PubMed]

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