Suprascapular neuropathy: Diagnosis and management

Physician and Sportsmedicine

Volumn 40, Issue 1, 2012, Pages 72-83

  Freehill, Michael T ^a   Shi, Lewis L ^a   Tompson, Jeffrey D ^a   Warner, Jon J P ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Compression; Ganglion cyst; Rotator cuff; Shoulder; Suprascapular nerve

Indexed keywords

NONSTEROID ANTIINFLAMMATORY AGENT;

ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; ELECTROMYOGRAPHY; FOLLOW UP; HUMAN; NERVE COMPRESSION; NERVE CONDUCTION; NERVE DECOMPRESSION; NUCLEAR MAGNETIC RESONANCE IMAGING; PHYSICAL ACTIVITY; PHYSIOTHERAPY; ROTATOR CUFF RUPTURE; SHOULDER ARTHROSCOPY; SHOULDER DISEASE; SUPRASCAPULAR NEUROPATHY; TREATMENT OUTCOME;

ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL; ARTHROSCOPY; ELECTRODIAGNOSIS; HUMANS; LIGAMENTS, ARTICULAR; MAGNETIC RESONANCE IMAGING; MUSCULAR ATROPHY; NERVE COMPRESSION SYNDROMES; NERVOUS SYSTEM DISEASES; ORTHOPEDIC PROCEDURES; PHYSICAL EXAMINATION; PHYSICAL THERAPY MODALITIES; ROTATOR CUFF; RUPTURE; SHOULDER;

EID: 84859838968     PISSN: 00913847     EISSN: None     Source Type: Journal    
DOI: 10.3810/psm.2012.02.1953     Document Type: Article

References (95)

1. Thomas A. La paralysie du muscle sous-épineux. Presse Med. 1936;64:1283-1284.
2. Schilf E. Unilateral paralysis of the suprascapular nerve. Nervenarzt. 1952;23(8):306-307.
3. Thompson WA, Kopell HP. Peripheral entrapment neuropathies of the upper extremity. N Engl J Med. 1959;260(25):1261-1265.
4. Lee BC, Yegappan M, Thiagarajan P. Suprascapular nerve neuropathy secondary to spinoglenoid notch ganglion cyst: case reports and review of literature. Ann Acad Med Singapore. 2007;36(12):1032-1035.
5. Semmler A, von Falkenhausen M, Schröder R. Suprascapular nerve entrapment by a spinoglenoid cyst. Neurology. 2008;70(11):890.
6. Yi JW, Cho NS, Rhee YG. Intraosseous ganglion of the glenoid causing suprascapular nerve entrapment syndrome: a case report. J Shoulder Elbow Surg. 2009;18(3):e25-e27.
7. Solheim LF, Roaas A. Compression of the suprascapular nerve after fracture of the scapular notch. Acta Orthop Scand. 1978;49(4):338-340.
8. Travlos J, Goldberg I, Boome RS. Brachial plexus lesions associated with dislocated shoulders. J Bone Joint Surg Br. 1990;72(1):68-71.
9. Visser CP, Coene LN, Brand R, Tavy DL. The incidence of nerve injury in anterior dislocation of the shoulder and its influence on functional recovery. A prospective clinical and EMG study. J Bone Joint Surg Br. 1999;81(4):679-685.
10. Yoon TN, Grabois M, Guillen M. Suprascapular nerve injury following trauma to the shoulder. J Trauma. 1981;21(8):652-655.
11. Mallon WJ, Wilson RJ, Basamania CJ. The association of suprascapular neuropathy with massive rotator cuff tears: a preliminary report. J Shoulder Elbow Surg. 2006;15(4):395-398.
12. Ferretti A, Cerullo G, Russo G. Suprascapular neuropathy in volleyball players. J Bone Joint Surg Am. 1987;69(2):260-263.
13. Holzgraefe M, Kukowski B, Eggert S. Prevalence of latent and manifest suprascapular neuropathy in high-performance volleyball players. Br J Sports Med. 1994;28(3):177-179.
14. Ringel SP, Treihaft M, Carry M, Fisher R, Jacobs P. Suprascapular neuropathy in pitchers. Am J Sports Med. 1990;18(1):80-86.
15. Witvrouw E, Cools A, Lysens R, etal. Suprascapular neuropathy in volleyball players. Br J Sports Med. 2000;34(3):174-180.
16. Costouros JG, Porramatikul M, Lie DT, Warner JJ. Reversal of suprascapular neuropathy following arthroscopic repair of massive supraspinatus and infraspinatus rotator cuff tears. Arthroscopy. 2007;23(11):1152-1161.
17. Lajtai G, Pfirrmann CW, Aitzetmüller G, Pirkl C, Gerber C, Jost B. The shoulders of professional beach volleyball players: high prevalence of infraspinatus muscle atrophy. Am J Sports Med. 2009;37(7):1375-1383.
18. Vad VB, Southern D, Warren RF, Altchek DW, Dines D. Prevalence of peripheral neurologic injuries in rotator cuff tears with atrophy. J Shoulder Elbow Surg. 2003;12(4):333-336.
19. Zehetgruber H, Noske H, Lang T, Wurnig C. Suprascapular nerve entrapment. A meta-analysis. Int Orthop. 2002;26(6):339-343.
20. Gosk J, Rutowski R, Wiacek R, Reichert P. Experience with surgery for entrapment syndrome of the suprascapular nerve. Ortop Traumatol Rehabil. 2007;9(2):128-133.
21. Boykin RE, Friedman DJ, Zimmer ZR, Oaklander AL, Higgins LD, Warner JJ. Suprascapular neuropathy in a shoulder referral practice. J Shoulder Elbow Surg. 2011;20(6):983-988.
22. Aiello I, Serra G, Traina GC, Tugnoli V. Entrapment of the suprascapular nerve at the spinoglenoid notch. Ann Neurol. 1982;12(3):314-316.
23. Bigliani LU, Dalsey RM, McCann PD, April EW. An anatomical study of the suprascapular nerve. Arthroscopy. 1990;6(4):301-305.
24. Warner JP, Krushell RJ, Masquelet A, Gerber C. Anatomy and relationships of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg Am. 1992;74(1):36-45.
25. Vorster W, Lange CP, Briet RJ, etal. The sensory branch distribution of the suprascapular nerve: an anatomic study. J Shoulder Elbow Surg. 2008;17(3):500-502.
26. Brown DE, James DC, Roy S. Pain relief by suprascapular nerve block in gleno-humeral arthritis. Scand J Rheumatol. 1988;17(5):411-415.
27. Matsumoto D, Suenaga N, Oizumi N, Hisada Y, Minami A. A new nerve block procedure for the suprascapular nerve based on a cadaveric study. J Shoulder Elbow Surg. 2009;18(4):607-611.
28. Ritchie ED, Tong D, Chung F, Norris AM, Miniaci A, Vairavanathan SD. Suprascapular nerve block for postoperative pain relief in arthroscopic shoulder surgery: a new modality? Anesth Analg. 1997;84(6): 1306-1312.
29. Cummins CA, Anderson K, Bowen M, Nuber G, Roth SI. Anatomy and histological characteristics of the spinoglenoid ligament. J Bone Joint Surg Am. 1998;80(11):1622-1625.
30. Plancher KD, Luke TA, Peterson RK, Yacoubian SV. Posterior shoulder pain: a dynamic study of the spinoglenoid ligament and treatment with arthroscopic release of the scapular tunnel. Arthroscopy. 2007; 23(9):991-998.
31. Albritton MJ, Graham RD, Richards RS 2nd, Basamania CJ. An anatomic study of the effects on the suprascapular nerve due to retraction of the supraspinatus muscle after a rotator cuff tear. J Shoulder Elbow Surg. 2003;12(5):497-500.
32. Greiner A, Golser K, Wambacher M, Kralinger F, Sperner G. The course of the suprascapular nerve in the supraspinatus fossa and its vulnerability in muscle advancement. J Shoulder Elbow Surg. 2003;12(3):256-259.
33. Hoellrich RG, Gasser SI, Morrison DS, Kurzweil PR. Electromyographic evaluation after primary repair of massive rotator cuff tears. J Shoulder Elbow Surg. 2005;14(3):269-272.
34. Bayramolu A, Demiryürek D, Tüccar E, etal. Variations in anatomy at the suprascapular notch possibly causing suprascapular nerve entrapment: an anatomical study. Knee Surg Sports Traumatol Arthrosc. 2003;11(6):393-398.
35. Cummins CA, Messer TM, Nuber GW. Suprascapular nerve entrapment. J Bone Joint Surg Am. 2000;82(3):415-424.
36. Rengachary SS, Burr D, Lucas S, Hassanein KM, Mohn MP, Matzke H. Suprascapular entrapment neuropathy: a clinical, anatomical, and comparative study. Part 2: anatomical study. Neurosurgery. 1979;5(4):447-451.
37. Ticker JB, Djurasovic M, Strauch RJ, etal. The incidence of ganglion cysts and other variations in anatomy along the course of the suprascapular nerve. J Shoulder Elbow Surg. 1998;7(5):472-478.
38. Hazrati Y, Miller S, Moore S, Hausman M, Flatow E. Suprascapular nerve entrapment secondary to a lipoma. Clin Orthop Relat Res. 2003;411:124-128.
39. Abboud JA, Silverberg D, Glaser DL, Ramsey ML, Williams GR. Arthroscopy effectively treats ganglion cysts of the shoulder. Clin Orthop Relat Res. 2006;444:129-133.
40. Fehrman DA, Orwin JF, Jennings RM. Suprascapular nerve entrapment by ganglion cysts: a report of six cases with arthroscopic findings and review of the literature. Arthroscopy. 1995;11(6):727-734.
41. Moore TP, Fritts HM, Quick DC, Buss DD. Suprascapular nerve entrapment caused by supraglenoid cyst compression. J Shoulder Elbow Surg. 1997;6(5):455-462.
42. Tirman PF, Feller JF, Janzen DL, Peterfy CG, Bergman AG. Association of glenoid labral cysts with labral tears and glenohumeral instability: radiologic findings and clinical significance. Radiology. 1994;190(3):653-658.
43. Westerheide KJ, Dopirak RM, Karzel RP, Snyder SJ. Suprascapular nerve palsy secondary to spinoglenoid cysts: results of arthroscopic treatment. Arthroscopy. 2006;22(7):721-727.
44. Gaskin CM, Helms CA. Parsonage-Turner syndrome: MR imaging findings and clinical information of 27 patients. Radiology. 2006;240(2):501-507.
45. Misamore GW, Lehman DE. Parsonage-Turner syndrome (acute brachial neuritis). J Bone Joint Surg Am. 1996;78(9):1405-1408.
46. Schott GD. A chronic and painless form of idiopathic brachial plexus neuropathy. J Neurol Neurosurg Psychiatry. 1983;46(6):555-557.
47. Huang KC, Tu YK, Huang TJ, Hsu RW. Suprascapular neuropathy complicating a Neer type 1 distal clavicular fracture: a case report. J Orthop Trauma. 2005;19(5):343-345.
48. Visser CP, Coene LN, Brand R, Tavy DL. Nerve lesions in proximal humeral fractures. J Shoulder Elbow Surg. 2001;10(5):421-427.
49. Wijdicks CA, Armitage BM, Anavian J, Schroder LK, Cole PA. Vulnerable neurovasculature with a posterior approach to the scapula. Clin Orthop Relat Res. 2009;467(8):2011-2017.
50. Vachon T, Rosenthal M, Dewing CB, Solomon DJ, Shin AY, Provencher MT. Acute painless shoulder weakness during high-intensity athletic training. Am J Sports Med. 2009;37(1):175-180.
51. O'Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med. 1998;26(5):610-613.
52. Goss TP, Aronow MS, Coumas JM. The use of MRI to diagnose suprascapular nerve entrapment caused by a ganglion. Orthopedics. 1994;17(4):359-362.
53. Inokuchi W, Ogawa K, Horiuchi Y. Magnetic resonance imaging of suprascapular nerve palsy. J Shoulder Elbow Surg. 1998;7(3):223-227.
54. Nelson MC, Leather GP, Nirschl RP, Pettrone FA, Freedman MT. Evaluation of the painful shoulder. A prospective comparison of magnetic resonance imaging, computerized tomographic arthrography, ultrasonography, and operative findings. J Bone Joint Surg Am. 1991;73(5):707-716.
55. Magee T. 3-T MRI of the shoulder: is MR arthrography necessary? AJR Am J Roentgenol. 2009;192(1):86-92.
56. Bredella MA, Tirman PF, Fritz RC, Wischer TK, Stork A, Genant HK. Denervation syndromes of the shoulder girdle: MR imaging with electrophysiologic correlation. Skeletal Radiol. 1999;28(10):567-572.
57. Ludig T, Walter F, Chapuis D, Molé D, Roland J, Blum A. MR imaging evaluation of suprascapular nerve entrapment. Eur Radiol. 2001;11(11):2161-2169.
58. Buschbacher RM, Weir SK, Bentley JG, Cottrell E. Normal motor nerve conduction studies using surface electrode recording from the supraspinatus, infraspinatus, deltoid, and biceps. PMR. 2009;1(2):101-106.
59. Casazza BA, Young JL, Press JP, Heinemann AW. Suprascapular nerve conduction: a comparative analysis in normal subjects. Electromyogr Clin Neurophysiol. 1998;38(3):153-160.
60. Gassel MM. A test of nerve conduction to muscles of the shoulder girdle as an aid in the diagnosis of proximal neurogenic and muscular disease. J Neurol Neurosurg Psychiatry. 1964;27:200-205.
61. Kraft GH. Axillary, musculocutaneous and suprascapular nerve latency studies. Arch Phys Med Rehabil. 1972;53(8):383-387.
62. Nardin RA, Rutkove SB, Raynor EM. Diagnostic accuracy of electrodiagnostic testing in the evaluation of weakness. Muscle Nerve. 2002;26(2):201-205.
63. Martin SD, Warren RF, Martin TL, Kennedy K, O'Brien SJ, Wickiewicz TL. Suprascapular neuropathy. Results of non-operative treatment. J Bone Joint Surg Am. 1997;79(8):1159-1165.
64. Romeo AA, Rotenberg DD, Bach BR Jr. Suprascapular neuropathy. J Am Acad Orthop Surg. 1999;7(6):358-367.
65. Black KP, Lombardo JA. Suprascapular nerve injuries with isolated paralysis of the infraspinatus. Am J Sports Med. 1990;18(3):225-228.
66. Walsworth MK, Mills JT 3rd, Michener LA. Diagnosing suprascapular neuropathy in patients with shoulder dysfunction: a report of 5 cases. Phys Ther. 2004;84(4):359-372.
67. Drez D Jr. Suprascapular neuropathy in the differential diagnosis of rotator cuff injuries. Am J Sports Med. 1976;4(2):43-45.
68. Post M. Diagnosis and treatment of suprascapular nerve entrapment. Clin Orthop Relat Res. 1999;368:92-100.
69. Piatt BE, Hawkins RJ, Fritz RC, Ho CP, Wolf E, Schickendantz M. Clinical evaluation and treatment of spinoglenoid notch ganglion cysts. J Shoulder Elbow Surg. 2002;11(6):600-604.
70. Antoniou J, Tae SK, Williams GR, Bird S, Ramsey ML, Iannotti JP. Suprascapular neuropathy. Variability in the diagnosis, treatment, and outcome. Clin Orthop Relat Res. 2001;386:131-138.
71. Lafosse L, Tomasi A, Corbett S, Baier G, Willems K, Gobezie R. Arthroscopic release of suprascapular nerve entrapment at the suprascapular notch: technique and preliminary results. Arthroscopy. 2007;23(1):34-42.
72. Fabre T, Piton C, Leclouerec G, Gervais-Delion F, Durandeau A. Entrapment of the suprascapular nerve. J Bone Joint Surg Br. 1999;81(3):414-419.
73. Kim DH, Murovic JA, Tiel RL, Kline DG. Management and outcomes of 42surgical suprascapular nerve injuries and entrapments. Neurosurgery. 2005;57(1):120-127.
74. Hosseini H, Agneskirchner JD, Tröger M, Lobenhoffer P. Arthroscopic release of the superior transverse ligament and slap refixation in a case of suprascapular nerve entrapment. Arthroscopy. 2007;23(10):1134. e1-e4.
75. Tashjian RZ, Burks RT. Arthroscopic aspiration and labral repair for treatment of spinoglenoid notch cysts. Am J Orthop (Belle Mead NJ). 2009;38(2):94-96.
76. Schroder CP, Skare O, Stiris M, Gjengedal E, Uppheim G, Brox JI. Treatment of labral tears with associated spinoglenoid cysts without cyst decompression. J Bone Joint Surg Am. 2008;90(3):523-530.
77. Youm T, Matthews PV, El Attrache NS. Treatment of patients with spinoglenoid cysts associated with superior labral tears without cyst aspiration, debridement, or excision. Arthroscopy. 2006;22(5):548-552.
78. Lafosse L, Tomasi A. Technique for endoscopic release of suprascapular nerve entrapment at the suprascapular notch. Tech Shoulder Elbow Surg. 2006;7:1-6.
79. Lafosse L, Piper K, Lanz U. Arthroscopic suprascapular nerve release: indications and technique. J Shoulder Elbow Surg. 2011;20(2suppl):S9-S13.
80. Bhatia DN, de Beer JF, van Rooyen KS, du Toit DF. Arthroscopic suprascapular nerve decompression at the suprascapular notch. Arthroscopy. 2006;22(9):1009-1013.
81. Shah AA, Butler RB, Sung SY, Wells JH, Higgins LD, Warner JJ. Clinical outcomes of suprascapular nerve decompression. J Shoulder Elbow Surg. 2011;20(6):975-982.
82. Demaio M, Drez D Jr, Mullins RC. The inferior transverse scapular ligament as a possible cause of entrapment neuropathy of the nerve to the infraspinatus. A brief note. J Bone Joint Surg Am. 1991;73(7):1061-1063.
83. Demirhan M, Imhoff AB, Debski RE, Patel PR, Fu FH, Woo SL. The spinoglenoid ligament and its relationship to the suprascapular nerve. J Shoulder Elbow Surg. 1998;7(3):238-243.
84. Plancher KD, Peterson RK, Johnston JC, Luke TA. The spinoglenoid ligament. Anatomy, morphology, and histological findings. J Bone Joint Surg Am. 2005;87(2):361-365.
85. Ghodadra N, Nho SJ, Verma NN, etal. Arthroscopic decompression of the suprascapular nerve at the spinoglenoid notch and suprascapular notch through the subacromial space. Arthroscopy. 2009;25(4):439-445.
86. Chiou HJ, Chou YH, Wu JJ, etal. Alternative and effective treatment of shoulder ganglion cyst: ultrasonographically guided aspiration. J Ultrasound Med. 1999;18(8):531-535.
87. Leitschuh PH, Bone CM, Bouska WM. Magnetic resonance imaging diagnosis, sonographically directed percutaneous aspiration, and arthroscopic treatment of a painful shoulder ganglion cyst associated with a SLAP lesion. Arthroscopy. 1999;15(1):85-87.
88. Biedert RM. Atrophy of the infraspinatus muscle caused by a suprascapular ganglion. Clin J Sport Med. 1996;6(4):262-263.
89. Fritz RC, Helms CA, Steinbach LS, Genant HK. Suprascapular nerve entrapment: evaluation with MR imaging. Radiology. 1992;182(2):437-444.
90. Hashimoto BE, Hayes AS, Ager JD. Sonographic diagnosis and treatment of ganglion cysts causing suprascapular nerve entrapment. J Ultrasound Med. 1994;13(9):671-674.
91. Tung GA, Entzian D, Stern JB, Green A. MR imaging and MR arthrography of paraglenoid labral cysts. AJR Am J Roentgenol. 2000;174(6):1707-1715.
92. Iannotti JP, Ramsey ML. Arthroscopic decompression of a ganglion cyst causing suprascapular nerve compression. Arthroscopy. 1996;12(6):739-745.
93. Chen AL, Ong BC, Rose DJ. Arthroscopic management of spinoglenoid cysts associated with SLAP lesions and suprascapular neuropathy. Arthroscopy. 2003;19(6):e15-e21.
94. Lichtenberg S, Magosch P, Habermeyer P. Compression of the suprascapular nerve by a ganglion cyst of the spinoglenoid notch: the arthroscopic solution. Knee Surg Sports Traumatol Arthrosc. 2004;12(1):72-79.
95. Boykin RE, Friedman DJ, Higgins LD, Warner JJ. Suprascapular neuropathy. J Bone Joint Surg Am. 2010;92(13):2348-2364.