Neurological Problems around shoulder

 Suprascapular Nerves (C5, C6 )

    Compression - Ganglion, Labral Tears 

    Above supraglenoid notch, Supra/Infra-scapular muscles 

    Below Spinoglenoid notch -infraspinatus 

    


https://www.raynersmale.com/blog/2018/5/9/suprascapular-neuropathy-a-case-study

Clinical Features 

    Lateral shoulder pain

    wasting of supraspinatus and infraspinatus muscles 

    Loss of abduction and External Rotation

   Management 

    EMG

    Nerve Conduction Studies 

    Treatment 

    Trapezius muscle splitting approach 

    Decompress notch

    Arthroscopic debridement of the notch

   

Spinal Accessory Nerve Injury 

Management 

    Non-operative after 12 months with good compensation 

    Options     

     Neurolysis , direct  repair or nerve grafting , muscle transfer , scapulothoracic fusion

    

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