The nerves around the shoulder

Blum, Alain; Lecocq, S.; Louis, M.; Wassel, J.; Moisei, A.; Teixeira, Pedro Augusto Gondim

doi:10.1016/j.ejrad.2011.04.033

Cited by 43 publications

(44 citation statements)

References 70 publications

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“…Moreover, the presence of concomitant conditions, such as elderly patients with diabetes, brachial neuritis, radiculopathy, or previous surgery to the nerve, limits the diagnostic accuracy. Furthermore, these invasive tests may produce false-negative results in cases of marked atrophy or isolated involvement of the infraspinatus [14]. Finally, patients on anticoagulation therapy are generally not recommended to undergo needle electrode examination because of the risks of hematoma and permanent nerve damage [15].…”

Section: Clinical Presentation and Electrodiagnostic Studiesmentioning

confidence: 99%

Spectrum of Suprascapular Nerve Lesions: Normal and Abnormal Neuromuscular Imaging Appearances on 3-T MR Neurography

Ahlawat

Wadhwa

Belzberg

et al. 2015

American Journal of Roentgenology

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OBJECTIVE. In this article, we will review the normal anatomy and imaging features of various neuromuscular abnormalities related to suprascapular neuropathy. CONCLUSION. Suprascapular neuropathy can be difficult to distinguish from rotator cuff pathology, plexopathy, and radiculopathy. Electrodiagnostic studies are considered the reference standard for diagnosis; however, high-resolution 3-T MR neurography (MRN) can play an important role. MRN enables direct visualization of the nerve and simultaneous assessment of the cervical spine, brachial plexus, and rotator cuff.

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Section: Clinical Presentation and Electrodiagnostic Studiesmentioning

confidence: 99%

Spectrum of Suprascapular Nerve Lesions: Normal and Abnormal Neuromuscular Imaging Appearances on 3-T MR Neurography

Ahlawat

Wadhwa

Belzberg

et al. 2015

American Journal of Roentgenology

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“…Il s'agit d'un syndrome rare d'étiologie inconnue caractérisé par une atteinte inflammatoire des nerfs de l'épaule, du bras ou du thorax. Une vaccination ou une infection récente est retrouvée dans 25 % des cas [30]. Les patients se présentent avec des douleurs vives et soudaines de l'épaule, sans notion de traumatisme, avec quelques jours après survenue d'une paralysie flasque des muscles de la ceinture scapulaire le Figure 9.…”

Section: Plexopathies Autres [3123031]unclassified

Imagerie du plexus brachial non traumatique

Boulanger

Ledoux

Brun

2013

Journal de Radiologie Diagnostique et Interventionnelle

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“…Cease of neural impulsation to an effector muscle causes denervation which in the early stage is manifested by oedema and in time leads to fatty degeneration of the muscle [96]. After 2-3 months, decrease by 50% in the fibre diameter can be observed and after another 1-2 months massive accumulation of interstitial collagen begins [64,97].…”

Section: Time Frame For Operationmentioning

confidence: 99%

Brachial plexus injury after shoulder dislocation: a literature review

et al. 2018

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Brachial plexus injuries are among the rarest but at the same time the most severe complications of shoulder dislocation. The symptoms range from transient weakening or tingling sensation of the upper limb to total permanent paralysis of the limb associated with chronic pain and disability. Conflicting opinions exist as to whether these injuries should be treated operatively and if so when surgery should be performed. In this review, available literature dedicated to neurological complications of shoulder dislocation has been analysed and management algorithm has been proposed. Neurological complications were found in 5.4-55% of all dislocations, with the two most commonly affected patient groups being elderly women sustaining dislocation as a result of a simple fall and young men after high-energy injuries, often multitrauma victims. Infraclavicular part of the brachial plexus was most often affected. Neurapraxia or axonotmesis predominated, and complete nerve disruption was observed in less than 3% of the patients. Shoulder dislocation caused injury to multiple nerves more often than mononeuropathies. The axillary nerve was most commonly affected, both as a single nerve and in combination with other nerves. Older patient age, higher energy of the initial trauma and longer period from dislocation to its reduction have been postulated as risk factors. Brachial plexus injury resolved spontaneously in the majority of the patients. Operative treatment was required in 13-18% of the patients in different studies. Patients with suspected neurological complications require systematic control. Surgery should be performed within 3-6 months from the injury when no signs of recovery are present.

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The nerves around the shoulder

Cited by 43 publications

References 70 publications

Spectrum of Suprascapular Nerve Lesions: Normal and Abnormal Neuromuscular Imaging Appearances on 3-T MR Neurography

Spectrum of Suprascapular Nerve Lesions: Normal and Abnormal Neuromuscular Imaging Appearances on 3-T MR Neurography

Imagerie du plexus brachial non traumatique

Brachial plexus injury after shoulder dislocation: a literature review

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