• 제목/요약/키워드: Spinoglenoid notch

검색결과 7건 처리시간 0.027초

가시관절와패임의 낭성병터로 발생한 어깨위신경병증 1예 (A Case of Suprascapular Neuropathy at the Spinoglenoid Notch due to a Cystic Lesion)

  • 강봉수;박강;최재철;강사윤
    • Annals of Clinical Neurophysiology
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    • 제9권1호
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    • pp.23-25
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    • 2007
  • The symptomatology of suprascapular neuropathy is variable, depending principally on the etiology and location of the lesion. Among them, suprascapular nerve entrapment with isolated paralysis of the infraspinatus muscle is uncommon. We report a 27-year-old man presenting with right arm weakness. Based on the electrophysiologic and imaging findings, suprascapular neuropathy at the spinoglenoid notch due to cystic mass lesion was diagnosed.

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지방종에 의한 상견갑신경 하방분지의 마비 - 증례 보고 - (Paralysis of Inferior Branch of Suprascapular Nerve by a Lipoma -A Case Report-)

  • 오주한;공현식;김형호
    • Clinics in Shoulder and Elbow
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    • 제7권2호
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    • pp.103-107
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    • 2004
  • We present a case of suprascapular entrapment syndrome by a lipoma that compressed inferior branch of suprascapular nerve at the spinoglenoid notch and treated successfully by surgical excision.

결절종에 의한 상견갑 신경 포착 증후군 (Suprascapular Nerve Entrapment Neuropathy by Ganglion Cyst)

  • 이용걸;김강일;양형섭
    • Clinics in Shoulder and Elbow
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    • 제2권2호
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    • pp.143-150
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    • 1999
  • Purpose: The purpose of this study is to describe the characteristic clinical findings and treatment of suprascapular nerve entrapment by ganglion and to evaluate its results. Materials and Methods: Seven paitents with suprascapular nerve entrapment were evaluated on an average 13 months(range, six months to three years two months) after surgical excision and decompression. There were six males and one female. The mean age at operation was 31 years(range, 23 to 40 years), Suprascapular nerve entrapment were caused by compression of ganglion cyst in suprascapular notch or spinoglenoid notch in all cases. All patients complained of pain located over posterolateral area of the shoulder. Two patients had atrophy of both the supraspinatus and infraspinatus muscles, In four patients, only the infraspinatus muscle was involved. Muscle strength on both forward flexion and external rotation was decreased in two patients. In four patients, only external rotation was decreased. All patients underwent open excision of ganglion cyst and decompression. Results: The most dramatic effect of operation was prompt disappearance of pain in all patients. The average visual analog scale had improved from 7.2 to 0.6 point at the latest follow-up evaluation. An atrophy of the supraspinatus or infraspinatus muscle partially disappeared in four of six patients and muscle strength of forward flexion or abduction improved in all of six patients. The overall result was excellent for five patients and good for two. Conclusion: Surpascapular nerve entrapment by ganglionic cyst had clinically unique symptoms and signs on physical examination. Surgical excision is effective for symptomatic and functional outcomes. We believe that early intervention can be one of treatment modality before an irreversible damage occurs if the ganglion is large enough to compress suprascapular nerve, and to develop severe pain and muscular atrophy.

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결절종에 의한 견갑상 신경 하방 분지의 단독마비 - 1례 보고 - (Isolated Paralysis of Inferior Branch of the Suprascapular Nerve due to the Ganglion - Report of One Case -)

  • 박태수;김태승;김종헌;강석근
    • 대한골관절종양학회지
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    • 제8권2호
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    • pp.39-42
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    • 2002
  • 견갑골 극관절 와 절흔에 위치한 다발성 결절종에 의해 발생한 견갑상 신경 하방 분지의 포착 환자 1례에 대하여 조기 발견 후 수술적 종양 제거 및 압박된 신경의 감압을 통하여 위축된 극하근의 회복과 함께 만족한 결과를 얻었기에 보고하는 바이다.

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결절종에 의한 견갑상신경 포착 증후군 (Suprascapular Nerve Entrapment Syndrome Caused by Ganglion)

  • 김성연;안성찬;전재명
    • 대한정형외과스포츠의학회지
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    • 제1권1호
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    • pp.65-70
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    • 2002
  • 목적 : 결절종에의해발생한견갑상 신경포착증후군환자에서수술적치료후결과를분석하고치료방법의개선을찾고자하였다. 대상및방법 : 1996년3월부터2001년5월까지진찰소견, 근전도, 자기공명영상소견에서결절종에의한견갑상신경포착증후군으로진단받은 13명의환자를대상으로하였다. 수술은결절종의개방적절제및감압술과관절경하검사를시행하였으며수술후의평가는근력의주관적인회복정도와American shoulder elbow surgeon (ASES)의평가법을이용하여분석하였다. 결과 : 수술후9예(69$\%$)에서간헐적인동통, 근력의불완전회복, 근위축의잔류로인한증상의지속소견이관찰되었으며4예(31$\%$)에서증상의완전회복소견을보였다. 수술후ASES 점수는평균86.4(70$\~$99.8)점이었으며수술전에비해수술후84$\%$의환자에서동통의호전과53$\%$의환자에서근력의호전을보였으나근위축은남아있었다. 결론 : 결절종에의한견갑상신경포착증후군은결절종의절제만으로는증상의완전한해소를기대하기어려우며, 수술시결절종에의한주병변이외에포착이다발성으로발생할가능성이있으므로결절종의제거및관절내병변의치료와함께견갑상절흔과견갑하절흔부위에서의신경에대한감압술을함께고려하는것이좋을것으로생각한다.

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