Parsonage-Turner Syndrome: Difference between revisions
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'''Original Editors ''' - [[User:Jesse Demeester|Jesse Demeester]] | '''Original Editors ''' - [[User:Jesse Demeester|Jesse Demeester]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== Definition/Description == | == Definition/Description == | ||
Parsonage–Turner syndrome is the term used to describe a neuritis involving the brachial plexus.1,2,3,4<sup></sup> | Parsonage–Turner syndrome is the term used to describe a neuritis involving the brachial plexus.1,2,3,4<sup></sup> | ||
Also known as acute brachial neuritis. | Also known as acute brachial neuritis. | ||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
plexus brachialis.<ref>C: A. J. Hussey &amp;amp;amp; C. P. O’Brien &amp;amp;amp; P. J. Regan. Parsonage–Turner Syndrome—Case Report and Literature Review. American association of hand surgery. 2007</ref><ref>C: Christopher J. Cervical Radiculopathy or Parsonage-Turner Syndrome: Differential Diagnosis of a Patient With Neck and Upper Extremity Symptoms. Journal of Orthopaedic &amp;amp;amp; Sports Physical Therapy</ref><ref>C: Michael D. Rosenthal. Differential Diagnosis off Shoulder Pain Followed by Progressive Weakness : A Case Report. Journanl of Special Operatoion Medicine. 2009 Winter;9(1):16-9.</ref><ref>D: Christopher M. Stutz. Neuralgic Amyotrophy: Parsonage-Turner Syndrome. Journal of hand surgery; 2010; p2104 issue12 volume 35</ref> | plexus brachialis.<ref>C: A. J. Hussey &amp;amp;amp;amp; C. P. O’Brien &amp;amp;amp;amp; P. J. Regan. Parsonage–Turner Syndrome—Case Report and Literature Review. American association of hand surgery. 2007</ref><ref>C: Christopher J. Cervical Radiculopathy or Parsonage-Turner Syndrome: Differential Diagnosis of a Patient With Neck and Upper Extremity Symptoms. Journal of Orthopaedic &amp;amp;amp;amp; Sports Physical Therapy</ref><ref>C: Michael D. Rosenthal. Differential Diagnosis off Shoulder Pain Followed by Progressive Weakness : A Case Report. Journanl of Special Operatoion Medicine. 2009 Winter;9(1):16-9.</ref><ref>D: Christopher M. Stutz. Neuralgic Amyotrophy: Parsonage-Turner Syndrome. Journal of hand surgery; 2010; p2104 issue12 volume 35</ref> | ||
== Epidemiology /Etiology == | == Epidemiology /Etiology == | ||
The incidence of neuralgic amyotrophy is approximately 2 to 3 per 100,000 persons per year. The<br>distribution of disease shows a predominance of men over women (approximately 3:2), with the highest incidence occurring between the third and seventh decades.<sup>4</sup> | The incidence of neuralgic amyotrophy is approximately 2 to 3 per 100,000 persons per year. The<br>distribution of disease shows a predominance of men over women (approximately 3:2), with the highest incidence occurring between the third and seventh decades.<sup>4</sup> | ||
== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
typical presentation of sudden onset of shoulder pain, followed by a weakness or even paralysis of the shoulder girdle and upper arm, at which time the pain subsided.<sup>1,2,3,4</sup> The weakness may be limited to muscles innervated by a single peripheral nerve or any combination of peripheral nerves or the brachial plexus.<sup>3</sup>They noted that power gradually was restored spontaneously to the affected side over a matter of months.<sup>4</sup><br> | typical presentation of sudden onset of shoulder pain, followed by a weakness or even paralysis of the shoulder girdle and upper arm, at which time the pain subsided.<sup>1,2,3,4</sup> The weakness may be limited to muscles innervated by a single peripheral nerve or any combination of peripheral nerves or the brachial plexus.<sup>3</sup>They noted that power gradually was restored spontaneously to the affected side over a matter of months.<sup>4</sup><br> | ||
== Differential Diagnosis == | == Differential Diagnosis == | ||
At the onset, the pain is situated around the shoulder girdle and this can look like numerous shoulder problems. Like rotator cuff tears <sup>4</sup>, adhesive capsulitis, calcific tendonitis, arthritis. When the muscle weakness kicks in other conditions can have the same symptoms. Discogenic nerve root compression <sup>4</sup>, tumors of the spinal cord, thoracic outlet syndrome, cervical artery dissection.<sup>5</sup><br> | At the onset, the pain is situated around the shoulder girdle and this can look like numerous shoulder problems. Like rotator cuff tears <sup>4</sup>, adhesive capsulitis, calcific tendonitis, arthritis. When the muscle weakness kicks in other conditions can have the same symptoms. Discogenic nerve root compression <sup>4</sup>, tumors of the spinal cord, thoracic outlet syndrome, cervical artery dissection.<sup>5</sup><br> | ||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
The characteristic pattern of pain followed by profound weakness are generally the clues to the diagnosis of Parsonage– Turner syndrome<sup>1,2,3,4</sup> with confirmation being sought by electromyography. This pain is often described as a severe ache or throbbing radiating from the shoulder distally down the arm or proximally into the neck | The characteristic pattern of pain followed by profound weakness are generally the clues to the diagnosis of Parsonage– Turner syndrome<sup>1,2,3,4</sup> with confirmation being sought by electromyography. This pain is often described as a severe ache or throbbing radiating from the shoulder distally down the arm or proximally into the neck | ||
== Outcome Measures == | == Outcome Measures == | ||
Revision as of 18:15, 19 December 2012
Original Editors - Jesse Demeester
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
Parsonage–Turner syndrome is the term used to describe a neuritis involving the brachial plexus.1,2,3,4
Also known as acute brachial neuritis.
Clinically Relevant Anatomy[edit | edit source]
plexus brachialis.[1][2][3][4]
Epidemiology /Etiology[edit | edit source]
The incidence of neuralgic amyotrophy is approximately 2 to 3 per 100,000 persons per year. The
distribution of disease shows a predominance of men over women (approximately 3:2), with the highest incidence occurring between the third and seventh decades.4
Characteristics/Clinical Presentation[edit | edit source]
typical presentation of sudden onset of shoulder pain, followed by a weakness or even paralysis of the shoulder girdle and upper arm, at which time the pain subsided.1,2,3,4 The weakness may be limited to muscles innervated by a single peripheral nerve or any combination of peripheral nerves or the brachial plexus.3They noted that power gradually was restored spontaneously to the affected side over a matter of months.4
Differential Diagnosis[edit | edit source]
At the onset, the pain is situated around the shoulder girdle and this can look like numerous shoulder problems. Like rotator cuff tears 4, adhesive capsulitis, calcific tendonitis, arthritis. When the muscle weakness kicks in other conditions can have the same symptoms. Discogenic nerve root compression 4, tumors of the spinal cord, thoracic outlet syndrome, cervical artery dissection.5
Diagnostic Procedures[edit | edit source]
The characteristic pattern of pain followed by profound weakness are generally the clues to the diagnosis of Parsonage– Turner syndrome1,2,3,4 with confirmation being sought by electromyography. This pain is often described as a severe ache or throbbing radiating from the shoulder distally down the arm or proximally into the neck
Outcome Measures[edit | edit source]
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Examination[edit | edit source]
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Physical Therapy Management
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Key Research[edit | edit source]
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Clinical Bottom Line[edit | edit source]
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References[edit | edit source]
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- ↑ C: A. J. Hussey &amp;amp;amp; C. P. O’Brien &amp;amp;amp; P. J. Regan. Parsonage–Turner Syndrome—Case Report and Literature Review. American association of hand surgery. 2007
- ↑ C: Christopher J. Cervical Radiculopathy or Parsonage-Turner Syndrome: Differential Diagnosis of a Patient With Neck and Upper Extremity Symptoms. Journal of Orthopaedic &amp;amp;amp; Sports Physical Therapy
- ↑ C: Michael D. Rosenthal. Differential Diagnosis off Shoulder Pain Followed by Progressive Weakness : A Case Report. Journanl of Special Operatoion Medicine. 2009 Winter;9(1):16-9.
- ↑ D: Christopher M. Stutz. Neuralgic Amyotrophy: Parsonage-Turner Syndrome. Journal of hand surgery; 2010; p2104 issue12 volume 35
