Suprascapular Nerve Palsy: Difference between revisions

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The suprascapular nerve is a mixed nerve of the upper limb with increasing clinical significance due to its role in shoulder pain and upper limb weakness.<ref name=":0">Kostretzis L, Theodoroudis I, Boutsiadis A, Papadakis N, Papadopoulos P. Suprascapular Nerve Pathology: A Review of the Literature. Open Orthop J. 2017 Feb 28;11:140-53.</ref>
The suprascapular nerve is a mixed nerve of the upper limb with increasing clinical significance due to its role in shoulder pain and upper limb weakness.<ref name=":0">Kostretzis L, Theodoroudis I, Boutsiadis A, Papadakis N, Papadopoulos P. Suprascapular Nerve Pathology: A Review of the Literature. Open Orthop J. 2017 Feb 28;11:140-53.</ref>


== Origin ==
== Anatomy ==
It branches out from the upper trunk of the brachial plexus. Its nerve roots are C5 and C6. Sporadically, it may have roots from C4 as well.<ref name=":0" />
It branches out from the upper trunk of the brachial plexus. Its nerve roots are C5 and C6. Sporadically, it may have roots from C4 as well. From the posterior triangle of the neck, the nerve goes over the upper part of the scapula, then downward and laterally, parallel to the omohyoid muscle belly. It then passes below the suprascapular ligament and into the supraspinatus fossa where it innervates supraspinatus and continues while curving around the spinous process of the scapula, through the spinoglenoid notch and then into the infraspinatus fossa where it innervates infraspinatus.<ref name=":0" />


== Course ==
==Pathology==  
From the posterior triangle of the neck, it goes over the upper part of the scapula, then downward and laterally, parallel to the omohyoid muscle belly. It passes below the suprascapular ligament and into the supraspinatus fossa where it innervates infraspinatus and supraspinatus.<ref name=":0" />


==Branches & Supply==
== Examination ==


== Clinical significance ==
== Clinical presentation ==
Injury to suprascapular nerve can result in suprascapular nerve palsy. Mechanism of injury include traction injuries to the shoulder and compression along its path at the cervical spine, superior and posterior shoulder.  The suprascapular notch and spinoglenoid ligament are two important sites of compression. 
 
== Management ==
 
=== Surgical ===
 
=== Physiotherapy ===


== References ==
== References ==
<references />
<references />

Revision as of 16:14, 17 November 2021

Original Editor - Arnold Fredrick D'Souza

Top Contributors - Arnold Fredrick D'Souza, Kim Jackson, Joseph Zahn and Naomi O'Reilly  

Introduction[edit | edit source]

The suprascapular nerve is a mixed nerve of the upper limb with increasing clinical significance due to its role in shoulder pain and upper limb weakness.[1]

Anatomy[edit | edit source]

It branches out from the upper trunk of the brachial plexus. Its nerve roots are C5 and C6. Sporadically, it may have roots from C4 as well. From the posterior triangle of the neck, the nerve goes over the upper part of the scapula, then downward and laterally, parallel to the omohyoid muscle belly. It then passes below the suprascapular ligament and into the supraspinatus fossa where it innervates supraspinatus and continues while curving around the spinous process of the scapula, through the spinoglenoid notch and then into the infraspinatus fossa where it innervates infraspinatus.[1]

Pathology[edit | edit source]

Examination[edit | edit source]

Clinical presentation[edit | edit source]

Management[edit | edit source]

Surgical[edit | edit source]

Physiotherapy[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 Kostretzis L, Theodoroudis I, Boutsiadis A, Papadakis N, Papadopoulos P. Suprascapular Nerve Pathology: A Review of the Literature. Open Orthop J. 2017 Feb 28;11:140-53.