Suprascapular neuropathy

Changed by Sonam Vadera, 16 Feb 2024
Disclosures - updated 12 Sep 2023: Nothing to disclose

Updates to Article Attributes

Body was changed:

Suprascapular neuropathy or suprascapular nerve entrapment occurs if the suprascapular nerve is compressed as it passes through the suprascapular notch or spinoglenoid notch.

Clinical presentation

Non-specific posterior shoulder pain and weakness.

Pathology

Aetiology

Radiographic features

MRI
  • direct features of entrapment 3

    • nerve swelling with an increased cross-sectional diameter

    • signal changes of the nerve

    • visualisation of the causative factor

  • indirect features of entrapment via features of muscle atrophy or acute denervation 3

    • supraspinatus and infraspinatus muscles: compression at the suprascapular notch

    • infraspinatus muscle only: compression at the spinoglenoid notch

See also

  • -<p><strong>Suprascapular neuropathy</strong> or <strong>suprascapular nerve </strong><strong>entrapment</strong> occurs if the <a href="/articles/suprascapular-nerve">suprascapular nerve</a> is compressed as it passes through the <a href="/articles/suprascapular-notch">suprascapular notch</a> or <a href="/articles/spinoglenoid-notch">spinoglenoid notch</a>.</p><h4>Clinical presentation</h4><p>Non-specific posterior shoulder pain and weakness. </p><h4>Pathology</h4><h5>Aetiology</h5><ul>
  • -<li>masses (e.g. <a href="/articles/ganglion-cyst">ganglion cyst</a>, <a href="/articles/paralabral-cyst-of-the-shoulder">paralabral cyst</a>, tumour) in the suprascapular or spinoglenoid notch</li>
  • -<li>traction injury (from sports with overhead action)</li>
  • -<li>direct trauma</li>
  • -<li>
  • -<a href="/articles/scapular-fracture">scapular</a> or humeral fractures (e.g. bony fragments, callus formation)</li>
  • -<li><a href="/articles/anterior-shoulder-dislocation">anterior shoulder dislocation</a></li>
  • -<li>complete and retracted supraspinatus tendon tear</li>
  • +<p><strong>Suprascapular neuropathy</strong> or <strong>suprascapular nerve entrapment</strong> occurs if the <a href="/articles/suprascapular-nerve">suprascapular nerve</a> is compressed as it passes through the <a href="/articles/suprascapular-notch">suprascapular notch</a> or <a href="/articles/spinoglenoid-notch">spinoglenoid notch</a>.</p><h4>Clinical presentation</h4><p>Non-specific posterior shoulder pain and weakness.&nbsp;</p><h4>Pathology</h4><h5>Aetiology</h5><ul>
  • +<li><p>masses (e.g. <a href="/articles/ganglion-cyst">ganglion cyst</a>, <a href="/articles/paralabral-cyst-of-the-shoulder">paralabral cyst</a>, tumour) in the suprascapular or spinoglenoid notch</p></li>
  • +<li><p>traction injury (from sports with overhead action)</p></li>
  • +<li><p>direct trauma</p></li>
  • +<li><p><a href="/articles/scapular-fracture">scapular</a> or humeral fractures (e.g. bony fragments, callus formation)</p></li>
  • +<li><p><a href="/articles/anterior-shoulder-dislocation">anterior shoulder dislocation</a></p></li>
  • +<li><p>complete and retracted supraspinatus tendon tear</p></li>
  • -<li>direct features of entrapment <sup>3</sup><ul>
  • -<li>nerve swelling with an increased cross-sectional diameter</li>
  • -<li>signal changes of the nerve</li>
  • -<li>visualisation of the causative factor</li>
  • +<li>
  • +<p>direct features of entrapment <sup>3</sup></p>
  • +<ul>
  • +<li><p>nerve swelling with an increased cross-sectional diameter</p></li>
  • +<li><p>signal changes of the nerve</p></li>
  • +<li><p>visualisation of the causative factor</p></li>
  • -<li>indirect features of entrapment via features of muscle atrophy or acute denervation <sup>3</sup><ul>
  • -<li>supraspinatus and infraspinatus muscles: compression at the suprascapular notch</li>
  • -<li>infraspinatus muscle only: compression at the spinoglenoid notch</li>
  • +<li>
  • +<p>indirect features of entrapment via features of muscle atrophy or acute denervation <sup>3</sup></p>
  • +<ul>
  • +<li><p>supraspinatus and infraspinatus muscles: compression at the suprascapular notch</p></li>
  • +<li><p>infraspinatus muscle only: compression at the spinoglenoid notch</p></li>
  • -</ul><h4>See also</h4><ul><li><a href="/articles/nerve-compression-syndrome">nerve entrapment syndrome</a></li></ul>
  • +</ul><h4>See also</h4><ul>
  • +<li><p><a href="/articles/nerve-compression-syndrome">nerve entrapment syndrome</a></p></li>
  • +<li><p><a href="/articles/spinoglenoid-notch-syndrome" title="Spinoglenoid notch syndrome">spinoglenoid notch syndrome</a></p></li>
  • +</ul>

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