Neuropathy of the suprascapular nerve and massive rotator cuff tears: a prospective electromyographic study.
Identifieur interne : 000149 ( PubMed/Corpus ); précédent : 000148; suivant : 000150Neuropathy of the suprascapular nerve and massive rotator cuff tears: a prospective electromyographic study.
Auteurs : Philippe Collin ; Tom Treseder ; Alexandre L Dermann ; Tewfik Benkalfate ; Reda Mourtada ; Olivier Courage ; Luc FavardSource :
- Journal of shoulder and elbow surgery [ 1532-6500 ] ; 2014.
English descriptors
- KwdEn :
- Aged, Arthrography, Cross-Sectional Studies, Electromyography, Female, Humans, Male, Middle Aged, Peripheral Nerve Injuries (diagnosis), Peripheral Nerve Injuries (surgery), Prospective Studies, Rotator Cuff (injuries), Rotator Cuff (radiography), Rotator Cuff (surgery), Shoulder Joint (injuries), Shoulder Joint (innervation), Shoulder Joint (radiography), Tendon Injuries (radiography), Tendon Injuries (surgery), Tomography, X-Ray Computed.
- MESH :
- diagnosis : Peripheral Nerve Injuries.
- injuries : Rotator Cuff, Shoulder Joint.
- innervation : Shoulder Joint.
- radiography : Rotator Cuff, Shoulder Joint, Tendon Injuries.
- surgery : Peripheral Nerve Injuries, Rotator Cuff, Tendon Injuries.
- Aged, Arthrography, Cross-Sectional Studies, Electromyography, Female, Humans, Male, Middle Aged, Prospective Studies, Tomography, X-Ray Computed.
Abstract
An association between massive rotator cuff tear (RCT) and suprascapular nerve neuropathy has previously been suggested. The anatomic course of the suprascapular nerve is relatively fixed along its passage. Thus, injury to the nerve by trauma, compression, and iatrogenic reasons is well documented. However, the association between retraction of the RCT and development of neuropathy of the suprascapular nerve remains unclear. We aimed to prospectively evaluate the suprascapular nerve for preoperative neurodiagnostic abnormalities in shoulders with massive RCT.
DOI: 10.1016/j.jse.2013.07.039
PubMed: 24090983
Links to Exploration step
pubmed:24090983Le document en format XML
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<author><name sortKey="Collin, Philippe" sort="Collin, Philippe" uniqKey="Collin P" first="Philippe" last="Collin">Philippe Collin</name>
<affiliation><nlm:affiliation>Saint-Grégoire Private Hospital Center, Saint-Grégoire, France. Electronic address: collin.ph@wanadoo.fr.</nlm:affiliation>
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<author><name sortKey="Treseder, Tom" sort="Treseder, Tom" uniqKey="Treseder T" first="Tom" last="Treseder">Tom Treseder</name>
<affiliation><nlm:affiliation>Royal Melbourne Hospital, Parkville, Melbourne, VIC, Australia.</nlm:affiliation>
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<author><name sortKey="L Dermann, Alexandre" sort="L Dermann, Alexandre" uniqKey="L Dermann A" first="Alexandre" last="L Dermann">Alexandre L Dermann</name>
<affiliation><nlm:affiliation>Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland; Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland.</nlm:affiliation>
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<author><name sortKey="Benkalfate, Tewfik" sort="Benkalfate, Tewfik" uniqKey="Benkalfate T" first="Tewfik" last="Benkalfate">Tewfik Benkalfate</name>
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<author><name sortKey="Mourtada, Reda" sort="Mourtada, Reda" uniqKey="Mourtada R" first="Reda" last="Mourtada">Reda Mourtada</name>
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<author><name sortKey="Courage, Olivier" sort="Courage, Olivier" uniqKey="Courage O" first="Olivier" last="Courage">Olivier Courage</name>
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<author><name sortKey="Favard, Luc" sort="Favard, Luc" uniqKey="Favard L" first="Luc" last="Favard">Luc Favard</name>
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<author><name sortKey="Courage, Olivier" sort="Courage, Olivier" uniqKey="Courage O" first="Olivier" last="Courage">Olivier Courage</name>
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<series><title level="j">Journal of shoulder and elbow surgery</title>
<idno type="eISSN">1532-6500</idno>
<imprint><date when="2014" type="published">2014</date>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Peripheral Nerve Injuries (diagnosis)</term>
<term>Peripheral Nerve Injuries (surgery)</term>
<term>Prospective Studies</term>
<term>Rotator Cuff (injuries)</term>
<term>Rotator Cuff (radiography)</term>
<term>Rotator Cuff (surgery)</term>
<term>Shoulder Joint (injuries)</term>
<term>Shoulder Joint (innervation)</term>
<term>Shoulder Joint (radiography)</term>
<term>Tendon Injuries (radiography)</term>
<term>Tendon Injuries (surgery)</term>
<term>Tomography, X-Ray Computed</term>
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<term>Shoulder Joint</term>
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<keywords scheme="MESH" qualifier="radiography" xml:lang="en"><term>Rotator Cuff</term>
<term>Shoulder Joint</term>
<term>Tendon Injuries</term>
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<term>Tendon Injuries</term>
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<term>Humans</term>
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<front><div type="abstract" xml:lang="en">An association between massive rotator cuff tear (RCT) and suprascapular nerve neuropathy has previously been suggested. The anatomic course of the suprascapular nerve is relatively fixed along its passage. Thus, injury to the nerve by trauma, compression, and iatrogenic reasons is well documented. However, the association between retraction of the RCT and development of neuropathy of the suprascapular nerve remains unclear. We aimed to prospectively evaluate the suprascapular nerve for preoperative neurodiagnostic abnormalities in shoulders with massive RCT.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24090983</PMID>
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<Month>12</Month>
<Day>16</Day>
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<DateCompleted><Year>2014</Year>
<Month>08</Month>
<Day>19</Day>
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<Month>10</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-6500</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>23</Volume>
<Issue>1</Issue>
<PubDate><Year>2014</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Journal of shoulder and elbow surgery</Title>
<ISOAbbreviation>J Shoulder Elbow Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Neuropathy of the suprascapular nerve and massive rotator cuff tears: a prospective electromyographic study.</ArticleTitle>
<Pagination><MedlinePgn>28-34</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jse.2013.07.039</ELocationID>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">An association between massive rotator cuff tear (RCT) and suprascapular nerve neuropathy has previously been suggested. The anatomic course of the suprascapular nerve is relatively fixed along its passage. Thus, injury to the nerve by trauma, compression, and iatrogenic reasons is well documented. However, the association between retraction of the RCT and development of neuropathy of the suprascapular nerve remains unclear. We aimed to prospectively evaluate the suprascapular nerve for preoperative neurodiagnostic abnormalities in shoulders with massive RCT.</AbstractText>
<AbstractText Label="METHODS AND MATERIALS" NlmCategory="METHODS">A prospective study was performed in 2 centers. Fifty patients with retracted tears of both supraspinatus and infraspinatus were evaluated. This was confirmed with preoperative computed tomography arthrography, and the fatty infiltration of the affected muscles was graded. Forty-nine preoperative electromyograms were performed in a standardized fashion and the results analyzed twice.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 49 shoulders, 6 (12%) had neurologic lesions noted on electromyography: 1 suprascapular nerve neuropathy, 1 radicular lesion of the C5 root, 1 affected electromyogram in the context of a previous stroke, and 3 cases of partial axillary nerve palsy with a history of shoulder dislocation. No difference or diminution of the latency or amplitude of the electromyographic curve was found in the cases that presented significant fatty infiltration.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study did not detect a suprascapular lesion in the majority of cases of massive RCT. With a low association of neuropathy with massive RCT, we find no evidence to support the routine practice of suprascapular nerve release when RCT repair is performed.</AbstractText>
<CopyrightInformation>Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.</CopyrightInformation>
</Abstract>
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<AffiliationInfo><Affiliation>Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland; Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland.</Affiliation>
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<AffiliationInfo><Affiliation>Clinique mutualiste la Sagesse, Rennes, France.</Affiliation>
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<AffiliationInfo><Affiliation>Clinique Saint Laurent, Rennes, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Courage</LastName>
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<AffiliationInfo><Affiliation>Hôpital privé de l'Estuaire, Le Havre, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Favard</LastName>
<ForeName>Luc</ForeName>
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<AffiliationInfo><Affiliation>Hôpital Trousseau, Chambray-lès-Tours, France.</Affiliation>
</AffiliationInfo>
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