Document Detail


Suprascapular neuropathy during progressive resistive exercises in a cardiac rehabilitation program.
MedLine Citation:
PMID:  1444779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 56-year-old man developed left shoulder pain three weeks after starting a cardiac rehabilitation program, which consisted of submaximal aerobic and progressive resistive exercises. Pain in the left shoulder intensified and weakness developed one week later. He sought medical attention ten weeks after the onset. Physical examination showed only weakness of left shoulder abduction and external rotation with mild atrophy of the left supraspinatus and infraspinatus muscles. Electrodiagnostic study showed fibrillation potentials and positive sharp waves in the left supraspinatus and infraspinatus muscles with delayed conduction to the supraspinatus. The left suprascapular notch was injected with local steroid. Within one week, improvement occurred, and one month later the patient was pain free and stronger. The motor latency returned to normal, and no fibrillations nor positive waves were seen. The patient returned to his previous functional level. Suprascapular neuropathy should be considered as a cause of shoulder pain and weakness in a person involved in any strengthening exercise program. A steroid injection of the suprascapular notch performed early may avoid the need for surgery.
Authors:
F M Torres-Ramos; J J Biundo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  73     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1992-12-10     Completed Date:  1992-12-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1107-11     Citation Subset:  AIM; IM    
Affiliation:
Louisiana State University Medical Center, Department of Medicine, New Orleans 70112.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon, Laser-Assisted / rehabilitation*
Betamethasone / therapeutic use
Electrodiagnosis
Exercise Therapy / adverse effects*
Humans
Male
Middle Aged
Nerve Compression Syndromes / diagnosis,  drug therapy,  etiology*
Scapula / innervation*
Chemical
Reg. No./Substance:
378-44-9/Betamethasone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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