Yıkama İşiyle uğraşan Hastanın Spinoglenoid Notch"daki Supraskapular Sinir Hasarı: Olgu Sunumu
Omuz ağrısı ve kas zayıflığının pek sık rastlanmayan olmayan bir nedeni de Supraskapular sinir hasarıdır. Supraskapular sinirdeki lezyonlar, Supraspinatusda ya da Spinoglenoid Notchda ortaya çıkabilir. Burada yıkama işiyle uğraşan 26 yaşındaki hastanın sol omuzunda ağrı saptanmıştır. Klinik değerlendirme ve elektrodiagnostik çalışmalar; Spinoglenoid Notchda sol suprascapular sinirde hasar meydana geldiğini göstermiştir. Hastaya altı hafta boyunca dinlenme, denetimli fizyoterapi ve non-steroid anti-inflamatuar ilaçlar verilmiştir. Bunu izleyen süreçte hastanın fonksiyonel aktivitesinde gelişme ve ağrıda azalma gözlenmiştir.
Suprascapular Nerve Injury at the Spinoglenoid Notch in a Washer Man: A Case Report
Suprascapular Nerve injury is an uncommon cause of shoulder pain and weakness. Lesions of the Suprascapular Nerve can occur at the Supraspinatus or the Spinoglenoid Notch. We present here, report of a 26-year-old washer man who presented with pain in left shoulder and difficulty washing clothes. Clinical evaluation and electrodiagnostic studies confirmed injury to the left Suprascapular Nerve at the Spinoglenoid Notch. The patient was managed conservatively for six weeks with relative rest, supervised physiotherapy and non-steroidal anti-inflammatory drugs, following which he showed substantial reduction in pain and improvement in functional activities.
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- Yazışma Adresi / Address for Correspondence: Dr. Atif Ahmed Khan Armed Forces Institute of Rehabilitation Medicine (AFIRM), Abid Majeed Road Rawalpindi 46000 PAK İSTAN. e-mail: drakifkhan02@yahoo.com geliş tarihi/received :26.09.2013 kabul tarihi/accepted:21.10.2013