Ebru ŞAHİN, Özlem ŞENOCAK, A. Kadir BACAKOĞLU, İbrahim ÖZTURA, Mehtap GÖZÜM, Özlen PEKER

Rotator manşet yırtığı olan bir olguda omuz ağrısının ana nedeni: Nöraljik amiyotrofi

Öncesinde travma öyküsü olmayan 66 yaşında kadın hastada, şiddetli omuz ağrısı nedeniyle yapılan manyetik rezonans görüntülemede supraspinatus tendonunda tam kat yırtık saptandı ve hastaya cerrahi tedavi planlandı. Ancak, omuz ağrısına omuz kuşağında güçsüzlük eşlik etmesi nedeniyle yapılan elektronöromiyografik incelemede nöraljik amiyotrofi tanısı kondu. Uygulanan fizik tedavi ve rehabilitasyon programı ve medikal tedavi sonucunda hastanın semptomlarında belirgin gerileme oldu. Travmanın eşlik etmediği şiddetli omuz ağrılarında, ağrının özellikleri iyi değerlendirilmeli ve ayırıcı tanıda nöraljik amiyotrofi de düşünülmelidir.

Anahtar Kelimeler:

Brakiyal pleksus nöriti, Tanı, ayırıcı, Elektromiyografi, Omuz ağrısı, Yaşlı, Kadın, Rotator manşet

Neuralgic amyotrophy as the primary cause of shoulder pain in a patient with rotator cuff tear

A 66-year-old woman with no history of trauma presented with severe shoulder pain. Magnetic resonance imaging revealed rupture of the supraspinatus tendon, for which surgical treatment was considered. However, it was noted that shoulder pain was accompanied by weakness in the shoulder muscles, and the patient underwent electroneuromyographic examination, which revealed neuralgic amyotrophy. Following physical therapy and rehabilitation combined with appropriate medical therapy, her symptoms signiﬁcantly improved. In cases with severe shoulder pain without a trauma history, characteristics of pain should be thoroughly analyzed and neuralgic amyotrophy considered in the differential diagnosis.

Keywords:

Brachial Plexus Neuritis, Diagnosis, Differential, Electromyography, Shoulder Pain, Aged, Female, Rotator Cuff,

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