Suprascapular nerve entrapment is the compression or irritation of the suprascapular nerve in the shoulder region. This nerve is a nerve that transmits the movements of the shoulder joint to the rotator cuff muscles (supraspinatus and infraspinatus muscles) and sensory fibers in the shoulder joint.
Anatomically, suprascapular nerve compression usually occurs for two main reasons:
< br /> Suprascapular notch stenosis: The suprascapular nerve passes through the suprascapular notch, which is a bony depression located on the scapula (scapula). When this notch narrows, the nerve can be compressed. br /> Suprascapular nerve entrapment usually affects the following muscles:
Supraspinatus muscle: This muscle is one of the muscles surrounding the shoulder capsule and the suprascapular nerve. Weakness or dysfunction of the supraspinatus muscle contributes to symptoms of suprascapular nerve entrapment.
Infraspinatus muscle: This muscle is also one of the muscles surrounding the suprascapular nerve. In case of nerve compression, the infraspinatus muscle may weaken.
Weakness: Weakness in shoulder and arm movements.
Numbness and tingling in the arms: Numbness, tingling or numbness in the arm or hand as a result of nerve compression. Difficulty in raising the shoulder or making shoulder movements, especially. In advanced patients, collapse of the muscles on the paddle is observed due to the wasting of the supraspinatus and infraspinatus muscles. Suprascapular nerve entrapment is usually associated with factors such as excessive shoulder use, trauma, recurrent shoulder dislocation, rotator cuff tears, tumors. This situation may be more common in athletes, athletes and people who engage in heavy physical activity, especially in volleyball players.
Conservative treatment and surgical options are among the treatment methods. found:
Conservative treatment: Rest, physical therapy exercises, pain management (drugs, injections) and appropriate posture and protective methods can be used to support the shoulder area.
Surgical treatment: Conservative If there is no response to treatment or severe nerve compression, surgical intervention may be considered. If there is collapse in the muscles on the shovel, surgical treatment should be preferred. During the surgery, an opening is opened over the shoulder and the ligament (suprascapular ligament) is cut in the notch where the nerve passes from the upper edge of the shoulder blade to the back and the area is widened. The surgery can also be performed with the arthroscopic method. Arthroscopic surgery is a surgical technique performed by entering the shoulder area with small incisions and using endoscopic instruments. Muscle strength and mobility are regained by the post-operative rehabilitation process and physical therapy. The diagnosis and treatment of suprascapular nerve compression should be done by neurosurgeons or orthopedists. The treatment method for each patient should be determined individually, so it is important to consult a specialist.
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