Douleurs et faiblesse de l’épaule neurologique : attitudes pratiques [Neurological shoulder pain and weakness : practical attitudes]
Fiche du document
27 avril 2022
- doi: 10.53738/REVMED.2022.18.779.794
- issn: 1660-9379
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.53738/REVMED.2022.18.779.794
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/35481503
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pissn/1660-9379
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_4A7FCB51B2D38
info:eu-repo/semantics/openAccess , CC BY-NC-ND 4.0 , https://creativecommons.org/licenses/by-nc-nd/4.0/
Sujets proches
BreadsCiter ce document
F. Ochsner et al., « Douleurs et faiblesse de l’épaule neurologique : attitudes pratiques [Neurological shoulder pain and weakness : practical attitudes] », Serveur académique Lausannois, ID : 10.53738/REVMED.2022.18.779.794
Métriques
Partage / Export
Résumé
Shoulder pain or paresis should be assessed carefully, as there are many possible causes, which can be osteoarticular, degenerative, inflammatory, or neurological. Weakness or pain can be related to cervicobrachialgia, plexitis, or focal mononeuropathy. The clinical picture should identify any muscular or mechanical origin of paresis responsible for pseudo-paretic functional limitation. Neurogenic scapulalgia with functional deficit implies the compression or entrapment of a nerve trunk including the axillary, long thoracic, accessory, suprascapular, or dorsal scapular nerves. Nerve conduction study and myography together with medical imaging help to identify the relevant etiology. Treatment mostly includes pain relief and physiotherapy, but surgery is rarely necessary.