TY - JOUR
T1 - Suprascapular nerve entrapment in young kayaker
T2 - a case report
AU - LiBrizzi, Christa L.
AU - Rojas, Jorge L.
AU - Bontrager, Nicholas C.
AU - Srikumaran, Uma
AU - McFarland, Edward G.
N1 - Funding Information:
Edward G McFarland declares consultancy for Stryker Corporation; fellowship support from DePuy- Mitek; speakers bureau from Stryker Corporation (arthroplasty). Uma Srikumaran is an Abbott employee, has received financial support from Arthrex, Inc., DePuy, Smith & Nephew, Styker, Thieme and Wright Medical Technology, Inc. US has also declared speaker fees from Fx Shoulder, and stock/stock options in Quantum OPS and Tigon Medical. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. PSM peer reviewers have no relevant conflicts of interest to disclose.
Publisher Copyright:
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2020/4/2
Y1 - 2020/4/2
N2 - Kayaking has become one of the most popular paddle sports throughout the world. The shoulder is the most commonly injured area of the body among kayaking participants as a result of acute traumatic events and chronic overuse injuries. Therefore, kayaking participants may often seek advice for shoulder problems and there is a scarcity of studies regarding shoulder injuries in this population. In this case report, we present a young male recreational whitewater kayaker with a severe suprascapular nerve (SSN) entrapment who presented with shoulder pain and inability to perform his sport. He was initially evaluated elsewhere and was treated with nonsteroidal anti-inflammatory medications and physical therapy for presumptive diagnosis of subacromial impingement. After 5 months of failed non-operative treatment, the patient sought a second opinion with our group. SSN entrapment diagnosis was confirmed by a thorough careful physical examination, magnetic resonance imaging and electrodiagnostic study. Given the failure of non-operative treatment, the patient was treated with arthroscopic SSN decompression and successfully returned to kayaking without symptoms. While SSN entrapment has been reported in a variety of sports, especially those involving overhead movements, this is the first case report of SSN entrapment reported which impaired participation in kayaking. This case report supports the consideration of SSN entrapment in the differential diagnosis of painful shoulder among kayaking participants and highlights the importance of undressing the patient and examining the posterior shoulder for atrophy, winging or deformity.
AB - Kayaking has become one of the most popular paddle sports throughout the world. The shoulder is the most commonly injured area of the body among kayaking participants as a result of acute traumatic events and chronic overuse injuries. Therefore, kayaking participants may often seek advice for shoulder problems and there is a scarcity of studies regarding shoulder injuries in this population. In this case report, we present a young male recreational whitewater kayaker with a severe suprascapular nerve (SSN) entrapment who presented with shoulder pain and inability to perform his sport. He was initially evaluated elsewhere and was treated with nonsteroidal anti-inflammatory medications and physical therapy for presumptive diagnosis of subacromial impingement. After 5 months of failed non-operative treatment, the patient sought a second opinion with our group. SSN entrapment diagnosis was confirmed by a thorough careful physical examination, magnetic resonance imaging and electrodiagnostic study. Given the failure of non-operative treatment, the patient was treated with arthroscopic SSN decompression and successfully returned to kayaking without symptoms. While SSN entrapment has been reported in a variety of sports, especially those involving overhead movements, this is the first case report of SSN entrapment reported which impaired participation in kayaking. This case report supports the consideration of SSN entrapment in the differential diagnosis of painful shoulder among kayaking participants and highlights the importance of undressing the patient and examining the posterior shoulder for atrophy, winging or deformity.
KW - Suprascapular neuropathy
KW - decompression
KW - entrapment
KW - kayaking
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U2 - 10.1080/00913847.2019.1662273
DO - 10.1080/00913847.2019.1662273
M3 - Article
C2 - 31469970
AN - SCOPUS:85073958331
SN - 0091-3847
VL - 48
SP - 236
EP - 240
JO - Physician and Sportsmedicine
JF - Physician and Sportsmedicine
IS - 2
ER -