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Differential diagnosis [ edit ] Differential considerations include similar rotator cuff denervation syndromes such as Parsonage–Turner syndrome , and compression of the suprascapular nerve at the spinoglenoid notch in which the infraspinatus , and to a lesser degree supraspinatus is involved.
The quadrangular space is a clinically important anatomic space in the arm as it provides the anterior regions of the axilla a passageway to the posterior regions. In the quadrangular space, the axillary nerve and the posterior humeral circumflex artery can be compressed or damaged due to space-occupying lesions or disruption in the anatomy due to trauma.
Triangular Interval Syndrome (TIS) was described as a differential diagnosis for radicular pain in the upper extremity. [6] It is a condition where the radial nerve is entrapped in the triangular interval resulting in upper extremity radicular pain. The radial nerve and profunda brachii pass through the triangular interval and are hence vulnerable.
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
A common cause of shoulder pain in rotator cuff impingement syndrome is tendinosis, which is an age-related and most often self-limiting condition. [ 14 ] Studies show that there is moderate evidence that hypothermia (cold therapy) and exercise therapy used together are more effective than simply waiting for surgery and they suggest the best ...
The most common symptoms in impingement syndrome are pain, weakness and a loss of movement at the affected shoulder. [2] The pain is often worsened by shoulder overhead movement and may occur at night, especially when lying on the affected shoulder. The onset of the pain may be acute if due to an injury or insidious if due to a gradual process ...
Kehr's sign is a classic example of referred pain: irritation of the diaphragm is signaled by the phrenic nerve as pain in the area above the collarbone. This is because the supraclavicular nerves have the same cervical nerves origin as the phrenic nerve, C3, C4, and C5. [citation needed]
This syndrome can begin with severe shoulder or arm pain followed by weakness and numbness. [5] Those with Parsonage–Turner experience acute, sudden-onset pain radiating from the shoulder to the upper arm. Affected muscles become weak and atrophied, and in advanced cases, paralyzed. Occasionally, there will be no pain and just paralysis, and ...