A Very Rare Cause of Shoulder Weakness: Concurrent Traumatic Neuropathies of Accessory, Long Thoracicus, and Suprascapular Nerves

Accessory nerve is one of the most sensitive cranial nerves to injury, and its injuries are usually caused by iatrogenic interventions. As many other causes can mimic its clinical presentation, careful physical examination should be performed while evaluating a patient suspected of accessory neuropa...

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Main Authors: Halil Onder, F Gokcem Yildiz, Gulay Nurlu, Kubilay Varli
Format: Article
Language:English
Published: Kashan University of Medical Sciences 2017-01-01
Series:Archives of Trauma Research
Subjects:
Online Access:http://www.archtrauma.com/article.asp?issn=2251-953X;year=2017;volume=6;issue=4;spage=94;epage=97;aulast=Onder
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author Halil Onder
F Gokcem Yildiz
Gulay Nurlu
Kubilay Varli
author_facet Halil Onder
F Gokcem Yildiz
Gulay Nurlu
Kubilay Varli
author_sort Halil Onder
collection DOAJ
description Accessory nerve is one of the most sensitive cranial nerves to injury, and its injuries are usually caused by iatrogenic interventions. As many other causes can mimic its clinical presentation, careful physical examination should be performed while evaluating a patient suspected of accessory neuropathy. In this report, we aimed to illustrate a very rare case with concurrent traumatic cranial neuropathies of accessory nerve, suprascapular nerve, and long thoracicus. A 16-year-old boy was admitted with complaints of shoulder weakness and pain following a trauma of strain injury. He had first taken the misdiagnosis of brachial plexopathy; however, after a detailed physical examination and electrophysiological study, the diagnosis of concurrent traumatic neuropathies of accessory, suprascapular, and long thoracicus nerves was made. In our opinion, during evaluation of these rare traumatic neuropathies, detailed clinical evaluations combined with detailed electromyography investigations may give crucial data for the proper diagnosis.
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spelling doaj.art-e742eb9680864d87b1b635b34d8e8e472023-09-02T01:05:15ZengKashan University of Medical SciencesArchives of Trauma Research2251-953X2017-01-0164949710.4103/atr.atr_61_17A Very Rare Cause of Shoulder Weakness: Concurrent Traumatic Neuropathies of Accessory, Long Thoracicus, and Suprascapular NervesHalil OnderF Gokcem YildizGulay NurluKubilay VarliAccessory nerve is one of the most sensitive cranial nerves to injury, and its injuries are usually caused by iatrogenic interventions. As many other causes can mimic its clinical presentation, careful physical examination should be performed while evaluating a patient suspected of accessory neuropathy. In this report, we aimed to illustrate a very rare case with concurrent traumatic cranial neuropathies of accessory nerve, suprascapular nerve, and long thoracicus. A 16-year-old boy was admitted with complaints of shoulder weakness and pain following a trauma of strain injury. He had first taken the misdiagnosis of brachial plexopathy; however, after a detailed physical examination and electrophysiological study, the diagnosis of concurrent traumatic neuropathies of accessory, suprascapular, and long thoracicus nerves was made. In our opinion, during evaluation of these rare traumatic neuropathies, detailed clinical evaluations combined with detailed electromyography investigations may give crucial data for the proper diagnosis.http://www.archtrauma.com/article.asp?issn=2251-953X;year=2017;volume=6;issue=4;spage=94;epage=97;aulast=Onderaccessory nerveelectromyographylong thoracic nervesuprascapular nervetraumatic neuropathy
spellingShingle Halil Onder
F Gokcem Yildiz
Gulay Nurlu
Kubilay Varli
A Very Rare Cause of Shoulder Weakness: Concurrent Traumatic Neuropathies of Accessory, Long Thoracicus, and Suprascapular Nerves
Archives of Trauma Research
accessory nerve
electromyography
long thoracic nerve
suprascapular nerve
traumatic neuropathy
title A Very Rare Cause of Shoulder Weakness: Concurrent Traumatic Neuropathies of Accessory, Long Thoracicus, and Suprascapular Nerves
title_full A Very Rare Cause of Shoulder Weakness: Concurrent Traumatic Neuropathies of Accessory, Long Thoracicus, and Suprascapular Nerves
title_fullStr A Very Rare Cause of Shoulder Weakness: Concurrent Traumatic Neuropathies of Accessory, Long Thoracicus, and Suprascapular Nerves
title_full_unstemmed A Very Rare Cause of Shoulder Weakness: Concurrent Traumatic Neuropathies of Accessory, Long Thoracicus, and Suprascapular Nerves
title_short A Very Rare Cause of Shoulder Weakness: Concurrent Traumatic Neuropathies of Accessory, Long Thoracicus, and Suprascapular Nerves
title_sort very rare cause of shoulder weakness concurrent traumatic neuropathies of accessory long thoracicus and suprascapular nerves
topic accessory nerve
electromyography
long thoracic nerve
suprascapular nerve
traumatic neuropathy
url http://www.archtrauma.com/article.asp?issn=2251-953X;year=2017;volume=6;issue=4;spage=94;epage=97;aulast=Onder
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