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Tumoral calcinosis is a rare disorder characterized by the deposition of calcium phosphate crystals in periarticular soft tissues, often presenting as asymptomatic masses. However, these calcific masses can occasionally cause significant morbidity by compressing adjacent neurovascular structures. We report a rare case of tumoral calcinosis leading to peripheral nerve compression of the suprascapular nerve in a 55-year-old female.

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Common sports-related nerve injuries seen by the electrodiagnostic medical consultant.

Muscle Nerve

November 2024

Department of Medicine, Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, Ontario, Canada.

The high physiologic demands of sports create dynamic stress on joints, soft tissues, and nerves which may lead to injuries in the athlete. Electrodiagnostic (EDx) assessment is essential to identify the correct diagnosis, localization, and prognosis, to guide management of sports-related neuropathies. A comprehensive review was performed to provide the EDx medical consultant with a practical approach to the common peripheral nerve disorders seen in athletes.

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Background: Paralabral cysts at the spinoglenoid notch are rare disorders that can potentially lead to compressive suprascapular neuropathy. Given their infrequency, a standard treatment protocol has not yet been established.

Hypothesis/purpose: This study aimed to assess changes in the infraspinatus muscle using magnetic resonance imaging (MRI) and to compare the outcomes of 2 different surgical methods.

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Article Synopsis
  • Paralabral cysts in the shoulder often develop due to issues like labral tears and can cause nerve compression, leading to muscle weakness and limited movement.
  • Traditional treatment involves MRI diagnosis, surgical repairs, and cyst removal, but less invasive methods such as ultrasound-guided cyst aspiration are emerging as viable alternatives.
  • A case study of a patient with a paralabral cyst showed that ultrasound-guided aspiration led to complete symptom relief and recovery without complications, highlighting its potential as a patient-friendly option compared to surgery.
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Suprascapular nerve (SSN) entrapment is a rare but significant cause of posterior shoulder pain and weakness. Compression of the nerve at the level of the spinoglenoid notch leads to weakness and atrophy of the infraspinatus. A detailed history and physical examination along with appropriate workup are paramount to arrive at this diagnosis.

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