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Suprascapular Neuropathy. Results of Non-Operative Treatment*
SCOTT DAVID MARTIN, M.D.†; RUSSELL F. WARREN, M.D.‡; TAMARA L. MARTIN, M.D.†; KEVIN KENNEDY, P.T./A.T.C.‡; STEPHEN J. O'BRIEN, M.D.‡; THOMAS L. WICKIEWICZ, M.D.‡, NEW YORK, N.Y.
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Investigation performed at the Department of Sports Medicine and Shoulder Surgery, The Hospital for Special Surgery, Affiliated with The New York Hospital—Cornell University Medical College, New York City
J Bone Joint Surg Am, 1997 Aug 01;79(8):1159-65
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Abstract

We retrospectively reviewed the results of non-operative treatment of suprascapular neuropathy in fifteen patients seen between November 1983 and February 1991. The clinical diagnosis was confirmed with electrodiagnostic studies. The treatment consisted of a program of physical therapy to improve the range of motion of the shoulder and to strengthen the surrounding muscles. The average duration of follow-up was three years and eleven months (range, one year to eight years and ten months). The latest evaluation included electrodiagnostic studies of the affected extremity and dynamic isokinetic testing of both upper extremities. The result was excellent for five patients and good for seven. The three remaining patients had operative treatment because of persistent symptoms; one of these patients had an excellent result, one had a good result, and one had a poor result.The results suggest that, in the absence of a well defined lesion producing mechanical compression of the suprascapular nerve, suprascapular neuropathy should be treated non-operatively.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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