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SUPRASCAPULAR NERVE SYNDROME AS REVEALED BY NEW (ANTERIOR) APPROACH IN INDUCTION OF BLOCK

SUPRASCAPULAR NERVE SYNDROME AS REVEALED BY NEW (ANTERIOR) APPROACH IN INDUCTION OF BLOCK Abstract MY INTEREST in the suprascapular nerve stems from the year 1946, when I encountered in rapid succession three cases of causalgia with phantom limb and spasms in arm stumps, attaining permanent relief in all by alcohol block of the suprascapular nerve.1 One of these patients reported recently to show me the latest type of artificial limb he was using. He has had no recurrence of the painful phenomenon in the 8 years. However, finding the standard posterior approach too involved, I sought a more facile anterior approach, with the result shown in the Figure, in which the nerve is all but subcutaneous (subfascial). With the incentive offered by this handier approach, I have studied 50 cases of suprascapular neuritis through the 8-year period since the occurrence of this case. From these data (Tables) there emerges a definite syndrome. SUPRASCAPULAR NERVE SYNDROME The patients come into the office complaining of References 1. Thus, only the lateral and posterior cords of the brachial plexus are subject to irritation by the traction of the suprascapular nerve. 2. Skillern, P. G.: J. Nerv. & Ment. Dis. 195:449 ( (May) ) 1947. 3. Skillern,1 p. 458. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

SUPRASCAPULAR NERVE SYNDROME AS REVEALED BY NEW (ANTERIOR) APPROACH IN INDUCTION OF BLOCK

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Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1954.02320380051006
Publisher site
See Article on Publisher Site

Abstract

Abstract MY INTEREST in the suprascapular nerve stems from the year 1946, when I encountered in rapid succession three cases of causalgia with phantom limb and spasms in arm stumps, attaining permanent relief in all by alcohol block of the suprascapular nerve.1 One of these patients reported recently to show me the latest type of artificial limb he was using. He has had no recurrence of the painful phenomenon in the 8 years. However, finding the standard posterior approach too involved, I sought a more facile anterior approach, with the result shown in the Figure, in which the nerve is all but subcutaneous (subfascial). With the incentive offered by this handier approach, I have studied 50 cases of suprascapular neuritis through the 8-year period since the occurrence of this case. From these data (Tables) there emerges a definite syndrome. SUPRASCAPULAR NERVE SYNDROME The patients come into the office complaining of References 1. Thus, only the lateral and posterior cords of the brachial plexus are subject to irritation by the traction of the suprascapular nerve. 2. Skillern, P. G.: J. Nerv. & Ment. Dis. 195:449 ( (May) ) 1947. 3. Skillern,1 p. 458.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Feb 1, 1954

References