
Shoulder Pain: To Think Beyond the Myo-osseous Elements: A Case Report
RD01-RD03
Correspondence
Dr. MJ Abhinand,
Junior Resident, Department of Orthopaedics, SRM Medical College Hospital and Research Centre, Kattankulathur, Chengalpettu-603203, Chennai, Tamil Nadu, India.
E-mail: am2398@srmist.edu.in
Shoulder pain and weakness present a complex clinical landscape, often originating from common aetiologies such as rotator cuff tears, tendinitis and joint osteoarthritis. However, the significance of suprascapular nerve injury, particularly when associated with entrapment by ganglion cysts at specific notches, should not be ignored. This is exemplified by the case of a 22-year-old semi-skilled labourer who presented with right shoulder pain for two years, which began after trauma. He experienced muscle weakness and joint line tenderness and was diagnosed with a ganglion cyst in the spinoglenoid notch, causing suprascapular neuropathy. He subsequently underwent open decompression. This case emphasises the need to consider uncommon causes in shoulder diagnostics. Diagnostic tools such as Magnetic Resonance Imaging (MRI), Electromyography (EMG) and Nerve Conduction Studies (NCS) play crucial roles in identifying and evaluating suprascapular nerve dysfunction. While conservative management involving rest, physiotherapy and Non Steroidal Anti-Inflammatory Drugs (NSAIDs) is often the initial approach, surgical interventions, including percutaneous aspiration, open excision, or arthroscopic decompression, may be warranted in cases of non responsivenes or the presence of space-occupying lesions. This positive postoperative outcome underscores the effectiveness of timely surgical intervention when conservative measures prove insufficient. The case contributes valuable insights into the understanding and management of suprascapular nerve injuries, highlighting the necessity of a comprehensive approach for optimal patient outcomes.