fbpx
Wikipedia

Quadrilateral space syndrome

Quadrilateral space syndrome is a rotator cuff denervation syndrome in which the axillary nerve is compressed at the quadrilateral space of the rotator cuff.

Quadrilateral space syndrome
Other namesQuadrangular space syndrome
Shoulder muscle (rotator cuff)
SpecialtyNeurology

Cause edit

Diagnosis edit

Diagnosis is usually suspected by clinical history and confirmed by MRI, in which edema of the teres minor is seen, with variable involvement of the deltoid. The circumflex humeral artery may also be compressed. Before the advent of MRI, compression of this vessel on angiography used to be the mechanism of diagnosis, although this is no longer done as it is an invasive procedure.

Atrophy can occur in cases of chronic nerve impingement.[1][2] It can be associated with a glenoid labral cyst, with the cyst also reflecting injury of the glenoid labrum.[3]

Differential diagnosis edit

Differential considerations include similar rotator cuff denervation syndromes such as Parsonage–Turner syndrome, and compression of the suprascapular nerve at the spinoglenoid notch in which the infraspinatus, and to a lesser degree supraspinatus is involved.

Treatment edit

Treatment is decompression of the quadrilateral space, with supportive therapy in recalcitrant cases.[1]

See also edit

References edit

  1. ^ a b Cothran, R. Lee; Helms, Clyde (2005-03-01). "Quadrilateral space syndrome: incidence of imaging findings in a population referred for MRI of the shoulder". AJR. American Journal of Roentgenology. 184 (3): 989–992. doi:10.2214/ajr.184.3.01840989. ISSN 0361-803X. PMID 15728630.
  2. ^ Brestas, Paraskevas S.; Tsouroulas, Marinos; Nikolakopoulou, Zoi; Malagari, Katerina; Drossos, Charalampos (2006-09-01). "Ultrasound findings of teres minor denervation in suspected quadrilateral space syndrome". Journal of Clinical Ultrasound. 34 (7): 343–347. doi:10.1002/jcu.20239. ISSN 0091-2751. PMID 16869012. S2CID 6341877.
  3. ^ Robinson, P.; White, L. M.; Lax, M.; Salonen, D.; Bell, R. S. (2000-10-01). "Quadrilateral space syndrome caused by glenoid labral cyst". AJR. American Journal of Roentgenology. 175 (4): 1103–1105. doi:10.2214/ajr.175.4.1751103. ISSN 0361-803X. PMID 11000173.

quadrilateral, space, syndrome, rotator, cuff, denervation, syndrome, which, axillary, nerve, compressed, quadrilateral, space, rotator, cuff, other, namesquadrangular, space, syndromeshoulder, muscle, rotator, cuff, specialtyneurology, contents, cause, diagno. Quadrilateral space syndrome is a rotator cuff denervation syndrome in which the axillary nerve is compressed at the quadrilateral space of the rotator cuff Quadrilateral space syndromeOther namesQuadrangular space syndromeShoulder muscle rotator cuff SpecialtyNeurology Contents 1 Cause 2 Diagnosis 2 1 Differential diagnosis 3 Treatment 4 See also 5 ReferencesCause editThis section is empty You can help by adding to it October 2017 Diagnosis editDiagnosis is usually suspected by clinical history and confirmed by MRI in which edema of the teres minor is seen with variable involvement of the deltoid The circumflex humeral artery may also be compressed Before the advent of MRI compression of this vessel on angiography used to be the mechanism of diagnosis although this is no longer done as it is an invasive procedure Atrophy can occur in cases of chronic nerve impingement 1 2 It can be associated with a glenoid labral cyst with the cyst also reflecting injury of the glenoid labrum 3 Differential diagnosis edit Differential considerations include similar rotator cuff denervation syndromes such as Parsonage Turner syndrome and compression of the suprascapular nerve at the spinoglenoid notch in which the infraspinatus and to a lesser degree supraspinatus is involved Treatment editTreatment is decompression of the quadrilateral space with supportive therapy in recalcitrant cases 1 See also editParsonage Turner syndrome Rotator cuff Sports medicine RadiologyReferences edit a b Cothran R Lee Helms Clyde 2005 03 01 Quadrilateral space syndrome incidence of imaging findings in a population referred for MRI of the shoulder AJR American Journal of Roentgenology 184 3 989 992 doi 10 2214 ajr 184 3 01840989 ISSN 0361 803X PMID 15728630 Brestas Paraskevas S Tsouroulas Marinos Nikolakopoulou Zoi Malagari Katerina Drossos Charalampos 2006 09 01 Ultrasound findings of teres minor denervation in suspected quadrilateral space syndrome Journal of Clinical Ultrasound 34 7 343 347 doi 10 1002 jcu 20239 ISSN 0091 2751 PMID 16869012 S2CID 6341877 Robinson P White L M Lax M Salonen D Bell R S 2000 10 01 Quadrilateral space syndrome caused by glenoid labral cyst AJR American Journal of Roentgenology 175 4 1103 1105 doi 10 2214 ajr 175 4 1751103 ISSN 0361 803X PMID 11000173 Retrieved from https en wikipedia org w index php title Quadrilateral space syndrome amp oldid 1172152910, wikipedia, wiki, book, books, library,

article

, read, download, free, free download, mp3, video, mp4, 3gp, jpg, jpeg, gif, png, picture, music, song, movie, book, game, games.