Türk Nöroşirürji Dergisi 2012 , Vol 22 , Num 2
Isolated Dorsal Scapular Nerve Lesion Due to Penetrating Injury: Case Report
Ali Kıvanç TOPUZ, Ahmet EROĞLU, Selçuk GÖÇMEN, Cem ATABEY, Ahmet ÇOLAK, Mehmet Nusret DEMİRCAN
GATA Haydarpaşa Eğitim Hastanesi, Beyin Cerrahisi Servisi, İstanbul, Türkiye Isolated Dorsal Scapular Nerve (DSN) lesion is a peripheric nerve lesion quite rarely seen. Trauma in etiology happens due to repetitive abnormal scapula movements and iatrogenic reasons. DSN injury due to traction and extension is the most probable pathomechanism. Shoulder ache and limit of movements in shoulder are primary symptoms that help diagnosis of dorsal scapular nerve damage before development of muscular atrophy. The nervus thoracicus longus and nervus accessorious lesion, which cause shoulder ache, should be considered in differential diagnosis in other pathologies, such as neuralgic amyotrophy, C7 radiculopathy, tendinitis, trauma and degenerative diseases. While partial or total peripheric nerve lesions developing due to mass lesions and cuts are cured surgically, peripheric nerve damages due to extensive use are cured through physiotherapy modalities. In this presentation; a case of right shoulder ache and weakness, connected to isolated dorsal scapular nerve neuropathy due to penetrating injury is discussed. Anahtar Kelimeler : Dorsal scapular nerve, Peripheric nerve, Electromyography, Penetrating nerve injury