Different Patterns of Neurogenic Quadrilateral Space Syndrome
Author Information
Author(s): Porcellini Giuseppe, Brigo Alberto, Novi Michele, De Santis Elisa, Di Giacomo Silvia, Giorgini Andrea, Micheloni Gian Mario, Bonfatti Rocco, Donà Alessandro, Tarallo Luigi
Primary Institution: University of Modena and Reggio Emilia, Modena, Italy
Hypothesis
This study aims to present a case series of patients diagnosed with neurogenic quadrilateral space syndrome and describe different clinical presentations.
Conclusion
The study suggests that proper classification and early diagnosis of quadrilateral space syndrome can lead to effective conservative treatment, potentially avoiding surgery.
Supporting Evidence
- All patients underwent conservative treatment, with only one experiencing complete resolution of symptoms.
- The study proposes classifying quadrilateral space syndrome as either 'dynamic' or 'static' based on clinical history and MRI findings.
- Prompt diagnosis and treatment can lead to effective rehabilitation without the need for surgery.
Takeaway
Quadrilateral space syndrome is a rare shoulder condition that can cause pain and weakness, but with the right diagnosis and treatment, many athletes can recover without surgery.
Methodology
The study involved a detailed medical history, clinical examination, MRI, EMG, and ultrasound-guided injections for diagnosis and treatment.
Limitations
The study is limited by the small number of cases and the complexity of diagnosing a rare syndrome.
Participant Demographics
The participants were competitive athletes, predominantly young males aged 17 to 54, involved in overhead sports.
Digital Object Identifier (DOI)
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