RESUMO
Athletes are at particular risk of compromise of the neurovascular structures of the shoulder-specifically, neurovascular conditions distal to the brachial plexus. These conditions include thoracic outlet syndrome, axillary artery occlusion, effort thrombosis, suprascapular nerve entrapment, quadrilateral space syndrome, and complex regional pain syndrome. When diagnosed properly and in a timely fashion, function of the limb can be preserved. To accomplish this, the physician must possess a detailed understanding of the various clinical presentations, diagnostic techniques, and treatment options.
Assuntos
Traumatismos em Atletas/diagnóstico , Lesões do Ombro , Arteriopatias Oclusivas/etiologia , Traumatismos em Atletas/complicações , Axila/inervação , Artéria Axilar/patologia , Síndromes da Dor Regional Complexa/etiologia , Humanos , Síndromes de Compressão Nervosa/etiologia , Paralisia/etiologia , Escápula/inervação , Articulação do Ombro/irrigação sanguínea , Articulação do Ombro/inervação , Síndrome do Desfiladeiro Torácico/etiologia , Trombose/etiologiaRESUMO
The neurovascular structures traversing the shoulder region can be compromised in a number of ways. Athletes are particularly at risk of neurovascular injury to the shoulder as the result of extreme force and stress on the shoulder girdle. Many such injuries have been described in the literature as cervical radiculitis, spinal accessory nerve injury, long thoracic nerve palsy, burner (stinger) syndrome, and brachial neuritis. A high index of diagnostic acumen and proper selection of clinical assessment and imaging techniques are needed to diagnose such injuries.
