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논문KCI 등재

장사방형 공간에서 발생한 비외상성 양측 액와신경 손상

Nontraumatic Bilateral Axillary Nerve Injuries in Quadrilateral Space

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초록

The quadrilateral space syndrome is very rare clinical syndrome which is caused by compression of axillary nerve and posterior circumflex artery in quadrilateral space. Electromyography (EMG) is key study to confirm diagnosis with angiography and magnetic resonance image (MRI) as supplementary diagnostic tool. Though quadrilateral space syndrome is very rare, it should be considered with a patient with shoulder pain. We present a 36 years old man with pain and weakness of both shoulder after weight lifting which was diagnosed as quadrilateral space syndrome by EMG and MRI. The purpose of this report is to attract attention to an unusual etiology of shoulder pain.

Abstract

The quadrilateral space syndrome is very rare clinical syndrome which is caused by compression of axillary nerve and posterior circumflex artery in quadrilateral space. Electromyography (EMG) is key study to confirm diagnosis with angiography and magnetic resonance image (MRI) as supplementary diagnostic tool. Though quadrilateral space syndrome is very rare, it should be considered with a patient with shoulder pain. We present a 36 years old man with pain and weakness of both shoulder after weight lifting which was diagnosed as quadrilateral space syndrome by EMG and MRI. The purpose of this report is to attract attention to an unusual etiology of shoulder pain.

참고문헌 (10)

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  2. McClelland D, "The anatomy of the quadrilateral space with reference to quadrilateral space syndrome", J Shoulder Elbow Surg, 17, pp.162~164 (2008)
  3. Kim JM, "Injury of the anterior branch of axillary nerve after traumatic posterior dislocation of the shoulder", J Korean Acad Rehab Med, 19, pp.179~184 (1995)
  4. Apaydin N, "The anatomic relationships of the axillary nerve and surgical landmarks for its localization from the anterior aspect of the shoulder", Clin Anat, 20, pp.273~277 (2007)
  5. Gadahad MR, "Unusual orgin of radial collateral artery noted in quadrangular space syndrome", J Chin Med Assoc, 69, pp.276~277 (2006)
  6. Bentley FH, "Experiments on the blood supply of nerves", J. Physiol, 102, pp.62~71 (1943)
  7. Cormier PJ, "Quadrilateral space syndrome: A rare cause of shoulder pain", Radiology, 167, pp.797~798 (1988)
  8. Kang YS, "The pain of the shoulder joint and posterolateral area of upper arm", J Korean Pain Soc, 9, pp.105~108 (1996)
  9. Linker CS, "Quadrilateral space syndrome: findings at MT imaging", Radiology, 188, pp.675~676 (1993)
  10. Nishimura M, "Quadrilateral space syndrome: A rare complication of thoracic surgery", Ann Thorac Surg, 86, pp.1350~1351 (2008)

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