The omohyoideus myofascial pain syndrome: report of four patients.
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Biomedical subjects
Publications and source records attributed to M R Rask.
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Axonotmesis of the suprascapular nerve mimics rupture of the musculotendinous cuff of the shoulder. Arthrography of the shoulder joint and electromyographic studies of the shoulder muscles are essential in arriving at the proper diagnosis. Axonotmesis of the suprascapular nerve should be suspected in the patient who presents with signs of ruptured musculotendinous cuff and who has a normal arthrogram.
Spondylolisthesis resulting from osteogenesis imperfecta has been very rarely documented in the literature. The possibility that osteofragility of the isthmus of the fifth lumbar vertabral can cause spondylolisthesis is noteworthy in the case of a 40-year-old man with trias fragilitas ossium hereditaria.
Pain may be the earliest symptom of anterior interosseous nerve entrapment (Kiloh-Nevin syndrome), and seems not to have been described before. The arcuate ligament of Fearn and Goodfellow may entrap the median as well as the anterior interosseous nerves, in which case a patient may have numbness as well as pain. Rheumatoid disease and gouty arthritis may be a predisposing factor in anterior interosseous nerve entrapment.
A 60-year-old menopausal woman, who was in otherwise good health, save for morbid obesity, developed fatigue fractures of her ossa pubes, bilaterally, superiority and inferiorly. This type of pathologic fracture seems not to have been reported previously.
Three patients with De Quervain's disease developed superficial radial neuritis, a complication which seems not to have been considered in the literature. All 3 patients were women. One responded to conservative therapy and the other 2 required tenolysis of the abductor pollicis longus and extensor pollicis brevis tendon sheaths to relieve symptoms.
Entrapment of the medial plantar nerve in the longitudinal arch causes burning heel pain, aching in the arch, and deficient sensation in the sole of the foot behind the great toe. Long distance valgus running may cause such a disorder in a jogger and the condition usually responds to conservative measures which include a change in running posture of the foot, anti-inflammatory medications, and proper footwear. The name "jogger's foot" is selected for this clinical syndrome.
Suprascapular nerve entrapment occurs in the shoulder after a severe forward flexing injury (hyperprotraction) because of tethering of the nerve in the scapular notch. Unrelenting pain in this shoulder region is relieved by section of the transverse scapular ligament in most cases. Two patients, reported here, had temporary relief from simple transverse scapular ligament release and later lasting relief of pain from scapular notch resection. These observations suggest that primary wide notch resection may be the preferable procedure.