Suprascapular Neuropathy Related to the Use of Crutches

Shabas, Debra; Scheiber, Marjorie

doi:10.1097/00002060-198612000-00002

Cited by 15 publications

(7 citation statements)

References 0 publications

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“…One case each of suprascapular and long thoracic neuropathy were also reported. 19,20 In 11 cases, the crutches were discontinued. Eight of these patients were advised to progress to unaided ambulation.…”

Section: Neurological Axillary Crutch-related Injuriesmentioning

confidence: 99%

Injuries Associated with Crutch Use: A Narrative Review

Manocha

MacGillivray

Eshraghi

et al. 2020

PM&R

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Crutches are commonly prescribed in physiatric settings to help offload the lower extremities. Crutch use, however, results in abnormal and repetitive weight-bearing through the upper extremities that may result in secondary injury. This narrative review investigates injury types and risk factors associated with crutch use in order to guide healthcare providers on injury prevention strategies. Medline, EMBASE, CINAHL, and the Cochrane Library were systematically reviewed for publications between 1950 and 2018 on neurological, musculoskeletal, or vascular complications associated with crutch use. Titles and abstracts (n = 2395) were screened by two authors. Sixty studies were eligible. Articles were reviewed for level of evidence, crutch type, participant characteristics, and injury characteristics. There were 42 axillary crutch studies, 12 forearm crutch studies, and 6 studies that did not specify crutch type. These studies incorporated 622 individuals, and most were case series or case reports (n = 54). Axillary crutch use was most commonly associated with axillobrachial arterial complications due to pressure from the axillary bar (n = 34). Forearm crutch use was most commonly associated with compressive neuropathies due to pressure from the forearm cuff (n = 6). Improper crutch fitting and/or use were identified as contributing factors to injury in 22 cases. Duration of crutch use and medical comorbidities also influenced the types of injuries seen. There are rare but potentially serious complications associated with crutch use. When prescribing crutches, clinicians should ensure they are properly fit, engage in appropriate gait training, be aware of common crutch-related injuries, and consider potential patient-specific injury risk factors in order to minimize injury risk.

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Section: Neurological Axillary Crutch-related Injuriesmentioning

confidence: 99%

Injuries Associated with Crutch Use: A Narrative Review

Manocha

MacGillivray

Eshraghi

et al. 2020

PM&R

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“…36 It has been atributed to the improper use of crutches. 30 Multiple reports emphasize the common association of suprascapular neuropathy and, in particular, the presence of isolated infraspinatus weakness in the ''smashing arm'' of elite volleyball athletes. 7,12,18,21,29,33 The clinical and electrophysiological evaluation of 36 elite volleyball players demonstrated suprascapular neuropathy in 28%.…”

Section: Discussionmentioning

confidence: 99%

Suprascapular neuropathy related to a glenohumeral joint cyst

1999

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“…Users of axillary crutches additionally risk vascular and arterial compression because of increased axillary weight bearing. 18,19 A new ambulatory device that eliminates the above concerns of muscle, joint, and vascular stresses is the Strutter® Functional Orthosis System (SFOS) (Orthotic Mobility Systems Inc., Kensington, MD) (Fig. 1).…”

Section: Decision Making In Choosing Mobility Devicesmentioning

confidence: 99%