1. Unsafe workout: a weak and painful shoulder in a professional volleyball player
- Author
-
Sara Rovai, Andrea Ermolao, Veronica Baioccato, and Michela Brogi
- Subjects
Adult ,Male ,Weakness ,medicine.medical_specialty ,Weight Lifting ,Accessory nerve ,Accessory Nerve Injuries ,medicine.medical_treatment ,Electromyography ,03 medical and health sciences ,Accessory Nerve ,0302 clinical medicine ,Physical medicine and rehabilitation ,Scapula ,Shoulder Pain ,Axonotmesis ,Humans ,Medicine ,Range of Motion, Articular ,Muscle, Skeletal ,Physical Therapy Modalities ,Denervation ,Palsy ,Rehabilitation ,medicine.diagnostic_test ,business.industry ,Recovery of Function ,030229 sport sciences ,General Medicine ,musculoskeletal system ,medicine.disease ,Return to Sport ,body regions ,Volleyball ,Athletic Injuries ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect - Abstract
A 29-year-old professional volleyball player started complaining of a dull ache in the right lateral base of the neck. This pain arose during a preseasonal athletic training intense session. After 3 days, he presented deficiency of right scapula adduction, limitation of scapula elevation, right shoulder weakness and local mild pain. He had asymmetrical neckline with drooping of the affected shoulder, lateral displacement and minimal winging of the right scapula. After 1 week, hypothrophy of superior trapezius appeared. An electromyography of right upper limb showed a denervation in the upper, middle and lower components of the right trapezius muscle, due to axonotmesis of spinal accessory nerve (SAN). A subsequent MRI was consistent with muscular suffering caused by early denervation. This case shows idiopathic SAN palsy, likely secondary to an inappropriate use of a weight-lifting machine, where the athlete recovered after an adequate rest and rehabilitation period.
- Published
- 2019
- Full Text
- View/download PDF