Skip to main content
Top
Published in: MUSCULOSKELETAL SURGERY 1/2010

01-05-2010

Treatment of scapula dyskinesia with botulin toxin: two case reports

Authors: Isabella Fusaro, Stefania Orsini, Chiara Bellenghi, Silvia Smeraldi, Roberto Rotini, Fabrizio Sinapi

Published in: MUSCULOSKELETAL SURGERY | Special Issue 1/2010

Login to get access

Abstract

We report two cases of scapula-thoracic dyskinesia with different etiologies where both patients complained of functional limitation and pain in the shoulder. The first case was caused by a road accident, the second by sequelae of surgery to remove aggressive scapula-axillary fibromatosis. In both patients, therapy with botulin toxin type A (Botox) was performed, which determined a reduction in pain. In the first case, there was also an improvement in function. There were no side effects in the two patients after the injections.
Literature
2.
go back to reference Cossu G, Melis M, Melis G, Ferrigno P, Molari A (2004) Persistent abnormal shoulder elevation after accessory nerve injury and differential diagnosis with post-traumatic focal shoulder elevation dystonia: report of a case and literature review. Mov Disord 19(9):1109–1111CrossRefPubMed Cossu G, Melis M, Melis G, Ferrigno P, Molari A (2004) Persistent abnormal shoulder elevation after accessory nerve injury and differential diagnosis with post-traumatic focal shoulder elevation dystonia: report of a case and literature review. Mov Disord 19(9):1109–1111CrossRefPubMed
3.
go back to reference De Boer KS, Rozing PM, Arendzen JH (2004) Treatment of recurrent posterior dislocation of the shoulder in cerebral palsy by injection with botulinum toxin A into the m. subscapularis. Clin Rehabil 18(7):764–766CrossRefPubMed De Boer KS, Rozing PM, Arendzen JH (2004) Treatment of recurrent posterior dislocation of the shoulder in cerebral palsy by injection with botulinum toxin A into the m. subscapularis. Clin Rehabil 18(7):764–766CrossRefPubMed
4.
go back to reference Kibler WB, McMullen J (2003) Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg 11:142–151PubMed Kibler WB, McMullen J (2003) Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg 11:142–151PubMed
5.
go back to reference Ljung BO, Forsgren S, Friden J (1999) Substance P and calcitonin gene-related peptide expression at the extensor carpi radialis brevis muscle origin: implications for the etiology of tennis elbow. J Orthop Res 17(4):554–559CrossRefPubMed Ljung BO, Forsgren S, Friden J (1999) Substance P and calcitonin gene-related peptide expression at the extensor carpi radialis brevis muscle origin: implications for the etiology of tennis elbow. J Orthop Res 17(4):554–559CrossRefPubMed
6.
go back to reference Prithvi Raj P (1997) Botulinum toxin in the treatment of pain associated with musculoskeletal hyperactivity. Curr Rev Pain 1:403–416 Prithvi Raj P (1997) Botulinum toxin in the treatment of pain associated with musculoskeletal hyperactivity. Curr Rev Pain 1:403–416
7.
go back to reference Rockwood CA, Matsen FA (1998) The shoulder. W.B. Saunders Company, Philadelphia Rockwood CA, Matsen FA (1998) The shoulder. W.B. Saunders Company, Philadelphia
8.
go back to reference Saenz A, Avellanet M, Garreta R (2003) Use of botulinum toxin type A on orthopedics: a case report. Arch Phys Med Rehabil 84(7):1085–1086CrossRefPubMed Saenz A, Avellanet M, Garreta R (2003) Use of botulinum toxin type A on orthopedics: a case report. Arch Phys Med Rehabil 84(7):1085–1086CrossRefPubMed
9.
go back to reference Scott AB (1980) Botulinum toxin injection into extra-ocular muscles as an alternative to strabismus surgery. Ophthamology 87:1044–1049 Scott AB (1980) Botulinum toxin injection into extra-ocular muscles as an alternative to strabismus surgery. Ophthamology 87:1044–1049
10.
go back to reference Simpson L (1981) Pharmacological studies on the cellular and subcellular effects of botulinum toxin. In: Lewis GE (ed) Biomedical aspects of botulism. Academic Press, New York Simpson L (1981) Pharmacological studies on the cellular and subcellular effects of botulinum toxin. In: Lewis GE (ed) Biomedical aspects of botulism. Academic Press, New York
11.
go back to reference Sinha A, Higginson DW, Vickers A (1999) Use of botulinum A toxin in irreducible shoulder dislocation caused by spasm of pectoralis mayor. J Shoulder Elbow Surgery 8:75–76CrossRef Sinha A, Higginson DW, Vickers A (1999) Use of botulinum A toxin in irreducible shoulder dislocation caused by spasm of pectoralis mayor. J Shoulder Elbow Surgery 8:75–76CrossRef
12.
go back to reference Van Ermengem E (1928) A new anaerobic bacillus and its relation to botulism. Rev Infect Dis 43:152–160 Van Ermengem E (1928) A new anaerobic bacillus and its relation to botulism. Rev Infect Dis 43:152–160
13.
go back to reference Yelnik AP, Colle FMC, Bonan IV, Vicaut E (2007) Treatment of shoulder pain in spastic hemiplegia by reducing spasticity of the subscapular muscle: a randomized, double blind, placebo control study of botulinum toxin A. J Neurosurg Pschiatry 78:845–848CrossRef Yelnik AP, Colle FMC, Bonan IV, Vicaut E (2007) Treatment of shoulder pain in spastic hemiplegia by reducing spasticity of the subscapular muscle: a randomized, double blind, placebo control study of botulinum toxin A. J Neurosurg Pschiatry 78:845–848CrossRef
14.
go back to reference Yelnik AP, Colle FMC, Bonan IV (2003) Treatment of pain and limited movement of the shoulder in hemiplegic patient with botulinum toxin A in the subscapular muscle. Eur Neurol 50(2):91–93CrossRefPubMed Yelnik AP, Colle FMC, Bonan IV (2003) Treatment of pain and limited movement of the shoulder in hemiplegic patient with botulinum toxin A in the subscapular muscle. Eur Neurol 50(2):91–93CrossRefPubMed
Metadata
Title
Treatment of scapula dyskinesia with botulin toxin: two case reports
Authors
Isabella Fusaro
Stefania Orsini
Chiara Bellenghi
Silvia Smeraldi
Roberto Rotini
Fabrizio Sinapi
Publication date
01-05-2010
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue Special Issue 1/2010
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-010-0071-x

Other articles of this Special Issue 1/2010

MUSCULOSKELETAL SURGERY 1/2010 Go to the issue