Interscapular pain
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
Overview
Interscapular pain is pain localized in the interscapular area between the shoulder blades. The most common causes of interscapular pain are due to secondary disease conditons. Primary causes of interscapular pain are rare.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Causes by Organ System
Cardiovascular | Acute myocardial infarction, aneurysm of sinus of valsalva, aortic dissection, aortic hammer syndrome, dissecting aortic aneurysm, dissecting intramural hematoma of the esophagus (DIHE), pulmonary embolism, ruptured aortic aneurysm |
Chemical/Poisoning | No underlying causes |
Dental | No underlying causes |
Dermatologic | Necrotizing fasciitis |
Drug Side Effect | No underlying causes |
Ear Nose Throat | No underlying causes |
Endocrine | No underlying causes |
Environmental | No underlying causes |
Gastroenterologic | Dissecting intramural hematoma of the esophagus (DIHE) |
Genetic | No underlying causes |
Hematologic | No underlying causes |
Iatrogenic | No underlying causes |
Infectious Disease | Chikungunya, Guillain-Barre syndrome, necrotizing fasciitis, posterior mediastinal abscess, spinal epidural abscess |
Musculoskeletal/Orthopedic | Acromioclavicular joint disclocation, dislocated shoulder, rotator cuff tear, shoulder instability, spinal disc herniation, spondylolisthesis |
Neurologic | Cervical disc disease, cervical radiculopathy, chronic fatigue syndrome, disc prolapse, dorsal scapular nerve entrapment, Guillain-Barre syndrome, spinal cord infarction, spinal cord injury, spinal disc herniation, spinal epidural abscess, spinal epidural hematoma, spontaneous intracranial hypotension, temporal arteritis |
Nutritional/Metabolic | No underlying causes |
Obstetric/Gynecologic | No underlying causes |
Oncologic | No underlying causes |
Ophthalmologic | Temporal arteritis |
Overdose/Toxicity | No underlying causes |
Psychiatric | Chronic fatigue syndrome |
Pulmonary | No underlying causes |
Renal/Electrolyte | Autosomal dominant polycystic kidney disease |
Rheumatology/Immunology/Allergy | Ankylosing spondylitis, chronic fatigue syndrome, fibromyalgia, Guillain-Barre syndrome, necrotizing fasciitis, polymyalgia rheumatica, spondylolisthesis, temporal arteritis |
Sexual | No underlying causes |
Trauma | Trauma, whiplash injury |
Urologic | No underlying causes |
Miscellaneous | No underlying causes |
Causes in Alphabetical Order
- ↑ Somasamudra P, Smith E, Tandan R (2011). "Aortic dissection presenting as pleural effusion". BMJ Case Rep. 2011. doi:10.1136/bcr.03.2011.3956. PMC 3118903. PMID 22692486.
- ↑ Zanobetti M, Bigiarini S, Coppa A, Conti A, Innocenti F, Pini R (2012). "Usefulness of chest ultrasonography in detecting pulmonary embolism in patient with chronic obstructive pulmonary disease and chronic renal failure: a case report". Am J Emerg Med. 30 (8): 1665.e1–3. doi:10.1016/j.ajem.2011.09.021. PMID 22154162.
- ↑ Lescan M, Walker T, Kobba J, Schneider W, Schlensak C (2014). "The preoperative management of a patient with a large aneurysm of the sinus of valsalva and takotsubo cardiomyopathy". Gen Thorac Cardiovasc Surg. 62 (1): 64–7. doi:10.1007/s11748-013-0212-x. PMID 23378016.
- ↑ Komen N, Vercauteren S, de Roover D (2011). "Aortic hammer syndrome". J Endovasc Ther. 18 (4): 497–500. doi:10.1583/11-3475.1. PMID 21861736.
- ↑ Rodrigues L, Neves M, Machado S, Sá H, Macário F, Alves R; et al. (2012). "Uncommon cause of chest pain in a renal transplantation patient with autosomal dominant polycystic kidney disease: a case report". Transplant Proc. 44 (8): 2507–9. doi:10.1016/j.transproceed.2012.07.014. PMID 23026633.
- ↑ Tanaka Y, Kokubun S, Sato T, Ozawa H (2006). "Cervical roots as origin of pain in the neck or scapular regions". Spine (Phila Pa 1976). 31 (17): E568–73. doi:10.1097/01.brs.0000229261.02816.48. PMID 16924193.
- ↑ Barbier O, Van Gaver E, Rigal S (2010). "[A bilateral posterior shoulder dislocation caused by humeral head osteonecrosis]". Chir Main. 29 (1): 48–51. doi:10.1016/j.main.2009.11.008. PMID 20093062.
- ↑ Fukushima K, Kamisawa O, Yamaguchi T, Misawa Y, Kato M, Hasegawa T (1992). "[Dissecting aortic aneurysm involving an aberrant right subclavian artery]". Nihon Kyobu Geka Gakkai Zasshi. 40 (2): 278–81. PMID 1593169.
- ↑ Pomara C, Bello S, D'Errico S, Greco M, Fineschi V (2013). "Sudden death due to a dissecting intramural hematoma of the esophagus (DIHE) in a woman with severe neurofibromatosis-related scoliosis". Forensic Sci Int. 228 (1–3): e71–5. doi:10.1016/j.forsciint.2013.02.005. PMID 23453641.
- ↑ Sultan HE, Younis El-Tantawi GA (2013). "Role of dorsal scapular nerve entrapment in unilateral interscapular pain". Arch Phys Med Rehabil. 94 (6): 1118–25. doi:10.1016/j.apmr.2012.11.040. PMID 23220342.
- ↑ Ruts L, van Koningsveld R, Jacobs BC, van Doorn PA (2007). "Determination of pain and response to methylprednisolone in Guillain-Barré syndrome". J Neurol. 254 (10): 1318–22. doi:10.1007/s00415-006-0515-2. PMC 2778673. PMID 17426908.
- ↑ Rostgaard-Knudsen M, Holst-Hansen C, Schønheyder HC (2011). "[Necrotising fasciitis in a patient infected by Streptococcus pneumoniae]". Ugeskr Laeger. 173 (24): 1732–4. PMID 21696680.
- ↑ Ahmad R, Ishlah W, Shaharudin MH, Sathananthar KS, Norie A (2008). "Posterior mediastinal abscess secondary to esophageal perforation following fish bone ingestion". Med J Malaysia. 63 (2): 162–3. PMID 18942310.