Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210054
Brazilian Journal of Pain
Review Article

Musculoskeletal changes and pain in Parsonage Turner syndrome patients: integrative review

Alterações musculoesqueléticas e dor em pacientes portadores da síndrome de Parsonage Turner: revisão integrativa

Iago Lisboa Santos; Vitor Guida Souza

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Abstract

BACKGROUND AND OBJECTIVES: Parsonage Turner Syndrome (PTS) is rare, with an incidence of 2 to 3 cases per 100,000 individuals per year. It's accompanied by intense, self-limiting pain, disappearing after weeks, followed by muscle weakness. The aim of the present study was to describe the musculoskeletal changes, muscle variations, and the pain scenario affected by the syndrome.

METHODS: Integrative review performed in the LILACS, Scielo and Pubmed databases. The inclusion criteria established were case studies, case series, clinical trials and cohort studies in Portuguese, English and Spanish languages, published between 2010 and 2020, which addressed the muscle changes and pain caused by PTS.

RESULTS: Seven scientific articles that met the inclusion criteria were analyzed, with a total sample of 183 patients aged between 7 and 65 years.

CONCLUSION: Generally, patients present alterations of the posterior interosseous nerves, anterior interosseous, axillary, long thoracic and suprascapular, muscular atrophy of the deltoid, supraspinal and infraspinal regions, with pain lasting an average of 15 days in the shoulder and scapular regions.

Keywords

Brachial plexus neuritis, Parsonage-Turner syndrome, Musculoskeletal pain

Resumo

JUSTIFICATIVA E OBJETIVOS: A síndrome de Parsonage Turner (SPT) é rara, com incidência de 2 a 3 casos por 100.000 habitantes ao ano. Apresenta-se com dor intensa e auto restritiva, desaparecendo após semanas, seguida de fraqueza muscular. O objetivo deste estudo foi descrever as alterações musculoesqueléticas, variações musculares e quadro doloroso afetados pela síndrome.

MÉTODOS: Revisão integrativa nas bases de dados LILACS, Scielo e Pubmed. Os critérios de inclusão estabelecidos foram estudos de casos, séries de casos, ensaios clínicos e estudos de coortes nos idiomas português, inglês e espanhol, publicados entre 2010 e 2020, que abordaram as alterações musculares e dor causadas pela SPT.

RESULTADOS: Foram analisados sete artigos científicos que preencheram os critérios de inclusão, com amostra total de 183 pacientes com idade entre 7 e 65 anos de idade.

CONCLUSÃO: Geralmente os pacientes apresentam alterações dos nervos interósseo posterior, interósseo anterior, axilar, torácico longo e supraescapular, atrofia muscular das regiões de deltoide, supraespinhal e infraespinhal, com quadro álgico de duração média de 15 dias em região de ombro e escápula.

Palavras-chave

Dor musculoesquelética, Neurite do plexo braquial, Síndrome de Parsonage Turner

References

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Milner CS, Kannan K, Iyer VG, Thirkannad SM. Parsonage-Turner syndrome: clinical and epidemiological features from a hand surgeon's perspective. Hand. 2016;11(2):227-31.

Al khalili Y, Jain S, Decastro A. Brachial Neuritis". 2020.

Sundaram S, Schafhalter-Zoppoth I. Acute shoulder pain followed by shoulder weakness and atrophy: a characteristic presentation of Parsonage-Turner syndrome. J Gen Inter Med. 2018;33:231.

Greenhill DA, Abdelfattah H, Torg JS, Sewards JM. Atypical presentation of Parsonage-Turner syndrome confounded by surgical rotator cuff injury. BMJ Case Rep. 2017;2017:bcr2017220532.

Upadhyaya V, Upadhyaya DN, Bansal R, Pandey T, Pandey AK. MR neurography in Parsonage-Turner syndrome. Indian J Radiol Imaging. 2019;29(3):264-70.

Ibrahim R, Krivitsky M, Nicola M, Zarour CC. Atypical Presentation of Parsonage-Turner Syndrome. Cureus. 2020;12(6).

Fransz DP, Schönhuth CP, Postma TJ, van Royen BJ. Parsonage-Turner syndrome following post-exposure prophylaxis. BMC Musculoskelet Disord. 2014;15:265.

Van Alfen N, van Eijk JJ, Ennik T. Incidence of neuralgic amyotrophy (Parsonage Turner syndrome) in a primary care setting--a prospective cohort study. PLoS One. 2015;10(5).

Charles E. Chiropractic management of a 30-year-old patient with Parsonage-Turner syndrome. J Chiropr Med. 2011;10(4):301-5.


Submitted date:
11/30/2020

Accepted date:
09/20/2021

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