Open AccessParsonage–Turner Syndrome mimicking musculoskeletal shoulder pain: A case report during the SARS-CoV-2 pandemic era
Author(s) -
Mattia Salomon,
Sharon Marruganti,
Andrea Cucinotta,
Mariangela Lorusso,
Paolo Bortolotti,
Fabrizio Brindisino
Publication year - 2022
Publication title -
journal of telemedicine and telecare
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.192
H-Index - 76
eISSN - 1758-1109
pISSN - 1357-633X
DOI - 10.1177/1357633x221100059
Subject(s) - pandemic , medicine , covid-19 , musculoskeletal pain , physical therapy , virology , disease , outbreak , infectious disease (medical specialty)
Parsonage-Turner Syndrome or neuralgic amyotrophy is a peripheral neuropathy typically characterized by an abrupt onset of pain, followed by progressive neurological deficits (e.g. weakness, atrophy, occasionally sensory abnormalities) that involve the upper limb, mainly the shoulder, encompassing an extensive spectrum of clinical manifestations, somehow difficult to recognize. This case report describes the proper management of a 35-year-old, bank employee and sports amateur who reported subtle and progressive upper limb disorder with previous history of neck pain. SARS-CoV-2 pandemic era made patient's access to the healthcare system more complicated. Nevertheless, proper management of knowledge, relevant aspects of telerehabilitation-based consultation for musculoskeletal pain, advanced skills, tools and technologies led the physiotherapist to suspect an atypical presentation of Parsonage-Turner Syndrome. Further, neurologist consultation and electromyography suggested signs of denervation in the serratus anterior and supraspinatus muscle. Therefore, an appropriate physiotherapist's screening for referral is conducted to correct diagnosis and thorough treatment.