| Ibrahim et al.77 Ibrahim R, Krivitsky M, Nicola M, Zarour CC. Atypical Presentation of Parsonage-Turner Syndrome. Cureus. 2020;12(6):e8892. |
Case report |
To present an abnormal case of PTS, 10 weeks after rotator cuff tear repair surgery. |
A 60-year-old patient presented right upper limb weakness 10 weeks after rotator cuff tear repair surgery. |
Weakness in right biceps and brachioradialis with denervation of deltoid, supraspinal, infraspinal and right biceps. Absence of pain. |
Recognition of symptom variability allows for greater recognition and better patient care outcomes. |
| Milner et al.22 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. |
Cohort |
Retrospective assessment of the clinical characteristics of all PTS patients seen over 9 years. |
Data collected were sex, affected side, laterality, inciting event, clinical presentation, nerve involvement, time spent recovering, recovery extension (n=38). |
Patients had muscle weakness; however, there is no report on which muscles were affected. Pain in the shoulder and scapular region. |
It’s expected that 65% of patients will recover strength level 4 or more in an average period of 10 months after diagnosis. |
| Santos et al.11 Santos RBM, Santos SM, Carneiro Leal FJ, Lins OG, Magalhães C, Mertens Fittipaldi RB. Parsonage-Turner syndrome. Rev Bras Ortop. 2015;50(3):336-41. |
Clinical trial |
To describe the clinical, electrophysiological, and imaging findings of PTS and to evaluate the results of conservative treatment. |
Eight cases were studied between February 2010 and February 2012, with a minimum time span of one year. All patients answered a clinical questionnaire and underwent functional evaluation by the Constant and Murley score. After clinical suspicion, electromyography was performed to confirm the diagnosis. |
Three cases of intense deltoid muscle atrophy, three cases of hypotrophy of the supraspinal and infraspinal. Sudden onset of pain scenario lasting 24 hours or at most 15 days. |
Functional recovery was noted in most cases, although muscle strength was not fully restored. |
| Fransz et al.88 Fransz DP, Schönhuth CP, Postma TJ, van Royen BJ. Parsonage-Turner syndrome following post-exposure prophylaxis. BMC Musculoskelet Disord. 2014;15:265. |
Case report |
Describe diagnosis of PTS in a patient two months after initial presentation to the emergency room due to accidental exposure to bloodborne pathogens. |
Describe neurological findings and findings of plain radiograph of the right shoulder. Patient was diagnosed with post-vaccine PTS and treatment followed conservatively for 15 months. |
The patient presented supraspinal weakness and deltoid muscle atrophy. Pain in the cervical region, irradiating to the right arm. |
Conservative treatment is the most recommended. However, almost one third of patients suffer from residual complaints after six years. |
| Van Alfen, van Eijk and Ennik99 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):e0128361. |
Cohort |
To prospectively ascertain the one-year incidence rate of classic neuralgic amyotrophy in a primary care setting. |
The study included 14 patients with a classic phenotype. After being included, patients with suspected neuralgic amyotrophy or PTS who had not yet seen a neurologist were taken for neurological evaluation to confirm the diagnosis. |
There were no reports of muscle involvement. There was pain in the cervical region, shoulder, and arm. |
The conclusion was that the incidence is much higher than previously thought, and a more detailed evaluation in primary care is recommended. |
| Upadhyaya et al.66 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. |
Cohort |
To present the distribution and extent of brachial plexus abnormality in known cases of PTS. |
The study included 15 patients diagnosed with PTS based on clinical and electrophysiological findings. The results were evaluated by two radiologists performing the analysis and inclusion of the results in an Excel table. |
Muscle denervation, edema, fat infiltration in 8 patients, muscle atrophy in the supraspinal, infraspinal, deltoid and pectoralis major. Pain with tingling sensation. |
The C5 root is the most commonly affected region. Associated muscle changes were most often seen in the supraspinal and infraspinal. |
| Charles1010 Charles E. Chiropractic management of a 30-year-old patient with Parsonage-Turner syndrome. J Chiropr Med. 2011;10(4):301-5. |
Case report |
To describe chiropractic treatment in a patient with right arm paralysis and a diagnosis of PTS. |
The patient’s treatment protocol involved chiropractic manipulation, deep tissue therapy and exercise rehabilitation. |
Weakness in pectoralis minor. The patient reported pain in right scalene, pectoralis minor and biceps muscles. |
Patients with PTS who do not respond to standard medical or pharmaceutical intervention may benefit from chiropractic treatment using applied kinesiology modalities. |
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