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Quadrilateral Space Syndrome: Diagnosis and Clinical Management

OPEN Journal of clinical medicine | 25 Apr 2018

PT Hangge, I Breen, H Albadawi, MG Knuttinen, SG Naidu and R Oklu
Abstract
Quadrilateral space syndrome (QSS) is a rare disorder characterized by axillary nerve and posterior humeral circumflex artery (PHCA) compression within the quadrilateral space. Impingement is most frequently due to trauma, fibrous bands, or hypertrophy of one of the muscular borders. Diagnosis can be complicated by the presence of concurrent traumatic injuries, particularly in athletes. Since many other conditions can mimic QSS, it is often a diagnosis of exclusion. Conservative treatment is often first trialed, including physical exercise modification, physical therapy, and therapeutic massage. In patients unrelieved by conservative measures, surgical decompression of the quadrilateral space may be indicated.
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Concepts
Physical therapy, Posterior humeral circumflex artery, Massage, Axillary nerve, Exercise physiology, Exercise, Quadrangular space, Muscle
MeSH headings
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