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Secondary Muscle and Nerve Impairment in Primary Neuromuscular Disease

Departments of Orthopaedic Surgery, Neurological Sciences and Physical Medicine and Rehabilitation, Rush Presbyterian-St. Luke's Medical Center, Chicago, Illinois

Secondary muscle and nerve damage can occur in neuromuscular disease because of muscle, nerve, or soft tissue compromise or degeneration. Examples include chronic compartment syndrome in Duchenne muscular dystrophy (DMD), suprascapular nerve tether in facioscapulohumeral dystrophy (FSH), adhesive capsulitis in the wheelchair- bound child with DMD, carpal tunnel syndrome in FSH or DMD, peroneal neuropa thy from an ill-fitting AFO, ankle injury in DMD due to weakness and proprioceptive loss, piriformis syndrome in the wheelchair-confined patient with neuromuscular dis ease, and ulnar neuropathy due to wheelchair armrest pressure in patients with periph eral neuropathy. Such complications to the primary disorder should be looked for as they often respond to appropriate treatment.

Key Words: Key Words: Secondary—Muscular— Nerve impairment—Neuromuscular disease.

Neurorehabilitation and Neural Repair, Vol. 10, No. 1, 55-58 (1996)
DOI: 10.1177/154596839601000109


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