Skip to main content
Log in

Quadrilateral Space Syndrome Caused by a Humeral Osteochondroma: A Case Report and Review of Literature

  • Case Report
  • Published:
HSS Journal

An Erratum to this article was published on 10 January 2007

Abstract

Quadrilateral space syndrome (QSS) is a rare condition in which the posterior humeral circumflex artery and the axillary nerve are entrapped within the quadrilateral space. The main causes of the entrapment are abnormal fibrous bands and hypertrophy of the muscular boundaries. Many other space-occupying causes such as a glenoidal labral cyst or fracture hematoma have been reported in the literature. However, we could not find a report on classical QSS caused by an osteochondroma. The aim of this case report is to attract attention to an unusual etiology of shoulder pain, and to emphasize the importance of physical examination and x-ray imaging before performing more complex attempts for differential diagnosing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig 1
Fig 2
Fig 3

Similar content being viewed by others

References

  1. Perlmutter GS (1999) Axillary nerve injury. Clin Orthop Relat Res 386:28–36

    Google Scholar 

  2. Cahill BR, Palmer RE (1983) Quadrilateral space syndrome. J Hand Surg (Am) 8(1):65–69

    CAS  Google Scholar 

  3. Francel TJ, Dellon AL, Campbell JN (1991) Quadrilateral space syndrome: diagnosis and operative decompression technique. Plast Reconstr Surg 87:911–916

    Article  PubMed  CAS  Google Scholar 

  4. Robinson P, White LM, Lax M et al (2000) Quadrilateral space syndrome caused by glenoid labral cyst. AJR 175:1103–1105

    PubMed  CAS  Google Scholar 

  5. Witthaut J, Steffens KJ, Koob E (1994) Intermittant axillary nerve palsy caused by a humeral exostosis. J Hand Surg 19B:422–423

    Google Scholar 

  6. Chautems RC, Glauser T, Waeber-Fey MC et al (2000) Quadrilateral space syndrome: case report and review of literature. Ann Vasc Surg 4:673–676

    Article  Google Scholar 

  7. Helms CA (2002) The impact of MR imaging in sports medicine. Radiology 224(3):631–635

    Article  PubMed  Google Scholar 

  8. Linker CS, Helms CA, Russell CF (1993) Quadrilateral space syndrome: findings at MR imaging. Radiology 188:675–676

    PubMed  CAS  Google Scholar 

  9. Mochizuki T, Isoda H, Masui T et al (1994) Occlusion of the posterior humeral circumflex artery: detection with MR angiography in healthy volunteers and in a patient with quadrilateral space syndrome. AJR 163:625–627

    PubMed  CAS  Google Scholar 

  10. Azar MF (2003) Shoulder and elbow injuries. In: Canale ST (ed) Campbell's operative orthopaedics. Mosby, St. Louis, pp 2339–2375

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Meric Cirpar MD.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s11420-006-9040-1

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cirpar, M., Gudemez, E., Cetik, O. et al. Quadrilateral Space Syndrome Caused by a Humeral Osteochondroma: A Case Report and Review of Literature. HSS Jrnl 2, 154–156 (2006). https://doi.org/10.1007/s11420-006-9019-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11420-006-9019-y

Key words

Navigation