Suprascapular neuropathy is an uncommon etiology of shoulder weakness and dysfunction in contact-sport athletes. This case report describes an acute traumatic suprascapular mononeuropathy in a collegiate American football player following tackle-related trauma. On the basis of the patient’s history, clinical examination, and imaging studies, the diagnosis was attributed to neuralgic amyotrophy of the suprascapular nerve that was precipitated by a traumatic initial tackle event. Due to its initial symptoms and uncommon occurrence this case presented with a delay in diagnosis, a common challenge in neuralgic amyotrophy. Early recognition through appropriate imaging and electrodiagnostic testing enables accurate prognostication, treatment, and prevents premature return to play before adequate reinnervation occurs.
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