Clinical Outcomes of Arthroscopic Suprascapular Nerve Decompression for Suprascapular Neuropathy

Nolte, Philip-Christian; Woolson, Thomas E.; Elrick, Bryant P.; Tross, Anna-Katharina; Horan, Marilee P.; Godin, Jonathan A.; Millett, Peter J.

doi:10.1016/j.arthro.2020.10.020

Cited by 10 publications

(10 citation statements)

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“…Electromyography has been reported to be a helpful addition for diagnosis but may be less sensitive in the absence of motor deficit. 6 We agree with Nolte et al 3 that suprascapular nerve injection can be helpful in equivocal cases.…”

Section: See Related Article On Page 499supporting

confidence: 80%

“…In "Clinical Outcomes of Arthroscopic Suprascapular Nerve Decompression for Suprascapular Neuropathy," the authors Nolte, Woolson, Elrick, Tross, Horan, Godin, and Millett reported on a series of 19 patients who underwent arthroscopic suprascapular nerve decompression and blunt neurolysis without major concomitant glenohumeral pathology. 3 We congratulate the authors on this study, which provides additional evidence for the potential efficacy of suprascapular nerve decompression in select circumstances.…”

Section: See Related Article On Page 499mentioning

confidence: 82%

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Editorial Commentary: Suprascapular Nerve Decompression Can Be Effective, But Should You Have the Nerve to Do It?

Meredith

Foster

Henn

2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Isolated suprascapular neuropathy that requires surgical decompression is rare. Arthroscopic suprascapular nerve decompression is an effective treatment for correctly indicated patients, but identifying which patients would benefit from decompression is challenging. While good outcomes and low complication rates after arthroscopic suprascapular nerve decompression have been reported by expert surgeons, this procedure has potential for neurovascular injury in inexperienced hands. Given the rarity of the condition, the difficulty with accurate diagnosis, and the potential risks from surgical intervention, we believe that these patients are best treated in a tertiary referral practice.

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Section: See Related Article On Page 499supporting

confidence: 80%

Section: See Related Article On Page 499mentioning

confidence: 82%

Editorial Commentary: Suprascapular Nerve Decompression Can Be Effective, But Should You Have the Nerve to Do It?

Meredith

Foster

Henn

2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Generally, the compression of the SNe at the SNo leads to weakness of both supraspinatus and infraspinatus muscles. In contrast, the compression of the SNe at the SGN leads to isolated infraspinatus weakness [ 24 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recent evidence about suprascapular neuropathy highlights that the surgical approach through arthroscopy, when is necessary, is recommended because it is minimally invasive and shows good results in terms of pain management and improvement in muscle function and strength [ 21 , 22 , 23 , 24 , 25 ]. Additionally, arthroscopic SNe decompression at the SNo is a technically demanding surgical procedure, as the nerve is located medial to the acromioclavicular joint and requires following several landmarks to reach the area [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Variations in the Course and Diameter of the Suprascapular Nerve: Anatomical Study

Montané-Blanchart

Miguel-Pérez

Rodero

et al. 2022

IJERPH

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(1) Background: Suprascapular neuropathy is an important factor contributing to shoulder pain. Given the prevalence of nerve injury and nerve block in the suprascapular notch region, as well as the frequency of arthroscopic procedures on the suprascapular notch, which are recommended in shoulder pain management, its morphology is relevant from a clinical perspective. (2) Methods: Suprascapular nerve course was studied in twelve shoulders by dissection. Its diameter was measured at omohyoid level, proximal to the suprascapular notch and distal to the spinoglenoid notch. A multi-vari chart was used in order to descriptively visualize the results. The variations found were analyzed with a mixed linear model. (3) Results: In two of the six subjects, the suprascapular nerve was divided into two motor branches proximal to the superior transverse scapular ligament. An increase in diameter around the suprascapular notch was detected, with an estimated difference between diameter means of 2.008 mm at the suprascapular notch level and 2.047 mm at the spinoglenoid notch level. (4) Conclusions: A difference in the estimated diameter detected and the fact that the motor branches, which innervate supraspinatus and infraspinatus muscle, were divided proximal to the suprascapular notch may be relevant in the diagnosis and treatment of suprascapular neuropathy and arthroscopic procedures.

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“…Nolte et al in their retrospective analysis with long term follow up of about 5 years, reported significant improvement in function and muscle strength without any complication or revision with arthroscopic nerve release[88]. Chen et a l .…”

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confidence: 98%

Suprascapular Neuropathy

Massenet¹,

Crielaard²

2021

JCOrth

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Suprascapular neuropathy (SSN) is often missed or neglected. Although the occurrence is rare, it is for this reason that one needs to be aware of the correct clinical skill sets and investigations to nail the diagnosis. SSN pathologies are being diagnosed with increasing frequency in high probability groups like athletes, massive rotator cuff tear with fatty infiltration, labral tear and subsequent cyst formation. With better understanding of the pathology, management of SSN has also improved in recent decades. With the advancement in electrodiagnostic modalities, SSN can be more reliably diagnosed now. The article highlights the aetiology and the points of compression, clinical picture to trigger the need for an EMG and the results of Arthroscopic decompression

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Clinical Outcomes of Arthroscopic Suprascapular Nerve Decompression for Suprascapular Neuropathy

Cited by 10 publications

References 45 publications

Editorial Commentary: Suprascapular Nerve Decompression Can Be Effective, But Should You Have the Nerve to Do It?

Editorial Commentary: Suprascapular Nerve Decompression Can Be Effective, But Should You Have the Nerve to Do It?

Variations in the Course and Diameter of the Suprascapular Nerve: Anatomical Study

Suprascapular Neuropathy

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