Reversal of Suprascapular Neuropathy Following Arthroscopic Repair of Massive Supraspinatus and Infraspinatus Rotator Cuff Tears

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

“…When appropriate, we believe isometric exercises should be performed to prevent muscular atrophy and to minimize rotator cuff inhibition. Costouro et al 15 reported that 54% of patients with massive rotator cuff tears were found to also have a peripheral nerve injury, most commonly of the suprascapular nerve. Controlled activities that can safely activate the rotator cuff muscles include submaximal and pain-free multiangle isometrics for the external and internal rotator muscles.…”

Arthroscopic Treatment of Suprascapular Nerve Neuropathy

“…The results in this study convincingly showed an improvement in Nerve conduction velocity after SSN decompression via the arthroscopic techniques (Lafosse, Tomasi et al 2007). Costouros et al reported 6 patients with documented SSN pathology associated with massive cuff tear and found improvement in EMG function in all (Costouros, Porramatikul et al 2007). SSN neuropathy may be treated conservatively, but the results have been poor as shown by Callahan et al In their series, 76% of patients required surgery eventually (Callahan, Scully et al 1991).…”

Suprascapular Neuropathy: An Overview

“…As regards the adequately evaluated patients they seem to show results in the field of pain and functionality [20,45,52], but not in atrophy especially in the cases that the therapeutic intervention started on the chronic phase [44].…”