Shoulder Arthroscopy With Versus Without Suprascapular Nerve Release: Clinical Outcomes and Return to Sport Rate in Elite Overhead Athletes

Tsikouris, G.; Bolia, Ioanna K; Vlaserou, Panagiota; Odantzis, Nikolaos; Angelis, Konstantinos; Psychogios, Vasileios

doi:10.1016/j.arthro.2018.03.046

Cited by 26 publications

(28 citation statements)

References 24 publications

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“…In this month's issue, Tsikouris, Bolia, Vlaserou, Angelis, Odantzis, and Psychigios from Greece attempt to answer the question of whether suprascapular nerve release influences outcomes in their article "Shoulder Arthroscopy With Versus Without Suprascapular Nerve Release: Clinical Outcomes and Return to Sports Rate in Overhead Athletes." 1 The authors performed a retrospective review of elite overhead athletes with intra-articular shoulder pathology and clinical evidence of SSN, which was confirmed by electrodiagnostic studies followed by ultrasoundguided injection at the suprascapular notch. Fifty-six athletes were identified over a 7-year period, 35 of whom underwent arthroscopic SSN release in addition to treatment of intra-articular pathology and 21 of whom underwent treatment of intra-articular pathology alone.…”

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confidence: 96%

“…Kim et al 3 reported no difference between SLAP repair alone and SLAP repair with spinoglenoid cyst decompression in patients with SLAP tears and spinoglenoid cysts. However, neither of these studies represented an isolated population of overhead athletes as in the study by Tsikouris et al 1 In recent years, it has been recognized that overhead athletes have a high incidence of infraspinatus atrophy. Lajtai et al 4 reported that 30% of professional volleyball players had infraspinatus atrophy.…”

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confidence: 99%

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Editorial Commentary: Suprascapular Neuropathy in Overhead Athletes: To Release or Not to Release?

Denard¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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A growing body of evidence has demonstrated that repetitive overhead athletes with shoulder pathology often have associated infraspinatus atrophy and suprascapular neuropathy. Although decompression of the suprascapular nerve has not been shown to clearly impact outcomes in the general population, release of the nerve in overhead athletes with documented evidence of impingement may improve outcomes in this high-demand population.

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Section: See Related Article On Page 2552mentioning

confidence: 96%

Section: See Related Article On Page 2552mentioning

confidence: 99%

Editorial Commentary: Suprascapular Neuropathy in Overhead Athletes: To Release or Not to Release?

Denard¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Die analysierten Studien waren vom Evidenzlevel niedrig mit IV in 5 Serien und III in einer Serie [10]. Die Arbeiten waren heterogen hinsichtlich der durchgeführten zusätzlichen Therapien und der Beschreibung der Ergebnisse.…”

Section: Qualität Der Analysierten Studienunclassified

“…In 2 Studien wurde lediglich eine Dekompression des N. suprascapularis durchgeführt: In einer Arbeit bei primärem Kompressionssyndrom [1], in einer weiteren Studie bei Traktion des Nervs durch eine nicht reparable Ruptur der Rotatorenmanschette [9]. Von den übrigen 4 Studien wurden in 2 Studien in einigen Fällen neben der Dekompression zusätzliche Verfahren durchgeführt [2,7], in 2 Studien mehrheitlich [8,10].…”

Section: Qualität Der Analysierten Studienunclassified

“…Auch die Normalisierung von strukturellen Veränderungen der Muskelbäuche im Sinne einer zwar eher seltenen fettigen Degeneration ist nicht gut dokumentiert und somit wahrscheinlich auch nicht zu erwarten. Lediglich die Arbeit von Tsikouris et al [10] war eine Level-III-Studie, die für komplexe Fälle und komplexe Operationen inkl. Dekompression des N. suprascapularis bessere klinische Ergebnisse der postoperativen Scores zeigte.…”

Section: Bewertung Erholungspotenzial Des N Suprascapularisunclassified

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Motor Recovery of the Suprascapular Nerve after Arthroscopic Decompression in the Scapular Notch – a Systematic Review

Knoch¹,

Frosch

Baums

et al. 2020

Z Orthop Unfall

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Background The suprascapular nerve can be compromised as a result of a compression syndrome in different locations. A (proximal) compression within the scapular notch can lead to dorsal shoulder pain and simultaneous weakness of the infraspinatus and supraspinatus muscles. By transection of the lig. transversum this compression syndrome can be treated. By means of a systematic review, the present work analyzes the motor recovery potential after arthroscopic decompression. Material and Methods A systematic review of the U. S. National Library of Medicine/National Institutes of Health (PubMed) database and the Cochrane Library was performed using the PRISMA checklist. The search words used were “suprascapular” and “arthroscopic”; “suprascapular” and “arthroscopy”. Based on the evaluated literature, articles in English with at least a partial arthroscopic case series from 4 cases on and a compression syndrome of the suprascapular nerve treated with arthroscopic decompression in the scapular notch were identified. Motor recovery was described by means of EMG, clinical strength and MRI. Results Primarily 408 hits were generated. Six articles met the inclusion criteria and were further analyzed. The number of arthroscopic cases was between 4 and a maximum of 27. The level of evidence was between III and IV. The majority of the reported clinical results were good. Motor recovery as measured by EMG was observed, recovery of full strength was not achieved in the majority of reported cases (60%), neither was regression of structural (fatty) degeneration of the muscle bellies. Conclusion Arthroscopic decompression of the suprascapular nerve in the scapular notch provides good clinical results and considerable pain relief. However, in the majority of cases it does not lead to a complete recovery of the strength of the supra- and infraspinatus muscles. Patients should be informed about this. An early decompression after diagnosis in the event of proximal compression within the suprascapular notch combined with beginning EMG or MRI changes appears reasonable. These beginning changes should be further defined. Future studies should develop prognostic criteria for motor recovery. Awareness regarding the diagnosis needs to be improved due to the probably time-dependent irreversibility of resulting muscular weakness.

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Sports‐related peripheral nerve injuries of the upper limb

Dutton,

Norbury,

Colorado

2024

Muscle and Nerve

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Peripheral nerve injuries in athletes affect the upper limb more commonly than the lower limb. Common mechanisms include compression, traction, laceration, and ischemia. Specific sports can have unique mechanisms of injury and are more likely to be associated with certain neuropathies. Familiarity with these sport‐specific variables and recognition of the common presentations of upper limb neuropathic syndromes are important in assessing an athlete with a suspected peripheral nerve injury. Evaluation may require imaging modalities and/or electrodiagnostic testing to confirm a nerve injury. In some cases, diagnostic injections may be needed to differentiate neuropathic versus musculoskeletal etiology. Early and accurate diagnosis is essential for treatment/management and increases the likelihood of a safe return‐to‐sport and avoidance of long‐term functional consequences. Most nerve injuries can be treated conservatively, however, severe or persistent cases may require surgical intervention. This monograph reviews key diagnostic, management, and preventative strategies for sports‐related peripheral nerve injuries involving the upper limb.

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Shoulder Arthroscopy With Versus Without Suprascapular Nerve Release: Clinical Outcomes and Return to Sport Rate in Elite Overhead Athletes

Cited by 26 publications

References 24 publications

Editorial Commentary: Suprascapular Neuropathy in Overhead Athletes: To Release or Not to Release?

Editorial Commentary: Suprascapular Neuropathy in Overhead Athletes: To Release or Not to Release?

Motor Recovery of the Suprascapular Nerve after Arthroscopic Decompression in the Scapular Notch – a Systematic Review

Sports‐related peripheral nerve injuries of the upper limb

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