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Orthop Traumatol Surg Res ; 103(6): 861-864, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-28705649

RESUMO

The suprascapular nerve (SSN) can become compressed at its 2 scapular attachments: the suprascapular and the spinoglenoid notch. The objective of this study was to describe a new arthroscopic approach for SSN neurolysis at the spinoglenoid notch. Ten cadaver shoulders were used. Two were dissected to simulate the "classical" arthroscopic approach and to help in the creation of a new "direct medial retrospinal" approach. Eight other shoulders were used to validate this new approach, with control of the whole juxta-glenoid course of the SSN as criterion of success. The retrospinal posterior approach allowed the entire juxta-glenoid segment of the SSN to be explored in 6 cases out of 8. One exploration was incomplete, another not feasible. SSN neurolysis at the spinoglenoid notch was feasible in cadavers on a retrospinal approach.


Assuntos
Descompressão Cirúrgica/métodos , Síndromes de Compressão Nervosa/cirurgia , Neuroendoscopia/métodos , Escápula/inervação , Articulação do Ombro/inervação , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Escápula/cirurgia , Articulação do Ombro/cirurgia
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