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关节镜下肩胛上神经减压术:适应证与手术技术。

Arthroscopic suprascapular nerve decompression: indications and surgical technique.

机构信息

Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, IL 60612, USA.

出版信息

J Shoulder Elbow Surg. 2010 Mar;19(2 Suppl):118-23. doi: 10.1016/j.jse.2010.01.006.

Abstract

BACKGROUND

Although entrapment of the suprascapular nerve (SSN) is an infrequent presentation of shoulder pain, proper diagnosis and treatment are critical to prevent chronic supraspinatus and infraspinatus atrophy.

MATERIALS AND METHODS

We present a technique that allows SSN decompression at the spinoglenoid notch or suprascapular notch through the subacromial space.

RESULTS AND CONCLUSIONS

This method allows for facile decompression of the SSN after repair of concomitant shoulder pathology and allows direct visualization of the medial neck of the glenoid to avoid complications of iatrogenic SSN nerve injury from aggressive medial capsule dissection. The purpose of this article is to provide surgeons with a safe, reliable method to decompress the SSN at the suprascapular or spinoglenoid notch.

摘要

背景

尽管肩胛上神经(SSN)卡压是肩部疼痛的一种罕见表现,但正确的诊断和治疗对于预防慢性冈上肌和冈下肌萎缩至关重要。

材料与方法

我们介绍了一种通过肩峰下间隙在肩胛上切迹或肩胛下切迹进行 SSN 减压的技术。

结果与结论

这种方法允许在修复伴随的肩部病变后轻松地对 SSN 进行减压,并可直接观察肩胛颈的内侧,以避免因内侧囊激进解剖导致医源性 SSN 神经损伤的并发症。本文的目的是为外科医生提供一种安全、可靠的方法,在肩胛上或肩胛下切迹处对 SSN 进行减压。

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