The Steadman Philippon Research Institute, Vail, Colorado 81657, USA.
Arthroscopy. 2011 Oct;27(10):1444-8. doi: 10.1016/j.arthro.2011.05.003. Epub 2011 Aug 9.
Symptomatic axillary nerve compression is rare yet results in debilitating pain, weakness, and decreased athletic performance in some patients. If nonoperative modalities fail, surgical intervention is necessary to reduce symptoms and avoid functional decline. Traditionally, open techniques have been described to decompress the axillary nerve and are reported to provide satisfactory results. Similar to suprascapular nerve decompression, recent advances have provided the opportunity to develop all-arthroscopic axillary nerve decompression techniques. Although direct comparisons between open and arthroscopic techniques do not exist, arthroscopic axillary nerve decompression may provide some benefits over open techniques. Therefore we present a technique and early results for all-arthroscopic trans-capsular axillary nerve decompression.
腋神经受压的症状较为少见，但在某些患者中会导致严重的疼痛、无力和运动能力下降。如果非手术治疗无效，就需要手术干预来减轻症状并避免功能下降。传统上，已经有描述开放技术来减压腋神经的方法，这些方法被报道可以获得满意的效果。与肩胛上神经减压术类似，最近的进展为开发全关节镜腋神经减压技术提供了机会。虽然开放技术和关节镜技术之间没有直接比较，但关节镜腋神经减压术可能比开放技术具有一些优势。因此，我们提出了一种全关节镜经囊腋神经减压术的技术和早期结果。
