Post M, Grinblat E
From the Department of Orthopaedic Surgery, Rush-Presbyterian St. Luke's Medical Center, Chicago, Ill.
J Shoulder Elbow Surg. 1993 Jul;2(4):190-7. doi: 10.1016/1058-2746(93)90062-L. Epub 2009 Feb 25.
Twenty-eight patients with suprascapular nerve entrapment confirmed by electromyographic and nerve conduction studies were identified and treated. This diagnosis was not previously suspected in these patients, because 22 previous operations had been done in 13 of the patients. In 26 patients the authors performed a release of the suprascapular ligament. One patient required a second operation to release an incompletely divided ligament. The recommended surgical technique requires elevation of the trapezius muscle from the scapular spine. The trapezius is retracted cephalad, and the supraspinatus is retracted posteriorly. The suprascapular ligament is resected. Notch resection is unnecessary in the usual case. There were 25 excellent or good results and one fair result. Suprascapular nerve entrapment should be suspected and included in the differential diagnosis of vogue shoulder pain.
通过肌电图和神经传导研究确诊为肩胛上神经卡压的28例患者被确定并接受了治疗。这些患者之前并未怀疑有此诊断，因为其中13例患者之前已经接受过22次手术。作者对26例患者进行了肩胛上韧带松解术。1例患者需要再次手术以松解未完全切断的韧带。推荐的手术技术需要将斜方肌从肩胛冈上抬起。将斜方肌向上牵拉，冈上肌向后牵拉。切除肩胛上韧带。通常情况下无需进行切迹切除。结果为25例优或良，1例尚可。肩胛上神经卡压应被怀疑，并纳入常见肩部疼痛的鉴别诊断中。
