Agneskirchner J D, Haag M, Lafosse L
Sportclinic Germany, Uhlemeyerstr. 16, 30175, Hannover, Deutschland,
Oper Orthop Traumatol. 2014 Jun;26(3):277-87. doi: 10.1007/s00064-013-0278-8. Epub 2014 Jun 14.
Arthroscopic visualisation and release of nerves around the shoulder, decompression of ganglion cysts.
Arthroscopic treatment of nerve entrapment syndromes around the shoulder (suprascapular nerve, axillary nerve). Arthroscopic visualisation and release of osseous or ligamentous structures causing nerve entrapment. Arthroscopic decompression and resection of periglenoid ganglion cysts. Arthroscopic release of concomitant lesions (labrum, rotator cuff, biceps).
No clinical or neurological evidence for nerve entrapment syndrome. Lack of conditions for a complex arthroscopic procedure (technique of visualisation, instrumentation, knowledge of specific neuroanatomy).
Diagnostic arthroscopy, decompression/resection of ganglion cyst. Visualisation and decompression of nerve. Detection and fixation of concomitant pathologies.
Immobilisation in sling during the day after the operation. Actively assisted and active mobilisation of shoulder controlled by discomfort level. Manual lymph drainage starting on postoperative day 1. Sling and further rehabilitation according to treatment of concomitant lesions.
关节镜下观察并松解肩部周围神经，减压腱鞘囊肿。
关节镜治疗肩部周围神经卡压综合征（肩胛上神经、腋神经）。关节镜下观察并松解导致神经卡压的骨性或韧带结构。关节镜下减压并切除关节盂周围腱鞘囊肿。关节镜下松解合并病变（盂唇、肩袖、肱二头肌）。
无神经卡压综合征的临床或神经学证据。缺乏进行复杂关节镜手术的条件（观察技术、器械、特定神经解剖学知识）。
诊断性关节镜检查，腱鞘囊肿减压/切除。神经观察与减压。发现并固定合并病变。
术后当天用吊带固定。根据不适程度主动辅助和主动活动肩部。术后第1天开始进行手法淋巴引流。根据合并病变的治疗情况使用吊带并进一步康复。
