一种在肩胛冈盂切迹处进行肩胛上神经内镜松解术的新方法：一项初步尸体研究。
A new approach for endoscopic neurolysis of the suprascapular nerve at the spinoglenoid notch: A preliminary cadaver study.
作者信息
Loirat M-A, Tierny M, Hervé A, Lignel A, Berton E, Ropars M, Thomazeau H
机构信息
Service de chirurgie orthopédique et traumatologique, université de Rennes-1, CHU de Ponchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes, France; Laboratoire M2S (mouvement sport santé), université Rennes 2, école Normale-Supérieure-Bretagne-université européenne de Bretagne, campus de Ker-Lann, Bruz, France.
Service de chirurgie orthopédique et traumatologique, université de Rennes-1, CHU de Ponchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes, France.
出版信息
Orthop Traumatol Surg Res. 2017 Oct;103(6):861-864. doi: 10.1016/j.otsr.2017.04.011. Epub 2017 Jul 11.
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.
肩胛上神经（SSN）在其两个肩胛附着点处可能会受到压迫，即肩胛上切迹和冈盂切迹。本研究的目的是描述一种用于在冈盂切迹处进行SSN神经松解术的新关节镜入路。使用了10具尸体肩部标本。解剖了2具以模拟“经典”关节镜入路，并协助创建一种新的“直接内侧脊髓后入路”。另外8具肩部标本用于验证这种新入路，以控制SSN整个关节盂旁走行作为成功标准。脊髓后入路在8例中有6例能够探查SSN的整个关节盂旁节段。1例探查不完整，另1例不可行。在尸体上采用脊髓后入路在冈盂切迹处进行SSN神经松解术是可行的。
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