Aly Amr M
Department of Orthopaedic Surgery, Université Libre de Bruxelles, Brussels, Belgium.
Hand and Microsurgery Unit, Division of Orthopaedic Surgery, Ain Shams University Hospital, 38 Abbasiya square, Cairo, Egypt.
J Exp Orthop. 2021 Jan 26;8(1):7. doi: 10.1186/s40634-020-00322-x.
To assess the feasibility of total shoulder denervation through two proposed incisions.
Total shoulder denervation was performed through an extended delta-pectoral approach and a transverse dorsal approach at the spine of the scapula. The study involved six cadavers. Course and number of articular branches from the lateral pectoral, axillary and supra-scapular nerve were documented.
All shoulder joint articular branches were accessible through the proposed anterior and posterior approaches. The articular branch of the lateral pectoral nerve and supra scapular nerve were present in all the specimen. Axillary nerve articular branches were variable in number but when present anteriorly were proximal to the deltoid muscular branches and posteriorly proximal to the muscular branches to the teres minor.
Total glenohumeral denervation was feasible through our proposed anterior and posterior approaches. Enhanced knowledge of articular nerve branches could provide interventional targets for joint and ligament pain, with low risk of muscle weakness.
通过两种提议的切口评估全肩关节去神经支配术的可行性。
通过延长的三角胸大肌入路和肩胛冈处的横向背侧入路进行全肩关节去神经支配术。该研究涉及六具尸体。记录来自胸外侧神经、腋神经和肩胛上神经的关节支的走行和数量。
所有肩关节关节支均可通过提议的前入路和后入路到达。所有标本中均存在胸外侧神经和肩胛上神经的关节支。腋神经关节支的数量各不相同，但在前侧时位于三角肌肌支的近端，在后侧时位于小圆肌肌支的近端。
通过我们提议的前入路和后入路进行全盂肱关节去神经支配术是可行的。增强对关节神经分支的了解可为关节和韧带疼痛提供介入靶点，且肌肉无力风险较低。
