肩胛上切迹处开放性肩胛上神经减压术
Open Suprascapular Nerve Decompression at the Spinoglenoid Notch.
作者信息
Harkin William E, Kerzner Benjamin, Scanaliato John, Garelick Sydney, Williams Tyler, Nicholson Gregory P, Garrigues Grant E
机构信息
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
出版信息
Arthrosc Tech. 2024 May 30;13(9):103051. doi: 10.1016/j.eats.2024.103051. eCollection 2024 Sep.
Abstract
Suprascapular nerve (SSN) entrapment is a rare but significant cause of posterior shoulder pain and weakness. Compression of the nerve at the level of the spinoglenoid notch leads to weakness and atrophy of the infraspinatus. A detailed history and physical examination along with appropriate workup are paramount to arrive at this diagnosis. Surgical decompression is indicated in cases refractory to conservative management. In this Technical Note, we describe our technique for open decompression of the SSN at the spinoglenoid notch. This approach permits direct visualization of the SSN and allows for a safe, reliable, and thorough decompression.
摘要
肩胛上神经（SSN）卡压是导致肩部后方疼痛和无力的一种罕见但重要的原因。神经在肩胛下肌切迹水平受压会导致冈下肌无力和萎缩。详细的病史、体格检查以及适当的检查对于做出该诊断至关重要。对于保守治疗无效的病例，需进行手术减压。在本技术说明中，我们描述了在肩胛下肌切迹处对SSN进行开放减压的技术。这种方法可直接观察SSN，并能进行安全、可靠且彻底的减压。
相似文献
1
Open Suprascapular Nerve Decompression at the Spinoglenoid Notch.肩胛上切迹处开放性肩胛上神经减压术
Arthrosc Tech. 2024 May 30;13(9):103051. doi: 10.1016/j.eats.2024.103051. eCollection 2024 Sep.
2
Endoscopic/arthroscopic decompression of the suprascapular nerve at the spinoglenoid notch: indications and surgical technique.肩胛上神经在肩胛冈下切迹处的内镜/关节镜减压术：适应证与手术技术
JSES Rev Rep Tech. 2021 May 7;1(3):198-206. doi: 10.1016/j.xrrt.2021.04.004. eCollection 2021 Aug.
3
Suprascapular nerve entrapment isolated to the spinoglenoid notch: surgical technique and results of open decompression.肩胛上神经在肩胛切迹处卡压：手术技术和开放减压的结果。
J Shoulder Elbow Surg. 2013 Nov;22(11):e1-8. doi: 10.1016/j.jse.2013.03.009. Epub 2013 May 8.
4
Open Surgical Decompression for Large Multiloculated Spinoglenoid Notch Ganglion Cyst With Suprascapular Nerve Neuropathy.开放性手术减压治疗伴有肩胛上神经病变的大型多房性肩胛盂切迹神经节囊肿
Cureus. 2021 Feb 12;13(2):e13300. doi: 10.7759/cureus.13300.
5
Arthroscopic suprascapular nerve decompression: indications and surgical technique.关节镜下肩胛上神经减压术：适应证与手术技术。
J Shoulder Elbow Surg. 2010 Mar;19(2 Suppl):118-23. doi: 10.1016/j.jse.2010.01.006.
6
Arthroscopic suprascapular nerve decompression: transarticular and subacromial approach.关节镜下肩胛上神经减压术：经关节和肩峰下入路
Arthrosc Tech. 2012 Sep 28;1(2):e187-92. doi: 10.1016/j.eats.2012.07.004. Print 2012 Dec.
7
Suprascapular nerve entrapment caused by a large hematoma of the scapula: a case report.肩胛上神经卡压症由肩胛骨巨大血肿引起：一例报告。
BMC Musculoskelet Disord. 2023 Jul 19;24(1):589. doi: 10.1186/s12891-023-06723-0.
8
Spinoglenoid Notch Ganglion Cyst: A Case Report.肩胛下肌下盂肱韧带囊肿：一例报告。
Cureus. 2023 May 20;15(5):e39279. doi: 10.7759/cureus.39279. eCollection 2023 May.
9
Transcapsular Decompression of Shoulder Ganglion Cysts.肩部腱鞘囊肿的经囊减压术
Arthrosc Tech. 2018 Nov 12;7(12):e1263-e1267. doi: 10.1016/j.eats.2018.08.011. eCollection 2018 Dec.
10
Anatomical basis of the suprascapular nerve entrapment, and clinical relevance of the supraspinatus fascia.肩胛上神经卡压的解剖学基础及冈上肌筋膜的临床相关性。
Surg Radiol Anat. 2010 Mar;32(3):277-84. doi: 10.1007/s00276-010-0631-7. Epub 2010 Feb 21.
引用本文的文献
1
Glenoid Paralabral Cysts Causing Shoulder Pain and Isolated Infraspinatus Weakness: Early Arthroscopic Decompression and Labral Repair Leads to Complete Recovery: A Case Series.引起肩部疼痛和孤立性冈下肌无力的盂唇旁囊肿：早期关节镜减压和盂唇修复可实现完全恢复：病例系列
J Orthop Case Rep. 2025 Mar;15(3):189-193. doi: 10.13107/jocr.2025.v15.i03.5384.
2
Intraosseous Ganglion Protruding Into the Spinoglenoid Notch With Suprascapular Nerve Entrapment: A Case Report.骨内腱鞘囊肿突入肩胛上切迹并导致肩胛上神经卡压：一例报告
Cureus. 2024 Nov 30;16(11):e74863. doi: 10.7759/cureus.74863. eCollection 2024 Nov.
本文引用的文献
1
Open Surgical Decompression for Large Multiloculated Spinoglenoid Notch Ganglion Cyst With Suprascapular Nerve Neuropathy.开放性手术减压治疗伴有肩胛上神经病变的大型多房性肩胛盂切迹神经节囊肿
Cureus. 2021 Feb 12;13(2):e13300. doi: 10.7759/cureus.13300.
2
Clinical outcomes of suprascapular nerve decompression: a systematic review.肩胛上神经减压术的临床疗效：系统评价。
J Shoulder Elbow Surg. 2018 Jan;27(1):172-180. doi: 10.1016/j.jse.2017.09.025.
3
Arthroscopic suprascapular nerve decompression: transarticular and subacromial approach.关节镜下肩胛上神经减压术：经关节和肩峰下入路
Arthrosc Tech. 2012 Sep 28;1(2):e187-92. doi: 10.1016/j.eats.2012.07.004. Print 2012 Dec.
4
Suprascapular nerve entrapment isolated to the spinoglenoid notch: surgical technique and results of open decompression.肩胛上神经在肩胛切迹处卡压：手术技术和开放减压的结果。
J Shoulder Elbow Surg. 2013 Nov;22(11):e1-8. doi: 10.1016/j.jse.2013.03.009. Epub 2013 May 8.
5
Suprascapular neuropathy.肩胛上神经病变。
J Am Acad Orthop Surg. 2009 Nov;17(11):665-76. doi: 10.5435/00124635-200911000-00001.
6
The shoulders of professional beach volleyball players: high prevalence of infraspinatus muscle atrophy.职业沙滩排球运动员的肩部：冈下肌萎缩的高患病率。
Am J Sports Med. 2009 Jul;37(7):1375-83. doi: 10.1177/0363546509333850. Epub 2009 Apr 9.
7
Arthroscopic decompression of the suprascapular nerve at the spinoglenoid notch and suprascapular notch through the subacromial space.通过肩峰下间隙在肩胛下切迹和肩胛上切迹处对肩胛上神经进行关节镜减压。
Arthroscopy. 2009 Apr;25(4):439-45. doi: 10.1016/j.arthro.2008.10.024.
8
Arthroscopic release of suprascapular nerve entrapment at the suprascapular notch: technique and preliminary results.关节镜下肩胛上切迹处肩胛上神经卡压松解术：技术与初步结果
Arthroscopy. 2007 Jan;23(1):34-42. doi: 10.1016/j.arthro.2006.10.003.
9
Suprascapular nerve palsy secondary to spinoglenoid cysts: results of arthroscopic treatment.继发于肩胛下肌囊肿的肩胛上神经麻痹：关节镜治疗结果
Arthroscopy. 2006 Jul;22(7):721-7. doi: 10.1016/j.arthro.2006.03.019.
10
The spinoglenoid ligament. Anatomy, morphology, and histological findings.肩胛下肌盂肱韧带。解剖学、形态学及组织学研究结果。
J Bone Joint Surg Am. 2005 Feb;87(2):361-5. doi: 10.2106/JBJS.C.01533.
Zotero 插件