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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.

DOI:10.1016/j.eats.2024.103051
PMID:39308587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11411363/
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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/19b8d5c7ca25/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/ce759ece8827/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/102d60482b73/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/501d9062d11e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/55a21fae54cc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/9fe3b572425c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/c14cecb8656c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/19b8d5c7ca25/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/ce759ece8827/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/102d60482b73/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/501d9062d11e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/55a21fae54cc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/9fe3b572425c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/c14cecb8656c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be7/11411363/19b8d5c7ca25/gr7.jpg

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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
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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。
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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。
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