Arthroscopic Decompression in Suprascapular Neuropathy. Case Report and Anatomical Review
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Published:
Aug 17, 2023
Keywords:
Suprascapular neuropathy, decompression, entrapment
Main Article Content
Abstract
Suprascapular neuropathy is a rare cause of shoulder pain and weakness and is therefore often misdiagnosed. As a consequence, misdiagnosis may lead to inappropriate conservative treatment or a failed surgical procedure. A case of a 55-year-old man suffering from suprascapular nerve entrapment syndrome is presented. The patient underwent shoulder arthroscopy, where the compression of the suprascapular nerve by the superior transverse scapular ligament was diagnosed. Arthroscopic release of the suprascapular nerve relieved pain, weakness, and atrophy of the supraspinatus and infraspinatus muscles.
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How to Cite
Cullari, M. L., Gómez, D. J., Veloz Serrano, D., & Moya, D. (2023). Arthroscopic Decompression in Suprascapular Neuropathy. Case Report and Anatomical Review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 88(4), 435-443. https://doi.org/10.15417/issn.1852-7434.2023.88.4.1603
Section
Case Presentations
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References
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3. Fankhauser F, Schippinger G. Suprascapular nerve entrapment by a ganglion cyst: an alternative method of
treatment. Orthopedics 2002;25(1):87-8. https://doi.org/10.3928/0147-7447-20020101-24
4. Gosk J, Urban M, Rutowski R. Entrapment of the suprascapular nerve: anatomy, etiology, diagnosis, treatment. Ortop Traumatol Rehabil 2007;9(1):68-74. PMID: 17514177
5. Padua L, Conti V, Pazzaglia C, Caliandro P. About neurophysiological evaluation in suprascapular nerve entrapment and methods of review. Int Orthop 2003;27(3):194. https://doi.org/10.1007/s00264-003-0431-3
6. Rizzello G, Longo UG, Trovato U, Fumo C, Khan WS, Maffulli N, et al. Bilateral suprascapular nerve entrapment
by ganglion cyst associated with superior labral lesion. Open Orthop J 2013;7:129-32. https://doi.org/10.2174/1874325001307010129
7. Zehetgruber H, Noske H, Lang T, Wurnig C. Suprascapular nerve entrapment. A meta-analysis. Int Orthop
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transverse scapular) ligament of man – a ligament spanning two regions of a single bone. J Anat 2001;199(Pt
5):539-45. https://doi.org/10.1046/j.1469-7580.2001.19950539.x
11. Warner JP, Krushell RJ, Masquelet A, Gerber C. Anatomy and relationships of the suprascapular nerve: Anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotatorcuff tears. J Bone Joint Surg Am 1992;74(1):36-45. PMID: 1734012
12. Rengachary SS, Burr D, Lucas S, Hassanein KM, Mohn MO, Matzke H. Suprascapular nerve entrapment
neuropathy: A clinical, anatomical and comparative study. Part 2: Anatomical study. Neurosurgery 1979;5(4):447-
51. https://doi.org/10.1227/00006123-197910000-00007
13. Lafosse L, Tomasi A. Technique for endoscopic release of suprascapular nerve entrapment at the suprascapular notch. Tech Shoulder Elbow 2006;7:1-6. Disponible en: https://journals.lww.com/shoulderelbowsurgery/Abstract/2006/03000/Technique_for_Endoscopic_Release_of_Suprascapular.1.aspx
14. Lafosse L, Tomasi A, Corbett S, Baier G, Willems K, Gobezie R. Arthroscopic release of suprascapular nerve
entrapment at the suprascapular notch: technique and preliminary results. Arthroscopy 2007;23(1):34-42.
https://doi.org/10.1016/j.arthro.2006.10.003
15. Krishnan SG. Suprascapular nerve release: the anterior approach. Presented at the Nice Shoulder Course, France, 2010. Disponible en: http://www.niceshoulder-course.com/program.html
16. Hahn M, Müller A, Valderrabano V, Vavken P, Rosso C. Der Karpaltunnel der Schulter/the carpal tunnel of the
shoulder: Die arthroskopische Dekompression des N. suprascapularis. Sports Orthopaed Traumatol 2014;30:215-9. https://doi.org/10.1016/j.orthtr.2014.07.003
17. Lafosse L, Piper K, Lanz U. Arthroscopic suprascapular nerve release: indications and technique. J Shoulder Elbow Surg 2011;20(2 Suppl):S9-S13. https://doi.org/10.1016/j.jse.2010.12.003
18. Harris RI, Vu DH, Sonnabend DH, Goldberg JA, Walsh WR. Anatomic variance of the coracoclavicular ligaments. J Shoulder Elbow Surg 2001;10(6):585-8. https://doi.org/10.1067/mse.2001.118480
neuropathy around the shoulder: a current concept review. J Clin Med 2020;9(8):2331. https://doi.og/10.3390/jcm9082331
2. Thompson WAL, Koppel HP. Peripheral entrapment neuropathies of the upper extremity. N Engl J Med 1959;260(25):1261-5. https://doi.org/10.1056/NEJM195906182602503
3. Fankhauser F, Schippinger G. Suprascapular nerve entrapment by a ganglion cyst: an alternative method of
treatment. Orthopedics 2002;25(1):87-8. https://doi.org/10.3928/0147-7447-20020101-24
4. Gosk J, Urban M, Rutowski R. Entrapment of the suprascapular nerve: anatomy, etiology, diagnosis, treatment. Ortop Traumatol Rehabil 2007;9(1):68-74. PMID: 17514177
5. Padua L, Conti V, Pazzaglia C, Caliandro P. About neurophysiological evaluation in suprascapular nerve entrapment and methods of review. Int Orthop 2003;27(3):194. https://doi.org/10.1007/s00264-003-0431-3
6. Rizzello G, Longo UG, Trovato U, Fumo C, Khan WS, Maffulli N, et al. Bilateral suprascapular nerve entrapment
by ganglion cyst associated with superior labral lesion. Open Orthop J 2013;7:129-32. https://doi.org/10.2174/1874325001307010129
7. Zehetgruber H, Noske H, Lang T, Wurnig C. Suprascapular nerve entrapment. A meta-analysis. Int Orthop
2002;26(6):339-43. https://doi.org/10.1007/s00264-002-0392-y
8. Cummins CA, Messer TM, Nuber GW. Suprascapular nerve entrapment. J Bone Joint Surg Am 2000;82(3):415-24. https://doi.org/10.2106/00004623-200003000-00013
9. Hrdlicka A. The scapula: Visual observations. Am J Phys Anthropol 1942;29:73-94. https://doi.org/10.1002/ajpa.133029010
10. Moriggl B, Jax P, Milz S, Büttner A, Benjamin M. Fibrocartilage at the entheses of the suprascapular (superior
transverse scapular) ligament of man – a ligament spanning two regions of a single bone. J Anat 2001;199(Pt
5):539-45. https://doi.org/10.1046/j.1469-7580.2001.19950539.x
11. Warner JP, Krushell RJ, Masquelet A, Gerber C. Anatomy and relationships of the suprascapular nerve: Anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotatorcuff tears. J Bone Joint Surg Am 1992;74(1):36-45. PMID: 1734012
12. Rengachary SS, Burr D, Lucas S, Hassanein KM, Mohn MO, Matzke H. Suprascapular nerve entrapment
neuropathy: A clinical, anatomical and comparative study. Part 2: Anatomical study. Neurosurgery 1979;5(4):447-
51. https://doi.org/10.1227/00006123-197910000-00007
13. Lafosse L, Tomasi A. Technique for endoscopic release of suprascapular nerve entrapment at the suprascapular notch. Tech Shoulder Elbow 2006;7:1-6. Disponible en: https://journals.lww.com/shoulderelbowsurgery/Abstract/2006/03000/Technique_for_Endoscopic_Release_of_Suprascapular.1.aspx
14. Lafosse L, Tomasi A, Corbett S, Baier G, Willems K, Gobezie R. Arthroscopic release of suprascapular nerve
entrapment at the suprascapular notch: technique and preliminary results. Arthroscopy 2007;23(1):34-42.
https://doi.org/10.1016/j.arthro.2006.10.003
15. Krishnan SG. Suprascapular nerve release: the anterior approach. Presented at the Nice Shoulder Course, France, 2010. Disponible en: http://www.niceshoulder-course.com/program.html
16. Hahn M, Müller A, Valderrabano V, Vavken P, Rosso C. Der Karpaltunnel der Schulter/the carpal tunnel of the
shoulder: Die arthroskopische Dekompression des N. suprascapularis. Sports Orthopaed Traumatol 2014;30:215-9. https://doi.org/10.1016/j.orthtr.2014.07.003
17. Lafosse L, Piper K, Lanz U. Arthroscopic suprascapular nerve release: indications and technique. J Shoulder Elbow Surg 2011;20(2 Suppl):S9-S13. https://doi.org/10.1016/j.jse.2010.12.003
18. Harris RI, Vu DH, Sonnabend DH, Goldberg JA, Walsh WR. Anatomic variance of the coracoclavicular ligaments. J Shoulder Elbow Surg 2001;10(6):585-8. https://doi.org/10.1067/mse.2001.118480