Clinical outcomes of arthroscopic suprascapular nerve decompression for suprascapular neuropathy
Purpose - To report clinical outcomes following arthroscopic suprascapular nerve (SSN) decompression for suprascapular neuropathy at the suprascapular and/or spinoglenoid notch in the absence of major concomitant pathology. - Methods - We retrospectively reviewed prospectively collected data of 19 p...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2021
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| In: |
Arthroscopy
Year: 2021, Volume: 37, Issue: 2, Pages: 499-507 |
| ISSN: | 1526-3231 |
| DOI: | 10.1016/j.arthro.2020.10.020 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.arthro.2020.10.020 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0749806320308501 
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| Author Notes: | Philip C. Nolte, M.D., M.A., Thomas E. Woolson, B.S., Bryant P. Elrick, M.Sc., Anna-Katharina Tross, M.D., Marilee P. Horan, M.P.H., Jonathan A. Godin, M.D., M.B.A., and Peter J. Millett, M.D., M.Sc. |
| Summary: | Purpose - To report clinical outcomes following arthroscopic suprascapular nerve (SSN) decompression for suprascapular neuropathy at the suprascapular and/or spinoglenoid notch in the absence of major concomitant pathology. - Methods - We retrospectively reviewed prospectively collected data of 19 patients who underwent SSN release at the suprascapular and/or spinoglenoid notch between April 2006 and August 2017 with ≥2 years of follow-up. Patients who underwent concomitant rotator cuff or labral repairs or had severe osteoarthritis were excluded. Pre- and postoperative strength and patient-reported outcomes were collected, including the American Shoulder and Elbow Surgeons (ASES), Single Assessment Numerical Evaluation (SANE), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), 12-item Short Form (SF-12), and satisfaction. Complications and revisions were recorded. - Results - At a mean final follow-up of 4.8 years, pre- to postoperative ASES (64.9 ± 18.7 versus 83.5 ± 23.1; P = .018), QuickDASH (28.7 ± 17.2 versus 12.7 ± 17.1; P = .028), SANE (64.3 ± 16.4 versus 80.8 ± 22.3; P = .034), and SF-12 PCS (41.1 ± 10.8 versus 52.3 ± 5.8; P = .007) scores all significantly improved. Median strength for external rotation improved significantly (4 [range 2 to 5] versus 5 [range 3 to 5]; P = .014). There was no statistically significant improvement in median strength for abduction (4 [range 3 to 5] versus 5 [5]; P = .059). Median postoperative satisfaction was 9 (range 1 to 10), with 8 patients (50%) rating satisfaction ≥9. No complications were observed, and no patients went on to revision surgery. - Conclusion - Arthroscopic SSN decompression for suprascapular neuropathy at the suprascapular and/or spinoglenoid notch in the absence of major concomitant glenohumeral pathology results in good functional outcomes with significant improvements from before to after surgery. - Level of Evidence - IV, therapeutic case series. |
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| Item Description: | Gesehen am 12.05.2021 First published: 19 October 2020 |
| Physical Description: | Online Resource |
| ISSN: | 1526-3231 |
| DOI: | 10.1016/j.arthro.2020.10.020 |