Abstract
Release of a transverse scapular ligament (TSL) is indicated for the entrapment of the suprascapular nerve (SSN). Previous arthroscopic techniques use step-wise reference landmarks leading to the notch to identify a TSL, and the key landmarks are the conoid ligament of the coracoclavicular ligament and the coracoid. This technique needs considerable amount of fibro-fatty tissue removal, which is time-consuming procedure. The technique described herein uses the superior border of scapula as a key landmark. A lateral portal is used as a viewing portal, and an anterolateral portal, SSN portal, and accessory portal are required for the working portals. To identify the superior border of the scapula, dissection proceeds along the anterior border of the supraspinatus and advances medially into the supraspinatus fossa. Then, the TSL could be identified by palpating laterally along the superior border of scapula as a dimpling portion.
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References
Barber FA (2008) Percutaneous arthroscopic release of the suprascapular nerve. Arthroscopy 24:236.e1–236.e4
Barwood SA, Burkhart SS, Lo IK (2007) Arthroscopic suprascapular nerve release at the suprascapular notch in a cadaveric model: an anatomic approach. Arthroscopy 23:221–225
Bhatia DN, de Beer JF, van Rooyen KS, du Toit DF (2006) Arthroscopic suprascapular nerve decompression at the suprascapular notch. Arthroscopy 22:1009–1013
Bodily KD, Spinner RJ, Shin AY, Bishop AT (2005) Clinical significance of suprascapular nerve mobilization. Clin Anat 18:573–579
Cummins CA, Messer TM, Nuber GW (2000) Suprascapular nerve entrapment. J Bone Joint Surg Am 82:415–424
Lafosse L, Tomasi A, Corbett S, Baier G, Willems K, Gobezie R (2007) Arthroscopic release of the suprascapular nerve entrapment at the suprascapular notch: technique and preliminary results. Arthroscopy 23:34–42
Rengachary SS, Neff JP, Singer PA, Brackett CE (1979) Suprascapular entrapment neuropathy: a clinical, anatomical, and comparative study. Part 1. Clinical study. Neurosurgery 5:441–446
Warner JP, Krushell RJ, Masquelet A, Gerber C (1992) Anatomy and relationships of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg Am 74:36–45
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Kim, SH., Kim, SJ., Sung, CH. et al. Arthroscopic suprascapular nerve decompression at the suprascapular notch. Knee Surg Sports Traumatol Arthrosc 17, 1504–1507 (2009). https://doi.org/10.1007/s00167-009-0858-1
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DOI: https://doi.org/10.1007/s00167-009-0858-1