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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 17, Issue 12, pp 1504–1507 | Cite as

Arthroscopic suprascapular nerve decompression at the suprascapular notch

  • Sung-Hun Kim
  • Sung-Jae KimEmail author
  • Chang-Hun Sung
  • Yong-Gon Koh
  • Yong-Chan Kim
  • Young-Sik Park
Shoulder

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.

Keywords

Suprascapular nerve Transverse scapular ligament Superior border of scapula Suprascapular notch Shoulder arthroscopy 

Notes

Conflict of interest statement

The authors report no conflicts of interest.

Supplementary material

(WMV 14,084 kb)

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Sung-Hun Kim
    • 1
  • Sung-Jae Kim
    • 2
    Email author
  • Chang-Hun Sung
    • 1
  • Yong-Gon Koh
    • 1
  • Yong-Chan Kim
    • 1
  • Young-Sik Park
    • 1
  1. 1.Department of Orthopaedic SurgeryYonsei Sarang HospitalSeoulKorea
  2. 2.Department of Orthopaedic Surgery, Arthroscopy and Joint Research InstituteYonsei University College of MedicineSeoulKorea

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