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Suprascapular Nerve Release with Rotator Cuff Tears

  • Erik M. Fritz
  • J. Christoph Katthagen
  • Robert E. Boykin
  • Peter J. MillettEmail author
Chapter

Abstract

Suprascapular neuropathy is an increasingly recognized pathology associated with retracted large or massive rotator cuff tears; however, there is currently a paucity of data in the literature to guide optimal management. The cases presented emphasize the diagnostic workup, particularly electrodiagnostic studies, followed by a discussion of surgical technique for arthroscopic suprascapular nerve release for compression in the context of rotator cuff tears and after rotator cuff repair. Clinical studies have shown that most cases of suprascapular neuropathy associated with rotator cuff tears resolve following rotator cuff repair alone. In certain cases of irreparable tears or massive tears requiring extensive mobilization, release of the suprascapular nerve may be indicated. In addition, suprascapular neuropathy should be considered as a possible etiology in the differential in patients who experience weakness and pain following rotator cuff repair.

Keywords

Suprascapular neuropathy Nerve compression Rotator cuff tear Electromyography Arthroscopy 

Abbreviations

EMG

Electromyography

NCV

Nerve conduction velocity

RC

Rotator cuff

SSN

Suprascapular neuropathy

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Erik M. Fritz
    • 1
  • J. Christoph Katthagen
    • 1
    • 2
  • Robert E. Boykin
    • 1
    • 3
  • Peter J. Millett
    • 1
    • 3
    Email author
  1. 1.Steadman Philippon Research InstituteVailUSA
  2. 2.Department of Trauma, Hand, and Reconstructive Surgery, Albert-Schweitzer-Campus 1University Hospital MuensterMuensterGermany
  3. 3.The Steadman ClinicVailUSA

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