The suprascapular nerve (SSN) can become compressed at its 2 scapular attachments: the suprascapular and the spinoglenoid notch. The objective of this study was to describe a new arthroscopic approach for SSN neurolysis at the spinoglenoid notch. Ten cadaver shoulders were used. Two were dissected to simulate the “classical” arthroscopic approach and to help in the creation of a new “direct medial retrospinal” approach. Eight other shoulders were used to validate this new approach, with control of the whole juxta-glenoid course of the SSN as criterion of success. The retrospinal posterior approach allowed the entire juxta-glenoid segment of the SSN to be explored in 6 cases out of 8. One exploration was incomplete, another not feasible. SSN neurolysis at the spinoglenoid notch was feasible in cadavers on a retrospinal approach.Le texte complet de cet article est disponible en PDF.
Keywords : Nerve anatomy, Shoulder arthroscopy, Suprascapular nerve, Decompression, Spinoglenoid notch
|☆|| Article issued from the SOO (the Orthopedics and Traumatology Society of Western France).