Treatment of suprascapular neuropathy

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Abstract


Aim. Evaluation of the results of surgical treatment of patients with neuropathy of the suprascapular nerve.

Materials and methods. In the department of sports and ballet injury of CITO them N.N. Priorov in 2013–2014 11 arthroscopic decompression of the supramandular nerve were performed. All patients underwent radiography and MRI of the shoulder joint and electroneuromyography of the brachial plexus.

Results. After decompression, all patients underwent repeated electroneuromyography 2 months after the operation, then according to indications. In all cases, an increase in M-response was noted. A complete recovery of clinically and an increase in the M-response of more than half the norm (contralateral) and more to the normal value was observed after 5–8 months.

Conclusion. The use of modern minimally invasive methods of surgical etiotropic treatment of the neuropathy of the suprascapular nerve helps to achieve, as a rule, good and excellent results, even in old cases.


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About the authors

Anatoly K. Orletskii

Center for Sports, Ballet Injury and Rehabilitation named Z.S. Mironova; National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov

Author for correspondence.
Email: nova495@mail.ru

Russian Federation, Moscow; Moscow

MD, PhD, Professor, branch manager sport travma

Dmitriy O. Timchenko

Center for Sports, Ballet Injury and Rehabilitation named Z.S. Mironova; National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov

Email: d.o.timchenko@mail.ru

Russian Federation, Moscow; Moscow

MD, doctor of sports injury Department

Nikolay A. Gordeev

Center for Sports, Ballet Injury and Rehabilitation named Z.S. Mironov; National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov

Email: nikolas095@mail.ru

Russian Federation, Moscow; Moscow

traumatologist orthopedic surgeon

Sergey V. Krylov

National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov

Email: sport-travma@mail.ru

Russian Federation, Moscow

MD, doctor-anesthesiologist

References

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Supplementary files

Supplementary Files Action
1.
Fig. 1. The Neviaser Portal

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2.
Fig. 2. Portal for the supra-scapular nerve

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3.
Fig. 3. Arthroscopic view of the ligament of the supra scapular notch and the supra scapular nerve before the ligament is dissected

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4.
Fig. 4. Arthroscopic view of the ligament of the supra-scapular notch and the supra-scapular nerve after dissection of the ligament

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