Injury of the suprascapular nerve during arthroscopic repair of superior labral tears: An anatomic study

Chan, Hock Chuan; Beaupré, Lauren A; Bouliane, Martin

doi:10.1016/j.jse.2009.12.007

Cited by 25 publications

(22 citation statements)

References 13 publications

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“…Even more alarming is that many patients aged older than 80 years were treated with arthroscopic SLAP repairs. Because arthroscopic SLAP repair can be associated with significant adverse effects and poor patient outcomes, 3,4,18,21 further education in identifying appropriate candidates for this procedure may be necessary. A limitation of this study is that the presented data only represents New York State.…”

Section: Discussionmentioning

confidence: 99%

The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs

Onyekwelu

Khatib

Zuckerman

et al. 2012

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs

Onyekwelu

Khatib

Zuckerman

et al. 2012

Journal of Shoulder and Elbow Surgery

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“…Prior anatomic studies of the suprascapular nerve have attempted to define a safe zone to avoid injury during arthroscopic transglenoid Bankart repairs, SLAP repairs, and open surgical procedures [3, 7, 8, 18, 19]. Warner et al evaluated the limits within which lateral mobilization of chronic massive retracted rotator cuff tears can be performed during open procedures without risking neurovascular injury.…”

Section: Discussionmentioning

confidence: 99%

Anatomical Considerations of the Suprascapular Nerve in Rotator Cuff Repairs

Tom

Mesfin

Javandel

et al. 2014

Anatomy Research International

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Introduction. When using the double interval slide technique for arthroscopic repair of chronic large or massive rotator cuff tears, the posterior interval release is directed toward the scapular spine until the fat pad that protects the suprascapular nerve is reached. Injury to the suprascapular nerve can occur due to the nerve's proximity to the operative field. This study aimed to identify safe margins for avoiding injury to the suprascapular nerve. Materials and Methods. For 20 shoulders in ten cadavers, the distance was measured from the suprascapular notch to the glenoid rim, the articular margin of the rotator cuff footprint, and the lateral border of the acromion. Results. From the suprascapular notch, the suprascapular nerve coursed an average of 3.42 cm to the glenoid rim, 5.34 cm to the articular margin of the rotator cuff footprint, and 6.09 cm to the lateral border of the acromion. Conclusions. The results of this study define a safe zone, using anatomic landmarks, to help surgeons avoid iatrogenic injury to the suprascapular nerve when employing the double interval slide technique in arthroscopic repair of the rotator cuff.

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“…1,3 Finally, cases of SN caused by complications related to Latatjet procedures, superior labral repairs, and rotator cuff tears have also been reported. [28][29][30][31] …”

Section: Pathophysiology and Mechanism Of Injurymentioning

confidence: 99%

The Role of Suprascapular Neuropathy in Rotator Cuff Dysfunction

Apostolakos

DiVenere

Singh

et al. 2016

Techniques in Orthopaedics

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Suprascapular neuropathy (SN) is caused by traction or compression injury producing clinical manifestations of pain, weakness, and muscle atrophy. Its diagnosis has long been complicated by the combination of these relatively vague clinical presentations in the setting of other shoulder comorbidities. Current etiologies associated with this condition include anatomic variants, space-occupying lesions, and retracted rotator cuff tears. Patients with clinical examination findings consistent with SN should be evaluated with standard plain film imaging, magnetic resonance imaging, and electrodiagnostic studies if warranted. These electrodiagnostic studies include electromyography and nerve conduction velocity studies which are considered the gold standard for definitive diagnosis. Treatment of SN is largely determined by the source of the neuropathy. Both nonoperative and operative interventions currently exist with varying opinions regarding the optimal management of these patients. This review will describe the current understanding of the anatomy, etiology, clinical presentation, diagnostic workup, and treatment options for patients presenting with SN.

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Injury of the suprascapular nerve during arthroscopic repair of superior labral tears: An anatomic study

Cited by 25 publications

References 13 publications

The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs

The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs

Anatomical Considerations of the Suprascapular Nerve in Rotator Cuff Repairs

The Role of Suprascapular Neuropathy in Rotator Cuff Dysfunction

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