Eхperience of endoscopic decompression of the suprascapular nerve
- Authors: Belyak E.A.1,2, Pashin D.L.2, Lazko F.L.1,2, Prizov A.P.1,2, Lazko M.F.1,2, Zagorodniy N.V.1, Asratyan S.A.2
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Affiliations:
- Peoples’ Friendship University of Russia
- Moscow City Clinical Hospital in honor of V.M. Buyanov
- Issue: Vol 13, No 2 (2022)
- Pages: 51-58
- Section: Original Study Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/108285
- DOI: https://doi.org/10.17816/clinpract108285
- ID: 108285
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Abstract
Background: Suprascapular nerve neuropathy is a commonly spread pathology, caused by a traction force trauma or compression in the scapular notch area. In the case of a conservative treatment failure, a standard surgical procedure is neurolysis (decompression) of the suprascapular nerve in the scapular notch. This procedure can be done in an open manner or endoscopically. Aims: to evaluate the results of endoscopic decompression of the suprascapular nerve in the scapular notch area at a 6 months follow-up. Methods: We operated 10 patients with the clinical picture of posttraumatic suprascapular nerve neuropathy in the period from 2015 to 2021. The mean age of patients was 52.3±11.8. All the patients underwent the shoulder joint and subacromial space arthroscopy, and decompression of the suprascapular nerve in the scapular notch area. Results: According to the VAS-scale, the severity of pain syndrome before the surgery was 6 cm, while in 6 months after the surgery it decreased to 2 cm. According to the DASH scale, the dysfunction of the of shoulder joint before the surgery was 70 points, in 6 months after the surgery it decreased to 10 points. The range of motion in the shoulder joint before the surgery was: flexion 155±14,4°, abduction 140±42°, external rotation 12±5,6°; 6 months after the surgery we observed: flexion 174±15,6°, abduction 175±14,4°, external rotation 48±9°. Conclusion: The obtained results let us characterize the method of endoscopic decompression of the suprascapular nerve as a low-traumatic and effective technique, which promotes restoration of the function of the suprascapular nerve and shoulder joint, and elimination of pain syndrome from the shoulder area.
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##article.viewOnOriginalSite##About the authors
Evgeniy A. Belyak
Peoples’ Friendship University of Russia; Moscow City Clinical Hospital in honor of V.M. Buyanov
Email: belyakevgen@mail.ru
ORCID iD: 0000-0002-2542-8308
SPIN-code: 7337-1214
MD, PhD
Russian Federation, Moscow; MoscowDmitry L. Pashin
Moscow City Clinical Hospital in honor of V.M. Buyanov
Email: yas-moe@mail.ru
ORCID iD: 0000-0003-3915-7796
SPIN-code: 8930-1390
Russian Federation, Moscow
Fedor L. Lazko
Peoples’ Friendship University of Russia; Moscow City Clinical Hospital in honor of V.M. Buyanov
Email: fedor_lazko@mail.ru
ORCID iD: 0000-0001-5292-7930
SPIN-code: 8504-7290
MD, PhD
Russian Federation, Moscow; MoscowAlexey P. Prizov
Peoples’ Friendship University of Russia; Moscow City Clinical Hospital in honor of V.M. Buyanov
Email: aprizov@yandex.ru
ORCID iD: 0000-0003-3092-9753
SPIN-code: 6979-6480
MD, PhD
Russian Federation, Moscow; MoscowMaxim F. Lazko
Peoples’ Friendship University of Russia; Moscow City Clinical Hospital in honor of V.M. Buyanov
Email: maxim_lazko@mail.ru
ORCID iD: 0000-0001-6346-824X
Russian Federation, Moscow; Moscow
Nikolay V. Zagorodniy
Peoples’ Friendship University of Russia
Author for correspondence.
Email: zagorodniy51@mail.ru
ORCID iD: 0000-0002-6736-9772
SPIN-code: 6889-8166
MD, PhD, correspondent member of Russian Academy of Sciences
Russian Federation, MoscowSarkis A. Asratyan
Moscow City Clinical Hospital in honor of V.M. Buyanov
Email: dr.sako@mail.ru
ORCID iD: 0000-0001-8472-4249
MD, PhD
Russian Federation, MoscowReferences
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