علاج اعتلال عصب فوق الكتف في حالات الآفة الشاغلة للحجم أو الضمور الشديد لعضلة تحت الشوكة

References

DOI: 10.52965/001c.25554

• Indications for invasive treatment include, but are not limited to, refractory to non-operative treatment, have a space-occupying lesion, or show severe signs and symptoms of muscle atrophy.
• However, surgery becomes the primary treatment modality when those fail, particularly if the patient has an identifiable and reversible nerve compression cause.
• In some cases, treating the primary cause of impingement (i.e., rotator cuff tear, ganglion cyst, etc.) is necessary to relieve pressure on the nerve.
• Regardless of modality, the goal of the surgery is to remove any associated compressive lesions or areas.
• In general, there are two modalities to treat SNES – arthroscopic decompression and open decompression.
• Open decompression has fallen out of favor due to the advantages inherent in the less invasive arthroscopic approach.