Surgical treatment of suprascapular neuropathy when an identifiable compressive cause is present
Suprascapular neuropathy can have an identifiable, reversible compressive cause. When conservative management has not been sufficient, surgical nerve decompression becomes the primary treatment approach.
Treatment approach
The protocol involves surgical decompression of the suprascapular nerve, targeting removal of compressive lesions. An arthroscopic technique is generally preferred over open decompression. The complete operative approach and patient selection details are in the full protocol.
References
However, surgery becomes the primary treatment modality when those fail, particularly if the patient has an identifiable and reversible nerve compression cause.
In general, there are two modalities to treat SNES – arthroscopic decompression and open decompression.
Regardless of modality, the goal of the surgery is to remove any associated compressive lesions or areas.
Open decompression has fallen out of favor due to the advantages inherent in the less invasive arthroscopic approach.
DOI: 10.52965/001c.25554
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