Arthroscopic release and labral repair for bifocal compression of the suprascapular nerve. Issue 1 (January 2016)

• Record Type: Journal Article
• Authors: Radic, Ross R.; Wallace, Andrew
• Is Part Of: Shoulder & elbow. Volume 8:Issue 1(2016)
• Page Start: 32
• Page End: 36
• Publication Date: 2016-01
• Subjects: labral cyst -- labral tear -- SLAP -- spinoglenoid cyst -- suprascapular nerve; Elbow -- Diseases -- Periodicals; Elbow -- Surgery -- Periodicals; Shoulder -- Diseases -- Periodicals; Shoulder -- Surgery -- Periodicals; Shoulder -- Periodicals; Elbow -- Periodicals; Shoulder Joint -- Periodicals; Elbow Joint -- Periodicals; 617.572005
• DOI: 10.1177/1758573215592582
• Languages: English
• ISSNs: 1758-5732

Abstract

We present a rare case of combined proximal and distal compression of the suprascapular nerve causing supra- and infraspinatus weakness and wasting in a 17-year-old rower. Clinical findings, magnetic resonance imaging and electromyeographic studies confirm this. The case was managed with an arthroscopic approach, consisting of arthroscopic labral repair and decompression of a paralabral cyst, combined with arthroscopic release of the transverse scapular ligament. An excellent result was achieved, with the patient returning to full competitive rowing prior to the 6-month clinical review. This case highlights the interesting nature of bifocal compression of the suprascapular nerve, as well as the successful use of arthroscopic techniques to manage the problem.