AANA Shoulder Arthroscopy - August 2024-Suprascapular Nerve Release

Suprascapular Nerve Release_ You Never Know When You Might Need It

Video Transcription

Video Summary

Dr. Kevin Plancher presents the Arthroscopic Suprascapular Nerve Release, emphasizing its importance in diagnosing and treating posterior shoulder pain often misattributed to cervical disc or rotator cuff disease. The suprascapular nerve can be compressed in two areas: the transverse scapular ligament, affecting both supraspinatus and infraspinatus muscles, and the spinoglenoid ligament, causing isolated infraspinatus atrophy. Symptoms include posterior shoulder pain with preserved motion, common in overhead athletes and laborers, but often leading to delayed treatment and muscle atrophy. The procedure involves arthroscopic release of these ligaments through specific portal placements, ensuring nerve safety during ligament resection. Diagnosis can be supported by physical exams, MRI, EMG, and diagnostic injections. Literature shows high success rates in symptom relief, strength restoration, and return to sport. Dr. Plancher stresses that early recognition and treatment are crucial, challenging older conservative approaches, and encourages surgeons to learn this technique to improve patient outcomes.

Asset Caption

Kevin Plancher, MD

Keywords

Arthroscopic Suprascapular Nerve Release

posterior shoulder pain

suprascapular nerve compression

transverse scapular ligament

infraspinatus muscle atrophy