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Suprascapular Nerve Decompression

Suprascapular Nerve Decompression. Misty Suri MD Ochsner Sports Medicine Center. 21 y/o RHD female w/ L shoulder pain Pain initially started as wrist pain & progressed up to her shoulder X 1 month C/o numbness/tingling in L hand/fingers Thoracic outlet syndrome ruled out Denies any trauma.

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Suprascapular Nerve Decompression

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  1. Suprascapular Nerve Decompression Misty Suri MD Ochsner Sports Medicine Center

  2. 21 y/o RHD female w/ L shoulder pain Pain initially started as wrist pain & progressed up to her shoulder X 1 month C/o numbness/tingling in L hand/fingers Thoracic outlet syndrome ruled out Denies any trauma PMHx: neg PSHx: neg Allergies: NKDA SHx: denies smoking, Etoh, or illicit drugs History

  3. Gen: A&O, in NAD FF 175, ER at 0--70, ER at 90--90, IR at 90--90 +scapular winging +scapulothoracic crepitation +Neers/Hawkins +bicipital ttp Ant drawer 2+, post 1+, sulcus 2+, sulcus in ER 1+ +O’Briens test +atrophy of supra/infraspinatus 5/5 RTC strenght Normal C-spine exam NVID Physical Exam

  4. Preop Xrays

  5. Preop MRI

  6. Preop MRI

  7. Preop MRI

  8. Preop MRI

  9. EMG • Active denervation of supraspinatus and infraspinatus muscles • C/w suprascapular nerve compression neuropathy

  10. Anatomy

  11. What Was done • SLAP Repair w/ RI closure • Suprascapular nerve decompression at suprascapular notch • Subacromial bursectomy

  12. Arthroscopy Pics

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  24. Arthroscopy Video

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