درمان جراحي گير افتادگي عصب سوپر ااسكاپولار

Srgical release of the suprascapular nerveen trapment

Entrapment of the suprascapular nerve may causes pain in the shoul­der which may be attributing wrongly to the other shoulder disorders and the treatment often delayed. Many authors believed that the treat­ment of this disease is conservative. This study was conducted to as­sess the effect of surgical release of the suprascapular nerve on the improvement of the patientsʹ functional score. Operative release for the entrapment of the suprascapular nerve was carried out in 5 patients. All patients were followed for 16 months (be­tween 12-20 months). They finally were assessed by the functional shoulder score devised by constant and murley. The average score be­fore the operative release was 40 ± 17. The diagnosis was confirmed with electrophysiologic studies and MRI. The average time from the onset of symptoms to operation was 7.8 ± 3.2 months. All patients were followed for an average of 16 months after operative release. Final constant score was 75.8 ± 26.2. There was an excellent result in all patients, except one who obliged to change his job (case 1). All patients were pain free after operation and had full recovery of muscle bulk except for case 1. The symptomatic and functional outcome in our study showed that operative decompression and entrapment of the suprascapular nerve improved the patientsʹ functional score. It seems that, if conservative treatments such as physiotherapy failed, it is better to do operative re­lease as soon as possible, because the delayed operation has negative effect on final outcome.