Controversies in the Overhead Athlete's Shoulder (AANA22)-The Dead Arm: Evaluation & Management of Suprascapular Neuropathy

The Dead Arm: Evaluation & Management of Suprascapular Neuropathy

Video Transcription

Video Summary

The video features two speakers discussing principles related to suprascapular nerve issues and its treatment. The first speaker emphasizes the failure rate of slap repair and highlights reasons for failures, such as improper fixation or lack of fixation altogether, as well as a failure to address the underlying causative mechanisms post-operation. The second speaker provides detailed information about suprascapular neuropathy in overhead athletes. They discuss the nerve's origin, compression points, and associated weakness. The speaker also demonstrates a cadaveric dissection, explaining the nerve's path and variations. They discuss symptoms, MRI findings, EMG testing, and possible treatment options, such as ultrasound-guided aspiration or decompression surgery. The video concludes with references to case reports and studies supporting the success of surgical interventions.

Asset Caption

Michael J. O'Brien, M.D.

Keywords

suprascapular nerve

slap repair failure

causative mechanisms

suprascapular neuropathy

ultrasound-guided aspiration