Resumo

FERREIRA, Nuno Vieira; SEVIVAS, Nuno  e  SILVA, Manuel Vieira da. Neuropatia compressiva do nervo supraescapular. Rev. Port. Ortop. Traum. [online]. 2014, vol.22, n.3, pp.249-264. ISSN 1646-2122.

Introduction: suprascapular neuropathy was first described in 1952, but only recently has been better understood and diagnosed. Etiology is not always clear and the diagnosis is not yet well established. Treatment is controversial, especially the option for arthroscopic release. This technique has been increasingly used but, despite the good results reported in the literature, we did not find any systematic analysis of the clinical results of this technique. The aim of this work was to make review of the subject and a detailed analysis of the results of arthroscopic treatment, looking for the most appropriate indications for this technique. Material and Methods: search was conducted in 6 databases available on the Internet using the keywords "suprascapular nerve", "arthroscopic ", "release" and "decompression". A systematic review of the literature was performed and found a narrative synthesis. Data Synthesis and Conclusions: suprascapular neuropathy is now a well-established and increasingly better understood pathology. It is very important in the differential diagnosis of the shoulder pathology, especially in younger patients, athletes or in the context of cuff tears. Surgical treatment is indicated when the conservative treatment fails and, in that case, the arthroscopic release is an expanding option. It is indicated in patients with posterior shoulder pain, decreased strength of the supraspinatus and/or infraspinatus, with or without electromyographic changes. Results are encouraging up to date only but small series are published. It appears to provide consistent positive clinical results becoming a valid treatment for suprascapular neuropathy.

Palavras-chave : nerve; Suprascapular; spinoglenoid notch; electromyography; arthroscopic decompression.

        · resumo em Português     · texto em Português     · Português ( pdf )