Abstract

CARDOSO, Rui  and  GUTIERRES, Manuel. Neuropatia do nervo supra-escapular associada a rotura da coifa dos rotadores: Quando libertar?. Rev. Port. Ortop. Traum. [online]. 2018, vol.26, n.1, pp.43-52. ISSN 1646-2122.

The suprascapular notch is a common location for entrapment of the suprascapular nerve (SN), which includes as an importante cause, rotator cuff tear (RCT). There is a recent perception of this association due to increased knowledge and more careful evaluation of patients with rotator cuff pathology. Open surgical procedure is the most commonly used treatment for this cause of nerve compression, however, controversy remains whether the SN should be released or not. We analyzed the recent literature related with this theme and selected the most relevant articles (40). Only five of them referred to post-operatory results and we divided them into two groups: one with rotator cuff repair (RCR) with SN release and the other without SN release. Evaluation of the parameters like pain, strength/function, muscle atrophy, fatty infiltration and electromyography (EMG) after surgery showed similar outcomes between the two groups. This comparison allows us to conclude that there is no advantage in releasing the SN when performing a RCR.

Keywords : based on Medical Subject Headings (MeSH; Nerve Compression Syndromes; Peripheral Nervous System Diseases; Rotator Cuff Injuries and Shoulder Pain.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )