Surgical Management of Axillary Nerve and Suprascapular Nerve Lesions.

概要

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Five patients with axillary nerve injuries and four patients with suprascapular nerve entrapment were treated. Diagnosis was confirmed by physical examination and electromyographic studies. As an ancillary test, myelography of the cervical spine and arthrography and MRI of the shoulder joint were performed. Two patients with isolated axillary nerve injuries, in whom the nerve was in continuity, were treated by neurolysis. Three patients with axillary and suprascapular nerve injuries required nerve grafts. One patient operated upon up to one year two months after trauma required trapezius and latissimus dorsi transfer. In three patients with suprascapular nerve entrapment, we performed a release of the transverse scapular ligament and spinoglenoid notch resection. One patient with suprascapular nerve entrapment due to spinoglenoid notch ganglion was treated by removal of the ganglion. All patients achieved good results.
西日本整形・災害外科学会の論文