Arthroscopic Pectoralis Minor Release After Reverse Shoulder Arthroplasty: A Novel Consideration for Postarthroplasty Pain.

Autor: Stern E; Department of Orthopaedic Surgery Emory University, Atlanta, Georgia., Karzon AL, Hussain ZB, Khawaja SR, Cooke HL, Pirkle S, Bowers RL, Gottschalk MB, Wagner ER
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2023 May 05; Vol. 13 (2). Date of Electronic Publication: 2023 May 05 (Print Publication: 2023).
DOI: e22.00804
Abstrakt: Case: A 74-year-old male patient presenting with chronic radiating shoulder pain, paresthesias, and weakness had previously undergone reverse shoulder arthroplasty and anterior cervical discectomy and fusion for an irreparable cuff tear and cervical radiculopathy, respectively. After being diagnosed with neurogenic thoracic outlet syndrome and undergoing physiotherapy, the patient's recalcitrant condition was surgically managed with arthroscopic pectoralis minor tenotomy, suprascapular nerve release, and brachial plexus neurolysis.
Conclusion: This ultimately led to complete pain relief and improved function. By sharing this case, we aim to shed light on this overlooked pathology and help prevent unnecessary procedures for others suffering from similar conditions.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C76).
(Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze: MEDLINE