Extra-Articular Endoscopic BP Decompression-Surgical Technique
Evgeniy Aleksandrovich Belyak1, Fjodor Leonidovich Lazko1, Albert Akramovich Sufianov2,3,4
1Moscow state city hospital in honor of Buyanov V.M., Docent of Peoples' Friendship University of Russia (RUDN University) Moscow, Russia, Moscow, Russia.
Abstract:
We describe all-endoscopic brachial plexus (BP) decompression. Surgery is performed with the patient in the beach-chair position with the usual arthroscopic instruments and pump. The first step is to create 2 portals at the area of the coracoid process and decompress the infraclavicular part of the BP at area of thoracic aperture and coracoid. The second step includes performing 2 portals at supraclavicular fossa and performing decompression of BP at interscalene space. The postoperative period includes a short period of sling immobilization (3-5 days), immediate passive motion after surgery, and active motion after removal of the sling.
