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Suprascapular neuropathy after distal clavicle excision
W J Mallon1, P R Bronec, R J Spinner
1Division of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Clinical Orthopaedics and Related Research
|August 1, 1996
Summary
Suprascapular neuropathy can occur after distal clavicle excision. Neurolysis of the suprascapular nerve can successfully treat this complication, with specific surgical recommendations to prevent its occurrence.
Area of Science:
- Orthopedic Surgery
- Neuroscience
Background:
- Distal clavicle excision is a surgical procedure with potential complications.
- Suprascapular neuropathy is a recognized risk following clavicle surgery.
Observation:
- Two cases of suprascapular neuropathy post-distal clavicle excision were observed.
- Anatomical dissections showed the suprascapular nerve's proximity to the distal clavicle (<1.4 cm).
Findings:
- Successful treatment was achieved through neurolysis of the suprascapular nerve originating from the brachial plexus upper trunk.
- Recommendations include resecting no more than 1 cm of the posterior distal clavicle and minimizing periosteal elevation.
Implications:
- These findings suggest a need for careful surgical technique during distal clavicle excision.
- Adhering to recommended resection margins and periosteal handling may prevent suprascapular nerve injury.