An alternative endoscopic portal for suprascapular nerve approach: an anatomic study

Verfasser / Beitragende:
[Gazi Huri, Akin Üzümcügil, Omer Biçer, Hakan Ozturk, Edward McFarland, Mahmut Doral]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1511-1517
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-2903-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2903-y 
245 0 3 |a An alternative endoscopic portal for suprascapular nerve approach: an anatomic study  |h [Elektronische Daten]  |c [Gazi Huri, Akin Üzümcügil, Omer Biçer, Hakan Ozturk, Edward McFarland, Mahmut Doral] 
520 3 |a Purpose: Arthroscopic approaches have been less preferred than open techniques for treating suprascapular nerve entrapment, possibly because current arthroscopic portals are based on distances to reference points, resulting in discrepancies from differing shoulder sizes. This study reports a portal placement based on proportions rather than absolute length. Methods: Open dissection (12 left shoulders) and arthroscopy (12 contralateral shoulders) of the suprascapular notch were performed. In left shoulders, the posterolateral prominence of the acromion, the T1 spinous process, and the suprascapular notch were marked (K-wires). Distances from the posterolateral prominence of the acromion to the suprascapular notch and to the T1 spinous process were measured, and the proportion of those distances (distance to the suprascapular notch/distance to the T1 spinous process) was calculated to indicate the portal's location. In right shoulders, arthroscopy anatomically assessed that proportion's reliability. Results: Median distances from the posterolateral prominence of the acromion to the T1 spinous process and to the suprascapular notch were 175.7mm (average 180.4, SD 11.8mm) and 72.3mm (average 73.9, SD 4.9), respectively. The medians of the proportions of the defined distances were 40.9% (range 40-42%) and 41% (range 39.3-42.1%), respectively. Conclusion: Locating the portal at the lateral, 41% of the distance between the posterolateral prominence of the acromion and the T1 spinous process was accurate and reproducible for suprascapular notch visualization. Clinically, this portal seems to eliminate perioperative morbidity by reducing excessive soft-tissue dissection with a shorter arthroscopic route and avoiding the ligamentous damage. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anatomic  |2 nationallicence 
690 7 |a Suprascapular nerve  |2 nationallicence 
690 7 |a Entrapment  |2 nationallicence 
690 7 |a Arthroscopic  |2 nationallicence 
690 7 |a Decompression  |2 nationallicence 
700 1 |a Huri  |D Gazi  |u Division of Shoulder Surgery, The Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, 21287, Baltimore, MD, USA  |4 aut 
700 1 |a Üzümcügil  |D Akin  |u The Department of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Sihhiye, 06532, Ankara, Ankara Province, Turkey  |4 aut 
700 1 |a Biçer  |D Omer  |u The Department of Orthopedics and Traumatology, Faculty of Medicine, Cukurova University, Cukurova University Rectorate, 01330, Balcali, Saricam, Adana, Turkey  |4 aut 
700 1 |a Ozturk  |D Hakan  |u The Department of Anatomy, Faculty of Medicine, Mersin University, Yenisehir, 33343, Mersin, Mersin Province, Turkey  |4 aut 
700 1 |a McFarland  |D Edward  |u Division of Shoulder Surgery, The Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, 21287, Baltimore, MD, USA  |4 aut 
700 1 |a Doral  |D Mahmut  |u The Department of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Sihhiye, 06532, Ankara, Ankara Province, Turkey  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1511-1517  |x 0942-2056  |q 23:5<1511  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2903-y  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2903-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Huri  |D Gazi  |u Division of Shoulder Surgery, The Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, 21287, Baltimore, MD, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Üzümcügil  |D Akin  |u The Department of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Sihhiye, 06532, Ankara, Ankara Province, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Biçer  |D Omer  |u The Department of Orthopedics and Traumatology, Faculty of Medicine, Cukurova University, Cukurova University Rectorate, 01330, Balcali, Saricam, Adana, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ozturk  |D Hakan  |u The Department of Anatomy, Faculty of Medicine, Mersin University, Yenisehir, 33343, Mersin, Mersin Province, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a McFarland  |D Edward  |u Division of Shoulder Surgery, The Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, 21287, Baltimore, MD, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Doral  |D Mahmut  |u The Department of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Sihhiye, 06532, Ankara, Ankara Province, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1511-1517  |x 0942-2056  |q 23:5<1511  |1 2015  |2 23  |o 167