Arthroscopic transcapsular neurolysis of the axillary nerve (clinical case)

Abstract

The study objective– to present a clinical case of axillary nerve neurolysis performed through arthroscopic transcapsular access.Clinical case.Patient Ch., 38 years old, received a fracture of the head of the left humerus as a result of a fall 5 months ago. Immediately after the injury, symptoms of axillary nerve damage appeared. Conservative therapy was carried out without positive dynamics. According to ultrasound and electroneuromyography, signs of compression of the axillary nerve were noted without violating its anatomical integrity. The pathological substrate was located in the neck of the humerus, in the “blind” zone of the nerve. The situation was complicated by the progression of the phenomena of arthrosis of the joint with the formation of pain. Performed acroscopic transcapsular neurolysis of the axillary nerve with sanitation of the cavity of the shoulder joint. After 2 months, a visual increase in deltoid muscle volume and range of motion in the shoulder joint was noted.Conclusion.Arthroscopic transcapsular axillary neurolysis is, from our point of view, a promising minimally invasive intervention with the ability to perform simultaneous surgery by a multidisciplinary team. It is necessary to compare the results of the operation with arthroscopic and open access.