Arthroscopic Pectoralis Minor Release After Reverse Shoulder Arthroplasty

Author:

Stern Elinor1ORCID,Karzon Anthony L.1ORCID,Hussain Zaamin B.1,Khawaja Sameer R.1ORCID,Cooke Hayden L.1ORCID,Pirkle Sarah1ORCID,Bowers Robert L.1ORCID,Gottschalk Michael B.1ORCID,Wagner Eric R.1ORCID

Affiliation:

1. Department of Orthopaedic Surgery Emory University, Atlanta, Georgia

Abstract

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

Reference26 articles.

1. Thoracic outlet syndrome;Kuhn;J Am Acad Orthop Surg.,2015

2. Thoracic outlet and pectoralis minor syndromes;Sanders;Semin Vasc Surg.,2014

3. The thoracic outlet syndromes: Part 1. Overview of the thoracic outlet syndromes and review of true neurogenic thoracic outlet syndrome;Ferrante;Muscle Nerve.,2017

4. Pectoralis minor syndrome: review of pathoanatomy, diagnosis, and management of the primary cause of neurogenic thoracic outlet syndrome;Ahmed;JSES Rev Rep Tech.,2022

5. Anatomy and embryology of the thoracic outlet;Connolly;Thorac Surg Clin.,2021

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