Arthroscopic Pectoralis Minor Release After Reverse Shoulder Arthroplasty: A Novel Consideration for Postarthroplasty Pain

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...

Full description

Saved in:
Bibliographic Details
Published inJBJS case connector Vol. 13; no. 2
Main Authors Stern, Elinor, Karzon, Anthony L, Hussain, Zaamin B, Khawaja, Sameer R, Cooke, Hayden L, Pirkle, Sarah, Bowers, Robert L, Gottschalk, Michael B, Wagner, Eric R
Format Journal Article
LanguageEnglish
Published United States 01.04.2023
Subjects
Aged
Arthroplasty, Replacement, Shoulder
Humans
Male
Pain
Pectoralis Muscles - surgery
Thoracic Outlet Syndrome - surgery
Treatment Outcome
Online AccessGet more information

Cover

More Information
Summary: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. 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.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.22.00804