Arthroscopic Decompression of Suprascapular Nerve for Infraspinatus Muscle Atrophy in Volleyball Player: A Case Report

  • Funakoshi Yusei
    Department of Orthopaedic Surgery, Yonabaruchuo Hospital, Okinawa, Japan
  • Asato Hideki
    Department of Orthopaedic Surgery, Yonabaruchuo Hospital, Okinawa, Japan
  • Kinjo Hideo
    Department of Orthopaedic Surgery, Yonabaruchuo Hospital, Okinawa, Japan
  • Takaesu Mika
    Department of Orthopaedic Surgery, Yonabaruchuo Hospital, Okinawa, Japan
  • Kanaya Fuminori
    Department of Orthopaedic Surgery, University of the Ryukyus, Okinawa, Japan

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  • 棘下筋萎縮に対して鏡視下神経剥離術を行い復帰したバレーボール選手の1例

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Abstract

Infraspinatus muscle atrophy is sometimes seen in volleyball players. We report a case of infraspinatus muscle atrophy which was treated by arthroscopic suprascapular nerve decompression. The patient was a 16-year-old male volleyball player complaining of right shoulder pain and fatigue. Infraspinatus muscle atrophy and scaplar descent were observed. In MRI, there were no space occupying the lesion around the suprascapular nerve but obvious infraspinatus muscle atrophy. We diagnosed suprascapular nerve entrapment caused by spike motion. Right hand spike was prohibited and stretching of parascapula muscles was instructed in conservative treatment. Right shoulder pain and muscle atrophy improved after three months of conservative treatment, so we allowed right hand spike. Four months after retuning to play volleyball, the patient had the same symptoms as before the conservative treatment. Also infraspinatus muscle atrophy became worse in MRI. Therefore we performed arthroscopic suprascapular nerve decompression. One month after surgery, the patient returned to play volleyball. Five months after surgery, he could play volleyball like before and infraspinatus muscle atrophy recovered in MRI.

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