Combined Serratus Anterior Plication and Pectoralis Minor Release Improves Clinical Outcomes in Refractory Scapular Dyskinesis with Neurological Involvement
Observational study improved outcomes in patients with scapular dyskinesis and neurogenic thoracic outlet syndrome, suggesting effective surgical intervention.
Key Points
The study aims to evaluate the effectiveness of the SAPPER technique for managing scapular dyskinesis associated with neurological symptoms.
Included patients with lower brachial plexus dysfunction and without peripheral nerve injury or rotator cuff tears
Evaluated clinical outcomes at least 6 months postoperatively
Performed subgroup analysis for the effect of preoperative medical treatment on outcomes.
Significant improvement in Constant Score, Subjective Shoulder Value, Numeric Rating Scale, and shoulder flexion (p < 0.0001)
All patients reported recovery of neurological symptoms
Lesions identified included SLAP (77.5%), rotator interval (27.5%), and medial pulley (70%) lesions.