title: Arthroscopic suprascapular neurectomy for the management of severe shoulder pain.
abstract: OBJECTIVE
  Arthroscopic suprascapular neurectomy is an effective option in the management of patients with severe shoulder pain
  
  
  METHODS
  We describe and evaluate a technique of suprascapular neurectomy, performed arthroscopically for the treatment of severe shoulder pain in 20 patients (17 with a rotator cuff arthropathy, two with glenohumeral arthritis and one with a rotator cuff deficient shoulder following an unsuccessful arthrodesis). Post-operative pain relief was measured using a new pain scoring system, which combined an assessment of the frequency and severity of pain experienced at night, at rest, with activities and any change in analgesic consumption.
  
  
  RESULTS
  At an average follow-up of 29 months, 75% of our patients reported good to excellent pain relief scores, 85% reported less night pain, 90% had less rest pain, 70% reported less pain on movement, whilst 75% reported less consumption of pain medication. There were no surgical complications.
  
  
  CONCLUSIONS
  Suprascapular neurectomy performed arthroscopically provides an additional surgical option in the management of pain in patients with cuff tear arthropathy and in other selected patients with no functioning rotator cuff. The pain scoring system introduced in this article provides a more comprehensive assessment of shoulder pain than existing pain scores.
  
  
  CONCLUSIONS
  We conclude that arthroscopic suprascapular neurectomy introduces an additional effective option in the management of pain in patients with these pathologies.
  
  
  METHODS
  Level 4; Retrospective case series, no control group.
authors.affiliation: Western Orthopaedic Clinic, Subiaco, Perth, Western Australia. neezlan@yahoo.com
authors.forename: Nasir M
authors.initials: NM
authors.lastname: Nizlan
authors.forename: Allan P
authors.initials: AP
authors.lastname: Skirving
authors.forename: Peter T
authors.initials: PT
authors.lastname: Campbell
mesh_terms: D000368:Aged; D001168:Arthritis / Q000601:surgery; D001174:Arthrodesis; D001182:Arthroscopy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D010525:Peripheral Nerves / Q000601:surgery; D012189:Retrospective Studies; D017006:Rotator Cuff; D012540:Scapula; D012785:Shoulder Joint; D020069:Shoulder Pain / Q000601:surgery*; D016896:Treatment Outcome