What is a suprascapular nerve decompression?
Suprascapular nerve decompression is a minimally invasive surgery performed arthroscopically under regional anesthesia to release pressure on the suprascapular nerve.
What type of nerve is the suprascapular?
mixed nerve
It receives nerve fibers that originate in the nerve roots C5 and C6 (and sometimes C4). The suprascapular nerve is a mixed nerve, meaning that it provides both sensory and motor supply for the suprascapular region.
What is suprascapular nerve release?
Abstract. Suprascapular nerve entrapment can cause disabling shoulder pain. Suprascapular nerve release is often performed for compression neuropathy and to release pressure on the nerve associated with arthroscopic labral repair.
Where is the typical site for compression of the suprascapular nerve?
suprascapular notch
Technique. The most common site for the nerve to be compressed is at the suprascapular notch. The nerve may be decompressed by excising the transverse suprascapular ligament and freeing the nerve at this site.
How long does take for Subscapular nerve to recover after decompression?
The length of recovery from a subacromial decompression procedure will usually be 1-2 months. However, the sling will be discontinued after a few days to reduce the risk of postoperative stiffness.
What nerve goes through the scapular notch?
The suprascapular nerve
The suprascapular nerve passes through the notch beneath the superior transverse scapular (suprascapular) ligament, which bridges the notch. The suprascapular artery and vein pass directly over the nerve above the ligament.
Does infraspinatus abduct?
Action. Infraspinatus is the main external rotator of the shoulder joint. It assists in producing shoulder extension. With the arm fixed, it abducts the inferior angle of the scapula.
How long is the suprascapular nerve?
The suprascapular nerve courses through the suprascapular notch an average of 3.42 cm (range: 3.18–3.68 cm) from the superior glenoid rim. The distance from the suprascapular notch to the articular margin of the rotator cuff footprint averaged 5.34 cm (range: 5.05–5.58 cm).
Where is subscapular?
scapula
Subscapularis is a triangular shoulder muscle located in the subscapular fossa of scapula. Attaching between the scapula and the proximal humerus, it is one of the four muscles of the rotator cuff, along with supraspinatus, infraspinatus and teres minor.
What does supraspinatus mean?
Supraspinatus is the smallest of the 4 muscles which comprise the Rotator Cuff of the shoulder joint specifically in the supraspinatus fossa. It travels underneath the acromion.
How successful is subacromial decompression?
Abstract. Arthroscopic subacromial decompression is an effective treatment for impingement syndrome, with published success rates between 77% and 90%. Failure of subacromial decompression is defined as persistent pain and disability after surgery despite adequate postoperative rehabilitation.
What is the CPT code for suprascapular nerve release?
Procedure: Open suprascapular nerve release, releasing the suprascapular ligament, right shoulder Diagnosis: entrapment of suprascapular Not sure about the CPT code…. 64708, 64713, 64722 dx 354.8 and the ligament release would bundle??? Thanks for any help! Jamie DeZenzo-CPC
What is the CPT code for nerve repair?
What is the CPT code for nerve wrap? The surgeons have been given information to use CPT 64910 for use of nerve wrap/tube for repair, however, the dr actually repaired the nerve by suturing it and used the nerve wrap as reinforcement.
What is the CPT code for posterior repair?
CPT® Code Code Description Pelvic Floor Repair Procedures – Transvaginal 57240 Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele 57250 Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy 57260 Combined anteroposterior colporrhaphy 57265 Combined anteroposterior colporrhaphy; with enterocele
What is the CPT code for subcutaneous injection?
Use the appropriate Healthcare Common Procedure Coding System (HCPCS) based on code descriptor.