Shoulder arthroplasty for glenohumeral arthrosis has been shown to provide reliable pain relief in older, ... read more ↘ less active populations. Younger patients, however, who desire to continue participation in high-demand activities, may not be optimal candidates for glenohumeral arthroplasty. Arthroscopic debridement has been reported to provide incomplete symptomatic relief in this cohort of patients and is less successful in patients with large humeral osteophytes.
To this end, it is evident from cadaveric studies that the axillary nerve runs in close proximity to the inferior glenohumeral capsule and compression may potentially contribute to posterior shoulder pain in a manor similar to quadrilateral space syndrome. Therefore we present a technique that combines traditional glenohumeral debridement and capsular release with inferior humeral osteoplasty and arthroscopic transcapsular axillary nerve decompression as a joint preservation procedure. ↖ read less