Comprehensive Endoscopic Brachial Plexus Release for Neurogenic Thoracic Outlet Syndrome Including Suprascapular Nerve Release and Scalenotomy

Abstract

Thoracic outlet syndrome is characterized by compression of neurovascular structures including the brachial plexus. Endoscopic techniques for brachial plexus neurolysis are emerging as treatment options when properly indicated. This technical note presents an updated comprehensive endoscopic technique for infraclavicular and supraclavicular brachial plexus neurolysis, including release of the suprascapular nerve via the anterior approach and release of the brachial plexus at the level of the interscalene triangle.