A modified, less invasive posterior subscapular approach to the brachial plexus: case report and technical note

Journal Article

The traditional posterior subscapular approach offers excellent exposure of the lower brachial plexus and has been successfully used in patients with recurrent thoracic outlet syndrome after an anterior operation, brachial plexus tumors involving the proximal roots, and postirradiation brachial plexopathy, among others. However, this approach also carries some morbidity, mostly related to the extensive muscle dissection of the trapezius, rhomboids, and levator scapulae. In this article, the authors present the surgical technique and video illustration of a modified, less invasive posterior subscapular approach, using a small, self-retaining retractor and only a partial trapezius and rhomboid minor muscle dissection. This approach is likely to result in decreased postoperative morbidity and a shorter hospital stay.

Full Text

Duke Authors

Cited Authors

  • Crutcher, CL; Kline, DG; Tender, GC

Published Date

  • March 2017

Published In

Volume / Issue

  • 42 / 3

Start / End Page

  • E7 - E7

Published By

Electronic International Standard Serial Number (EISSN)

  • 1092-0684

Digital Object Identifier (DOI)

  • 10.3171/2016.12.focus16470