ArticleCureus2025
Lower Subscapular Nerve Hydrodissection and Subscapularis Re-education for Residual Anterior Shoulder Pain After Superior Labrum Anterior to Posterior Debridement: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Hydrodissection and hydrodilatation for joint pain: a scoping review.Frontiers in pain research (Lausanne, Switzerland) · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Superior labrum anterior to posterior (SLAP) lesions are frequently identified on magnetic resonance imaging (MRI), particularly in middle-aged patients, yet many remain incidental and asymptomatic. Arthroscopic debridement of type I lesions may provide symptomatic relief; however, unsatisfactory outcomes may occur in some patients. Residual anterior shoulder pain may not be fully attributed to structural pathology alone, indicating a potential contribution of functional deficits, such as dynamic anterior instability and subscapularis dysfunction. We report the case of a right-handed male amateur arm wrestler in his 40s, who presented with residual anterior shoulder pain (Numerical Rating Scale (NRS) score, 7) and internal rotation weakness (Manual Muscle Testing (MMT) grade, 3) following arthroscopic debridement of a type I SLAP lesion. Steroid injections and hydrodissection of the suprascapular and axillary nerves yielded limited benefits. Targeted ultrasound-guided hydrodissection of the lower subscapular nerve (LSN) was subsequently performed in combination with weekly physiotherapy, including ultrasound-guided subscapularis activation and manual neural mobilization. Pain improved immediately (NRS 3) and resolved within one month (NRS 0), with restoration of internal rotational strength (MMT 5). He resumed competitive arm wrestling four months postoperatively and subsequently won a local tournament. Residual anterior shoulder pain after SLAP debridement may primarily reflect functional impairment, particularly subscapularis dysfunction, rather than residual labral pathology. Ultrasound-guided lower subscapular nerve (LSN) hydrodissection combined with subscapularis-specific rehabilitation is a promising therapeutic option for refractory postoperative anterior shoulder pain.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.