ArticleJSES reviews, reports, and techniques2026
Outcomes of endoscopic, thoracic segment long thoracic nerve decompression.
Article in JSES reviews, reports, and techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Background: Axillary and inferior periscapular pain often presents with scapulothoracic abnormal motion and observable winging and can be debilitating for patients. Our hypothesis is that endoscopic long thoracic nerve (LTN) decompression in the thoracic segment is effective at improving axillary and inferior periscapular border pain. Methods: A retrospective chart review was performed of all patients diagnosed with persistent axillary and inferior periscapular border pain receiving endoscopic LTN decompression at a single institution, performed by 2 surgeons between 2020 and 2024. Patient demographics and patient pre- and postoperative patient-reported outcome measures were collected. Results: Thirty-one patients receiving endoscopic LTN decompression were identified and included for analysis. The average follow-up was 25.1 ± 10.9 months, with an average patient age of 45.2 ± 18.1 years. Fifteen (n = 15/31; 48.4%) had prior ipsilateral upper-extremity surgery. Nineteen (n = 19/31; 61.2%) patients received a concomitant pectoralis minor release, 11 (n = 11/31; 35.5%) arthroscopic brachial plexus neurolysis, 10 (n = 10/31; 32.2%) arthroscopic scapulothoracic decompression, and 2 biceps tenodesis (n = 2/31; 6.5%) at the time of their arthroscopic LTN decompression. Visual analog scores (VAS) (7.7 ± 2.1 vs. 2.7 ± 2.7; Conclusion: Thoracic-based, endoscopic decompression of the LTN improves pain, patient-reported outcome measures, and range of motion with minimal complications. Further study is required to determine long-term pain relief and outcomes.
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