Advancing the Science of Neurologic Shoulder Disorders.
An international collaboration integrating surgery, imaging, rehabilitation, and innovation.
About Us
Mission Statement
Our Approach
We combine multidisciplinary expertise in orthopedic surgery, radiology, physical therapy, and interventional techniques to foster a holistic and innovative framework for neurologic shoulder care.
Focus Areas
Exploring the Neurologic Shoulder
Our collaboration focuses on the full spectrum of neurologic shoulder conditions, emphasizing diagnostic precision and therapeutic innovation in:
1-Neurogenic Thoracic Outlet Syndrome (nTOS): Surgical procedures, diagnostic injections, anesthetic blocks, botulinum toxin.
2-Suprascapular Nerve (SSN): Release procedures, ultrasound-guided shots.
3-Quadrangular Space Syndrome: Nerve blocks, surgical release.
4-Accessory Nerve: Release techniques, hydrodissection, injections, and nerve transfers.
5-Dorsal Scapular Nerve: Release procedures, targeted injections, hydrodissection.
6-Long Thoracic Nerve: Decompression, hydrodissection and nerve block.
7-Axillary Nerve: Blocks, release, and transfers for lesions.
8-Triple Block for Shoulder Pain: Multimodal nerve block protocols for complex pain management.
9-Physical Therapy.
Advanced Techniques
Our collaboration promotes state-of-the-art clinical practices and research methodologies, including:
Publications & Media
Recent Scientific Contributions: A curated collection of our members’ contributions to the scientific literature, including journal articles, case discussions, and video summaries.
Ahmed AS, Lafosse T, Graf AR, Karzon AL, Gottschalk MB, Wagner ER. Modern Treatment of Neurogenic Thoracic Outlet Syndrome: Pathoanatomy, Diagnosis, and Arthroscopic Surgical Technique. J Hand Surg Glob Online. 2023 Jan 18;5(4):561-576. doi: 10.1016/j.jhsg.2022.07.004. PMID: 37521545; PMCID: PMC10382898.
Bader D, Lafosse T, Garcia JC Jr. Endoscopic Release of the Brachial Plexus. Arthrosc Tech. 2020 Oct 1;9(10):e1565-e1569. doi: 10.1016/j.eats.2020.06.020. PMID: 33134061; PMCID: PMC7587459.
Garcia JC Jr, Felipe de Paula Correa M, Fadel GW, Mendes RB, Garcia JM, Muzy PC, Lopes Bader DA. Endoscopy for neurogenic thoracic outlet syndrome: effectiveness and safety assessments. JSES Int. 2025 Jan 9;9(3):852-858. doi: 10.1016/j.jseint.2024.12.006. PMID: 40486778; PMCID: PMC12144999.
Garcia JC Jr, Mantovani G, Liverneaux PA. Brachial plexus endoscopy: feasibility study on cadavers. Chir Main. 2012;31(1):7-12.
Lafosse T, Le Hanneur M, Lafosse L. All-endoscopic Brachial Plexus Complete Neurolysis for Idiopathic Neurogenic Thoracic Outlet Syndrome: Surgical Technique. Arthrosc Tech. 2017 Jul 10;6(4):e967-e971. doi: 10.1016/j.eats.2017.03.006. PMID: 28970979; PMCID: PMC5620737.
Lafosse T, Garcia JC, Lafosse L, Kimmeyer M. Comprehensive Endoscopic Brachial Plexus Release for Neurogenic Thoracic Outlet Syndrome Including Suprascapular Nerve Release and Scalenotomy. Arthroscopy Techniques. 2024, 14(2):103237
Mantovani G, Liverneaux P, Garcia JC Jr, Berner SH, Bednar MS, Mohr CJ. Endoscopic exploration and repair of brachial plexus with telerobotic manipulation: a cadaver trial. J Neurosurg. 2011 Sep;115(3):659-64. doi: 10.3171/2011.3.JNS10931. Epub 2011 Apr 8. PMID: 21476812.
Wagner ER, McQuillan TJ, Omole O, Khawaja SR, Cuneo KR, Hussain ZB, Cooke HL, Chopra KN, Gottschalk MB, Bowers RL. Arthroscopic Pectoralis Minor Release and Infraclavicular Brachial Plexus Decompression for Neurogenic Thoracic Outlet Syndrome: A Novel Treatment for an Old Problem. JB JS Open Access. 2025 Mar 14;10(1):e24.00203. doi: 10.2106/JBJS.OA.24.00203. PMID: 40094077; PMCID: PMC11896109.
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