A 46-year-old man underwent open reduction and internal fixation (ORIF) of left scapular, humerus, and clavicle fractures after a snowmobile accident. He subsequently developed severe left infraspinatus weakness with electromyogram evidence of suprascapular entrapment at the spinoglenoid notch. Intraoperatively, suprascapular nerve compression from an ossified spinoglenoid ligament was observed. Scapular hardware was removed, the ossified ligament was resected, and neurolysis was performed. At 6 months postoperatively, the patient demonstrated return of infraspinatus function.
An ossified spinoglenoid ligament can contribute to suprascapular neuropathy after scapular fracture and ORIF. Open resection of the ossified ligament may lead to improved infraspinatus function.