A novel technique to Axillary Circumflex Nerve Block: Fajardo approach

Altınpulluk, Ece Yamak; Galluccio, Felice; Salazar, Carlos; Olea, Marilina Susana; Simón, Diego García; Espinoza, Karla; Teles, Ana Sofia; González‐Arnay, Emilio; Pérez, Mario Fajardo

doi:10.1016/j.jclinane.2020.109826

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…In addition, injection through the rotator cuff interval might facilitate distribution of the injectate to juxta-articular space. The terminal branches of the axillary and lateral pectoral nerves would be infiltrated, leading to a better analgesic effect (Yamak Altinpulluk et al, 2020a;Yamak Altinpulluk et al, 2020b;Galluccio et al, 2020;González-Arnay et al, 2020). However, unlike the study by Elnady et al (2020), hydrodilatation though the rotator cuff interval did not achieve better recovery in the shoulder function and ROM as compared to the posterior glenohumeral recess approach in our study.…”

Section: Discussioncontrasting

confidence: 71%

Ultrasound-Guided Hydrodilatation With Triamcinolone Acetonide for Adhesive Capsulitis: A Randomized Controlled Trial Comparing the Posterior Glenohumeral Recess and the Rotator Cuff Interval Approaches

et al. 2021

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For patients with adhesive capsulitis, hydrodilatation is typically performed using corticosteroids with ultrasound guidance via the posterior glenohumeral recess. Recently, a new intervention technique via the rotator cuff interval has been described. This study aimed to compare the efficacy of hydrodilatation with triamcinolone acetonide via the posterior glenohumeral recess and the rotator cuff interval in patients with adhesive capsulitis. This prospective randomized controlled trial was conducted in a tertiary care center with a follow-up period of 12 weeks. We enrolled 64 patients diagnosed with shoulder adhesive capsulitis. The subjects were randomly assigned to two groups that received hydrodilatation with corticosteroids either through the posterior glenohumeral recess or though the rotator cuff interval. The injection contained 4 ml of triamcinolone acetonide (40 mg) mixed with 4 ml of 2% lidocaine hydrochloride and 12 ml of normal saline. The shoulder pain and disability index, visual analog scale for pain, and range of motion were analyzed before and at 6 and 12 weeks after the treatment. Both groups experienced improvements in the visual analog scale scores, shoulder pain and disability index scores, and range of motion throughout the study period. A significant group-time interaction was observed in terms of the visual analog scale for pain during motion (p = 0.019), favoring hydrodilatation through the rotator cuff interval. Thus, hydrodilatation through the rotator cuff interval might be a better treatment option than that through the posterior glenohumeral recess for patients with adhesive capsulitis, considering its superior effect in alleviating pain during shoulder movement.

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Section: Discussioncontrasting

confidence: 71%

Ultrasound-Guided Hydrodilatation With Triamcinolone Acetonide for Adhesive Capsulitis: A Randomized Controlled Trial Comparing the Posterior Glenohumeral Recess and the Rotator Cuff Interval Approaches

et al. 2021

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“…We suggest keeping in mind this anterior approach to the axillary nerve as it provides a more complete nerve block and is simpler to perform. [7] A benefit of the anterior approach to the axillary nerve is that we can block the terminal branches of the brachial plexus, which rest on the subscapularis muscle. We suggest a posterior approach to the suprascapular nerve in the sitting or lateral decubitus position, to facilitate the insertion of the needle (Fig.…”

Section: To the Editormentioning

confidence: 99%

The anterior axillary nerve approach: A novel technical for shoulder surgery

Salazar Flores

2024

Agri

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“…The remaining shoulder joint areas are innervated by the SSN, which must be blocked if complete anesthesia of the shoulder is to be achieved. The LPN, or its articular branches, can be blocked by PECS I block or at the space between the coracoid process and clavicle (Figure 12) [41,42].…”

Section: Usg Anterior Approach To An Blockmentioning

confidence: 99%

Regional Anesthesia for Shoulder and Clavicle Surgery

Rodríguez-Gómez¹,

Saucillo-Osuna²,

Iñiguez-López³

2022

Topics in Regional Anesthesia

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The shoulder joint and clavicle are innervated by the brachial plexus, the cervical plexus, and nerves to muscles around the joint and clavicle. Regional anesthesia is aimed at producing optimal surgical conditions, prolonging postoperative analgesia, being free of complications, reducing costs, and minimizing hospital stay. Regional upper extremity anesthesia can be achieved by blocking the brachial plexus at different stages along the course of the trunks, divisions, cords, and terminal branches. The gold standard of regional anesthesia for shoulder surgery is interscalene brachial plexus block plus cervical plexus block, but it is associated with a high rate of neurological complications and phrenic nerve block. The interest of the anesthesiologist has been directed towards regional blocks avoiding these complications; techniques that approach nerves more distally than interscalene block have been described. These approaches include supraclavicular nerves, upper trunk, suprascapular nerve by anterior approach, axillary nerve block in the axillary fossa, clavipectoral fascia block. The objective of this chapter is to describe the anatomy, sonoanatomy, technique, and the clinical utility of these accesses.

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A novel technique to Axillary Circumflex Nerve Block: Fajardo approach

Cited by 8 publications

References 3 publications

Ultrasound-Guided Hydrodilatation With Triamcinolone Acetonide for Adhesive Capsulitis: A Randomized Controlled Trial Comparing the Posterior Glenohumeral Recess and the Rotator Cuff Interval Approaches

Ultrasound-Guided Hydrodilatation With Triamcinolone Acetonide for Adhesive Capsulitis: A Randomized Controlled Trial Comparing the Posterior Glenohumeral Recess and the Rotator Cuff Interval Approaches

The anterior axillary nerve approach: A novel technical for shoulder surgery

Regional Anesthesia for Shoulder and Clavicle Surgery

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