A Randomized Study of the Effectiveness of Suprascapular Nerve Block in Patient Satisfaction and Outcome After Arthroscopic Subacromial Decompression

Jeske, Hans-Christian; Kralinger, Franz; Wambacher, Markus; Perwanger, Florian; Schoepf, Rebecca; Oberladstaetter, Juergen; Krappinger, Dietmar; Dallapozza, Christian; Hoffmann, F.

doi:10.1016/j.arthro.2011.05.016

Cited by 48 publications

(59 citation statements)

References 26 publications

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“…(1:200,000), 15) 0.25% bupivacaine과 epinephrine 5 mg/ml, 16) 0.25% bupivacaine과 epinephrine (1:200,000), 17) 0.5% bupivacaine, 18) 1% ropivacaine, 19) 0.5% ropivacaine과 epinephrine (1:200,000), 20) 0.5% …”

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confidence: 99%

The Proximal Approach in an Ultrasound-Guided Suprascapular Nerve Block

고¹,

강

신

2017

J Korean Orthop Assoc

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Purpose: The purpose of this study was to analyze any effectiveness, advantages, and the procedure of an ultrasound-guided suprascapular nerve block via the proximal approach in patients suffering from shoulder pain. Materials and Methods:A total of 51 patients treated with nerve block between November 2015 and November 2016 were analyzed. We identified the suprascapular nerve that branches off the superior trunk of the brachial plexus, and found the suprascapular nerve, which is located in the fascial layer between the inferior belly of the omohyoid muscle and the serratus anterior muscle. We then performed a nerve block. We evaluated the visual analogue scale (VAS) of pre-and post-nerve block, and the visualization of the nerve, depth from the skin to the nerve, angle of needle entry, as well as complications. Moreover, we measured the visualization of the nerve, depth from the skin to the nerve in a classic approach, and compared it with the proximal approach.Results: There was significant improvement (p＜0.05) in the mean VAS, from 7.1 to 3.4, without any major complications. Compared with the classic approach, we were able to identify the suprascapular nerve much better (classic 25.5%/proximal 96.1%), and the mean distance from the skin to the nerve (classic 38 mm/proximal 12 mm) was significantly short (p＜0.05), and the mean angle of needle entry was 19 degrees in the proximal approach. Conclusion:In an ultrasound-guided suprascapular nerve block by proximal approach, the nerve and needle tip can be more easily identified, which increases accuracy; with a small amount of local anesthetic, more effective pain control can be achieved. Hence, this approach is an effective alternative pain control method for patients suffering from shoulder pain.

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confidence: 99%

The Proximal Approach in an Ultrasound-Guided Suprascapular Nerve Block

고¹,

강

신

2017

J Korean Orthop Assoc

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“…Another study reported that SSNB with 10 mL 1 % ropivacaine had a 24-48 h duration [7]. Thus, a difference in duration was observed between ISB and SSNB when a similar quantity of ropivacaine was used.…”

Section: Discussionmentioning

confidence: 96%

“…Rebound pain has been reported in several studies in which regional blocks, such as ISB, SSNB, and ANB, were used to control pain after arthroscopic shoulder surgery [4,7,11,13]. One study showed that ANB combined with SSNB causes fewer rebound phenomena than that of SSNB alone [11].…”

Section: Discussionmentioning

confidence: 99%

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Effects of arthroscopy-guided suprascapular nerve block combined with ultrasound-guided interscalene brachial plexus block for arthroscopic rotator cuff repair: a randomized controlled trial

Lee

Hwang

Kim

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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“…The suprascapular nerve block has been shown to be more effective than subacromial infiltration or placebo after shoulder surgery 91. The suprascapular nerve block has also been shown to reduce pain in cases of frozen shoulder 1 month following an injection92 and in cases of general chronic shoulder pain of multiple aetiologies 93.…”

Section: Considering Drivers Of Pain In the Diagnosis And Management mentioning

confidence: 99%

Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain

2013

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If a patient asks 'why does my shoulder hurt?' the conversation will quickly turn to scientific theory and sometimes unsubstantiated conjecture. Frequently, the clinician becomes aware of the limits of the scientific basis of their explanation, demonstrating the incompleteness of our understanding of the nature of shoulder pain. This review takes a systematic approach to help answer fundamental questions relating to shoulder pain, with a view to providing insights into future research and novel methods for treating shoulder pain. We shall explore the roles of (1) the peripheral receptors, (2) peripheral pain processing or 'nociception', (3) the spinal cord, (4) the brain, (5) the location of receptors in the shoulder and (6) the neural anatomy of the shoulder. We also consider how these factors might contribute to the variability in the clinical presentation, the diagnosis and the treatment of shoulder pain. In this way we aim to provide an overview of the component parts of the peripheral pain detection system and central pain processing mechanisms in shoulder pain that interact to produce clinical pain.

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A Randomized Study of the Effectiveness of Suprascapular Nerve Block in Patient Satisfaction and Outcome After Arthroscopic Subacromial Decompression

Cited by 48 publications

References 26 publications

The Proximal Approach in an Ultrasound-Guided Suprascapular Nerve Block

The Proximal Approach in an Ultrasound-Guided Suprascapular Nerve Block

Effects of arthroscopy-guided suprascapular nerve block combined with ultrasound-guided interscalene brachial plexus block for arthroscopic rotator cuff repair: a randomized controlled trial

Why does my shoulder hurt? A review of the neuroanatomical and biochemical basis of shoulder pain

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