Efficacy and safety of ultrasound-guided suprascapular nerve block in patients with chronic shoulder pain☆

Lotero, Mario Andrés Arcila; Díaz, Roberto Carlo Rivera; Escobar, Daniel Campuzano; Aguilar, María Adelaida Mejía; Ramírez, Sandra Milena Martínez

doi:10.1097/01819236-201341020-00005

Cited by 2 publications

(8 citation statements)

References 14 publications

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“…Of which 13 studies came from Turkey, [26][27][28][29][30][31][32][33][34][35][36][37][38] 7 each from Australia 20,23,[39][40][41][42][43] and India, [44][45][46][47][48][49][50] 6 from the UK, [51][52][53][54][55][56] 4 each from the USA [57][58][59][60] and South Korea, [61][62][63][64] 2 each from Brazil, 65,66 Canada, 67,68 Egypt 69,70 and Italy 71,72 and 1 each from Columbia, 73 Austria, 74 Nepal…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Bupivacaine was the most common local anaesthetic used at various concentrations and volumes in 30 studies. 20,31,46,47,[49][50][51][52][53]55,58,59,33,60,[64][65][66][68][69][70][71]73,75,34,[39][40][41][42][43][44] Of which 24 studies reported using 0.5% Bupivacaine 20,31,46,49,51-53,55,64,65,68,69,33,70,71,73,75,34,39-44 and 6 studies reported using 0.25% Bupivacaine. 47,50,[58][59][60]66 Bupivacaine was used at different volumes ranging from 10ml of 0.5% Bupivacaine, 20,39-44,55,64,68,70,71 3ml of 0.25% Bupivacaine 66 to 1ml of 0.5% Bupivacaine.…”

Section: Medication Usedmentioning

confidence: 99%

“…72 Four studies were undertaken with participants who had either a musculoskeletal shoulder disorder or a neurological condition causing their shoulder pain. 40,50,53,73 Three studies were undertaken with participants with non-specific shoulder pain, where no diagnosis was provided. 38,45,61 One study was undertaken in participants with rheumatoid arthritis, 52 either rheumatoid arthritis and/or osteoarthritis, 54 myofascial trigger point shoulder pain, 59 motor neurone disease 39 and with participants who developed shoulder pain following mastectomy for breast cancer.…”

Section: Population and Shoulder Conditionsmentioning

confidence: 99%

“…62,41 The additional use of electromyography (EMG) was reported in nine studies, of which four combined EMG with a surface-landmarked method, 30,35,48,58 three combined EMG with fluoroscopy 28,33,67 and two combined EMG with ultrasound. 37,73 From the studies included in our review, the earliest injection method reported was the land-marked direct suprascapular notch method in 1986. 60 The land-marked indirect method was first reported in 1994.…”

Section: Types Of Publicationmentioning

confidence: 99%

“…Local anaesthetic was used in all 53 studies. Local anaesthetics were used alone in 20 studies, 27,29,[58][59][60]62,63,67,68,70,74,76,30,33,37,38,46,49,54,57 used with steroid in 29 studies 20,23,26,28,32,[34][35][36][39][40][41][42][43][44][45]47,48,[50][51][52][53]55,56,64,66,69,71,73,75 and used with a combination of steroid and…”

Section: Medication Usedmentioning

confidence: 99%

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A systematic review of the methods and drugs used for performing suprascapular nerve block injections for the non-surgical management of chronic shoulder pain

Smith

Liew

Johnson

et al. 2021

British Journal of Pain

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Suprascapular nerve block (SSNB) injections are growing in popularity as a treatment option for people with chronic shoulder pain. The optimal method of injection and aftercare is unknown. This review describes the current methods and drugs used for performing SSNB injections in the non-surgical management of adults with chronic shoulder pain in order to inform future research in this area. Systematic searches of CINAHL, MEDLINE (OVID), AMED, Embase databases and the Cochrane Library were undertaken from inception to June 2020. Data on the method and drugs used for injection and aftercare were extracted and summarised for areas of commonality and discrepancy. We included 53 studies in this review. In total, eight different injection methods were reported within the included studies. Indirect surface land-marked methods were the most common method reported in 21 studies. Direct surface land-marked methods were reported in 12 studies. Ultrasound-guided methods used alone were reported in 16 studies. Both fluoroscopy and computed tomography methods used alone were reported in one study each. Electromyography was used in combination with other injection methods in nine studies. Wide variation in the composition of the injectate was observed between studies. Local anaesthetic was used within injectate preparations in all studies. Local anaesthetic used alone was reported in 20 studies, combined with steroid in 29 studies and combined with various other components in 5 studies. Physiotherapy following injection was reported in 26 studies. Reported details of physiotherapy varied considerably. This review identified substantial variation in the methods and drugs used to perform SSNB injection in clinical trials. Current literature demonstrates a wide range of methods used for SSNB injection administration. Consensus research defining standardised practice for SSNB injection is now needed to guide future clinical practice and research.

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