Pericapsular nerve group block for postoperative shoulder pain: A cadaveric radiological evaluation

Altınpulluk, Ece Yamak; Teles, Ana Sofia; Galluccio, Felice; Simón, Diego García; Olea, Marilina Susana; Salazar, Carlos; Pérez, Mario Fajardo

doi:10.1016/j.jclinane.2020.110058

Cited by 11 publications

(10 citation statements)

References 4 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: 68%

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: 68%

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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“…Similarly, Altınpulluk et al, in their cadaver studies using methylene blue injection hypothesized that this technique provided a pericapsular distribution and most likely reached the joint branches that innervate the GHJ. 3 Pericapsular nerve block was successfully and safely applied in our patients and contributed to both anesthesia and analgesic management.…”

Section: Discussionmentioning

confidence: 79%

“…To ensure adequate postoperative pain control, nerve supply to the synovium, capsule, joint surfaces, ligaments, periosteum, and shoulder muscles should all be blocked. 1 , 3 …”

Section: Discussionmentioning

confidence: 99%

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Anesthesia or analgesia? New block for shoulder surgery: pericapsular nerve group block

Küpeli

Kara

2022

Brazilian Journal of Anesthesiology (English Edition)

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“…By combining the SSnb with a recently described new block, the shoulder anterior capsular block (SHAC), we can reach all our targets. The SHAC [17][18][19] is the combination of two different blocks. The first block is the interfascial space between the deep layer of the deltoid fascia and the superficial layer of the subscapularis fascia, anterior to the subscapularis myotendinous junction.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Interfascial Plane and Pericapsular Nerve Blocks to the Shoulder Joint: A Preliminary Analysis of Shoulder Anterior Capsular Block

et al. 2021

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Introduction:The aim of this study is to verify if the shoulder anterior capsular block (SHAC), combined with other nerve blocks, is effective in relieving shoulder pain, avoiding motor block and allowing an early rehabilitation program. Methods: Seventy-five consecutive patients with painful shoulder were treated with the SHAC, alone (30 patients) or in combination with a suprascapular nerve block (SSnb: 25 patients) or with pectoralis and serratus plane block (PECS-2: 20 patients). All blocks were performed with 0.2% ropivacaine plus 8 mg dexamethasone. All patients were treated with threeweekly physiotherapy sessions for the following 2 weeks and then with home exercises. Results: The post-procedural analgesic effect was strong in all groups, with a mean change in numeric rating scale (NRS) values of -6.05 in group 1, -6.25 in group 2, and -6.19 in group 3 (p \ .0001), allowing all patients to complete an immediate physiotherapy session. Only a few

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Pericapsular nerve group block for postoperative shoulder pain: A cadaveric radiological evaluation

Cited by 11 publications

References 4 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

Anesthesia or analgesia? New block for shoulder surgery: pericapsular nerve group block

Evaluation of Interfascial Plane and Pericapsular Nerve Blocks to the Shoulder Joint: A Preliminary Analysis of Shoulder Anterior Capsular Block

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