Ultrasound-guided continuous radiofrequency ablation of the suprascapular nerve for chronic shoulder pain secondary to osteoarthritis: a retrospective cohort study

Mermekli, Asimenia; Reddy, P. P.; McKean, David; Abdelsalam, Hassan; Teh, James; Mansour, Ramy

doi:10.1007/s00330-022-08763-x

Cited by 7 publications

(3 citation statements)

References 38 publications

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“…All patients were followed up for at least 6 months, and their efficacy was evaluated at the last follow-up visit and complications were recorded. Gait was observed using visual analysis and rated using the eight-point scale of the RLA (Rancho Los Amigos) [ 7 ] Rehabilitation Hospital, California, USA; pain sensation in the fingers was measured by VAS [ 8 ], and the distance between the two-points discriminative (2-PD) sensation of the fingers (defined as the minimum distance between 2 points of stimuli on skin) [ 9 ] was also measured by a Jamar Hands On Evaluation Kit (Sannyi Healthcare Corporation, Guizhou, China).…”

Section: Methodsmentioning

confidence: 99%

Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein

Zhang¹,

Wang

Ma³

et al. 2022

J Orthop Surg Res

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Purpose To evaluate the clinical utility of surgical reconstruction of finger pulp defects using a plantar flap derived from the toes, with vascular anastomosis of the toe-finger artery and the plantar-palmar vein of the finger. Methods Between April 2018 and November 2020, 29 patients with finger pulp defects underwent treatment via the transplantation of pulp tissue from the second toe, with the plantar vein of the toe and the palmar vein of the finger being anastomosed during this procedure. In addition, an anastomosis of the toe and finger artery and nerve was conducted, with a flap size of 1.0 cm * 0.8 cm–2.3 cm * 4.0 cm being used for such repair. Donor tissue sites were closed without introducing deformities or other complications. Results In all patients in the present study, flap tissues survived and did not exhibit evidence of vascular crisis over a mean 16.8-month follow-up period (range 8–24 months). After successful skin flap grafting, they exhibited good elasticity and a soft texture. At three months post-surgery, some patients reported partial recovery of touch sensation in the transplanted tissue, while pain recovery was evident in some patients at 4–6 months post-surgery. No deformities or other complications were observed at the donor site, and the ability of patients to walk normally was not impaired. Conclusion The anastomosis of toe plantar flaps with the palmar vein can facilitate the repair of finger pulp injuries without the need to dissect the dorsal vein of the toe, allowing for the suturing of donor tissue sites without causing any deformities or other complications. This surgical approach can easily be conducted with satisfactory clinical outcomes.

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Section: Methodsmentioning

confidence: 99%

Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein

Zhang¹,

Wang

Ma³

et al. 2022

J Orthop Surg Res

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“…Mermekli et al . retrospectively assessed the use of ultrasound-guided RF of the suprascapular nerve for treating chronic shoulder pain due to OA ( 49 ). The authors used a modified distal and selective ablation technique in the spinoglenoid notch with motor and sensory stimulation, which protected the motor branch of the nerve from ablation.…”

Section: Upper Limb Rf Treatmentsmentioning

confidence: 99%

“…Ultrasound-guided RF of the suprascapular nerve in the spinoglenoid notch was found to be a safe treatment for chronic osteoarthritic shoulder pain, with repeat treatments infrequently needed. The technique was associated with significant improvement in VAS pain scores ( 49 ).…”

Section: Upper Limb Rf Treatmentsmentioning

confidence: 99%

Upper limb and lower limb radiofrequency treatments in orthopaedics

2023

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Radiofrequency (RF) is a minimally invasive technique for disrupting or altering nociceptive pathways to treat musculoskeletal neuropathic and nociplastic pain. RF has been employed to treat painful shoulder, lateral epicondylitis, knee and hip osteoarthritis, chronic knee pain, Perthes disease, greater trochanteric pain syndrome, plantar fasciitis, and painful stump neuromas; it has also been employed before and after painful total knee arthroplasty and after anterior cruciate ligament reconstruction. The benefits of RF include the following:it is safer than surgery; there is no need for general anaesthesia, thereby reducing adverse effects; it alleviates pain for a minimum of 3–4 months; it can be repeatable if necessary; and it improves joint function and minimizes the need for oral pain medication. RF is contraindicated for pregnant women; unstable joints (hip, knee, and shoulder); uncontrolled diabetes mellitus; presence of an implanted defibrillator; and chronic joint infection (hip, knee, and shoulder). Although adverse events from RF are unusual, potential complications can include infection, bleeding, numbness or dysesthesia, increased pain at the procedural site, deafferentation effect, and Charcot joint neuropathy. Although there is a risk of damaging non-targeted neural tissue and other structures, this can be mitigated by performing the technique under imaging guidance (fluoroscopy, ultrasonography, and computed tomography). RF appears to be a valuable technique for alleviating chronic pain syndromes; however, firm proof of the technique’s efficacy is still required. RF is a promising technique for managing chronic musculoskeletal of the limbs pain, particularly when other techniques are futile or not possible.

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Upper Extremity Injections, Neurolysis, and Stimulation

Trescot

2024

Essentials of Interventional Techniques in Managing Chronic Pain

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Ultrasound-guided continuous radiofrequency ablation of the suprascapular nerve for chronic shoulder pain secondary to osteoarthritis: a retrospective cohort study

Cited by 7 publications

References 38 publications

Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein

Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein

Upper limb and lower limb radiofrequency treatments in orthopaedics

Upper Extremity Injections, Neurolysis, and Stimulation

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