scholarly journals Ultrasound-guided proximal suprascapular nerve block: A cadaveric study

2018 ◽  
Vol 31 (6) ◽  
pp. 824-829 ◽  
Author(s):  
Pierre Laumonerie ◽  
Fabrice Ferré ◽  
Jérémy Cances ◽  
Meagan E Tibbo ◽  
Mathieu Roumiguié ◽  
...  
Keyword(s):  
Nerve Block ◽  
Suprascapular Nerve ◽  
Cadaveric Study ◽  
Ultrasound Guided ◽  
Suprascapular Nerve Block

Ultrasound-Guided Versus Landmark-Based Approach to the Distal Suprascapular Nerve Block: A Comparative Cadaveric Study

2019 ◽  
Vol 35 (8) ◽  
pp. 2274-2281 ◽  
Author(s):  
Pierre Laumonerie ◽  
Laurent Blasco ◽  
Meagan E. Tibbo ◽  
Kerezoudis Panagiotis ◽  
Olivier Fernandes ◽  
...  
Keyword(s):  
Nerve Block ◽  
Suprascapular Nerve ◽  
Cadaveric Study ◽  
Ultrasound Guided ◽  
Suprascapular Nerve Block

scholarly journals POS1276 LONG TERM OUTCOME OF MULTIPLE ULTRASOUND GUIDED SUPRASCAPULAR NERVE BLOCK IN TREATMENT OF FROZEN SHOULDER IN DIABETIC PATIENTS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 922.2-922
Author(s):  
M. A. Mortada ◽  
R. Hassan ◽  
Y. A. Amer
Keyword(s):  
Nerve Block ◽  
External Rotation ◽  
Frozen Shoulder ◽  
Suprascapular Nerve ◽  
Diabetic Patients ◽  
Ultrasound Guided ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Suprascapular Nerve Block

Background:Frozen shoulder is prevalent among diabetic patients, and usually has aggressive course, with more tendency to be bilateral and resistant to treatment. Suprascapular nerve block (SSNB) is used with increasing frequency by anesthetists and rheumatologists in the management of frozen shoulder. We previously introduced a protocol of nine injections for SSNB with better short term outcome than single SSNB injection (1). Long term outcome of SSNB in management of frozen shoulder is still not detected.Objectives:To evaluate the long term effect of multiple (nine) ultrasound guided supra-scapular nerve block in treatment of diabetic frozen shoulder.Methods:A retrospective cohort study followed up 40 diabetic patients who received a course of ultrasound guided multiple supra-scapular nerve block (9 injections) on 2014. In this study we retrospectively assessed the patients from previously recorded data at a mean duration of 6 years after completing the 9 injection course SSNB clinically by measuring the shoulder active range of motion (using a goniometer in three planes: abduction, internal, and external rotation). Visual analogue scale and Functional assessment by shoulder pain and disability index (SPADI).Results:Thirty four patients (85% of original cohort) completed the long term follow up.The patients were 19 (55.9%) females, 60.6 y mean age, and the mean of disease duration was 85.6 months. The majority of patients (33 patients 97.05%) continues improvement and gained within normal complete range of motions in all directions and excellent grades of shoulder function (Table 1).Table 1.Clinical ParametersAt base lineAt 4 monthsLast follow up at (72months±4)**P valueSPADI pain score (100)(68.8 ± 0.5)a(10.3 ± 7.4)b(0.9±1.9)c0.00*SPADI disability score (100)(69.2 ± 7.7)a(6.25 ± 2.25)b(0.4±0.8)c0.00*SPADI total (100)(69.1 ± 8.5)a(8.15 ± 5.4)b(1.1±0.9)c0.00*Patient global assessment (100)(90.2 ± 8.2)a(8.2 ± 4.2)b(0.4±2.1)c0.00*Night pain (100)(55.4±10.2)a(10.3 ± 4.9)b(2.3±1.1)c0.00*Abduction (180°)(77.5 ± 4.7)a(170.3 ± 10.3)b(174.2±6.2)b0.00*External rotation (100 °)(46 ± 12.6)a(80.1 ± 10.2)b(86.4±10.3)b0.00*Internal rotation (70 °)(34.5 ± 2.4)a(55.4 ± 10.1)b(60.2±9.5)b0.00** P <0.05 there was a statistical significant difference•A,b,c--- the alphabet of different symbols ---means a significant statistical difference between groupsSPADI: shoulder pain and disability indexConclusion:The multiple injection courses for supra-scapular nerve block has an excellent long term efficacy as treatment of diabetic frozen shoulder. This method should be the treatment of choice in patients of diabetic frozen shoulder who do not respond to physiotherapy.References:[1]Mortada, M. A., Ezzeldin, N., Abbas, S. F., Ammar, H. A. & Salama, N. A. Multiple versus single ultrasound guided suprascapular nerve block in treatment of frozen shoulder in diabetic patients. J. Back Musculoskelet. Rehabil. 30, 537–542 (2017).Disclosure of Interests:None declared

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

2013 ◽  
Vol 41 (2) ◽  
pp. 104-108
Author(s):  
Mario Andrés Arcila Lotero ◽  
Roberto Carlo Rivera Díaz ◽  
Daniel Campuzano Escobar ◽  
María Adelaida Mejía Aguilar ◽  
Sandra Milena Martínez Ramírez
Keyword(s):  
Shoulder Pain ◽  
Nerve Block ◽  
Suprascapular Nerve ◽  
Efficacy And Safety ◽  
Ultrasound Guided ◽  
Suprascapular Nerve Block ◽  
Chronic Shoulder Pain

Accuracy of ultrasound-guided suprascapular nerve block measured with neurostimulation

2011 ◽  
Vol 32 (7) ◽  
pp. 2125-2128 ◽  
Author(s):  
Mehmet A. Taskaynatan ◽  
Ahmet Ozgul ◽  
Koray Aydemir ◽  
Ozlem Omac Koroglu ◽  
Arif K. Tan
Keyword(s):  
Nerve Block ◽  
Suprascapular Nerve ◽  
Ultrasound Guided ◽  
Suprascapular Nerve Block

Ultrasound-guided subomohyoid suprascapular nerve block and phrenic nerve involvement: a cadaveric dye study

2019 ◽  
Vol 44 (5) ◽  
pp. 561-564 ◽  
Author(s):  
Herman Sehmbi ◽  
Marjorie Johnson ◽  
Shalini Dhir
Keyword(s):  
Brachial Plexus ◽  
Nerve Block ◽  
Phrenic Nerve ◽  
Suprascapular Nerve ◽  
Ultrasound Guided ◽  
Posterior Triangle ◽  
Nerve Involvement ◽  
Suprascapular Nerve Block ◽  
Anesthesia Technique ◽  
Omohyoid Muscle

Backgrounds and objectivesThe anterior approach to the subomohyoid suprascapular (SOS) nerve is a new, technically easy and reliable regional anesthesia technique for postoperative shoulder analgesia. However, due to its proximity, the injectate may spread to the brachial plexus and phrenic nerve. The goal of this anatomic study with dye injection in the subomohyoid space and subsequent cadaver dissection was to establish the likely spread of local anesthesia and the extent of brachial plexus and phrenic nerve involvement resulting from ultrasound-guided SOS nerve block.MethodsThe suprascapular nerve (SSN) under the inferior belly of omohyoid muscle in the posterior triangle of the neck was identified. Using a contrast dye, 10 ultrasound-guided SOS nerve injections of 5 mL were done bilaterally, in five fresh cadavers. The area was then dissected to evaluate the spread of the contrast dye in the immediate proximity of the brachial plexus, phrenic and SSN.ResultsThe SSN and omohyoid muscle were easily identified on each cadaver. SOS nerve staining with contrast dye was seen in 90% of dissections. The superior trunk was stained in 90% and the middle trunk was stained in 80% of dissections. The inferior trunk was stained in 20% of dissections. A spread of dye around the SSN was observed in 90% and the phrenic nerve was mildly stained in 20% of the dissections.ConclusionIn-plane ultrasound-guided needle injection with a 5 mL volume for SOS block was sufficient to stain the SSN. This conservative volume involved other parts of the brachial plexus and may potentially spread to the phrenic nerve. Further clinical studies are required for confirmation.

scholarly journals Preoperatıve Ultrasound-Guıded Suprascapular Nerve Block for Postthoracotomy Shoulder Paın

2013 ◽  
Vol 74 ◽  
pp. 44-48 ◽  
Author(s):  
Emine Özyuvaci ◽  
Onat Akyol ◽  
Tolga Şitilci ◽  
Türkan Dübüs¸ ◽  
Hakan Topac¸ogˇlu ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Nerve Block ◽  
Suprascapular Nerve ◽  
Ultrasound Guided ◽  
Preoperative Ultrasound ◽  
Suprascapular Nerve Block
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