Suprascapular Nerve Block: Difference between revisions
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== Search Strategy == | == Search Strategy == | ||
Web of science and Pubmed where used to collect information about the suprascapular nerve block. Keywords for this research where suprascapular nerve block (SSNB) in combination with indication, physical therapy, procedures, comparisons, chronic shoulder pain, ultrasound, fluoroscopy, anatomy, course… If on Pubmed the search is refined to humans and articles that are published the last | Web of science and Pubmed where used to collect information about the suprascapular nerve block. Keywords for this research where suprascapular nerve block (SSNB) in combination with indication, physical therapy, procedures, comparisons, chronic shoulder pain, ultrasound, fluoroscopy, anatomy, course… If on Pubmed the search is refined to humans and articles that are published the last 5 years there are 39 hits. Reviews of randomised control trials, reviews of case control studies, randomised control trials, case studies and an opinion of a clinic where used to collect evidence based information and compose a text about the SSNB intervention. <br><br> | ||
== Description == | == Description == | ||
Revision as of 16:29, 19 May 2016
Original Editors - Lise De Wael
Top Contributors - Eowyne Léonard, Lise De Wael, Fasuba Ayobami and Admin
Search Strategy[edit | edit source]
Web of science and Pubmed where used to collect information about the suprascapular nerve block. Keywords for this research where suprascapular nerve block (SSNB) in combination with indication, physical therapy, procedures, comparisons, chronic shoulder pain, ultrasound, fluoroscopy, anatomy, course… If on Pubmed the search is refined to humans and articles that are published the last 5 years there are 39 hits. Reviews of randomised control trials, reviews of case control studies, randomised control trials, case studies and an opinion of a clinic where used to collect evidence based information and compose a text about the SSNB intervention.
Description[edit | edit source]
The suprascapular nerve innervates 70% of the shoulder joint. This means that it innervates the superior and posterior regions of the shoulder joint and capsule, but also the acromionclavicular joint. [1] [2] Suprascapular nerve block is an alternative therapy in reducing shoulder pain. The main goals of this therapy is to relieve pain and restore normal shoulder function. There are two techniques that can be used. Traditionally they used fluoroscopy and nerve stimulation plus computed tomographic guidance. In this technique they also divide the scapula in quadrants using the spina scapula as a diagonal and from the angulus inferior upwarts to bisect the diagonal. Unfortunately this technique expose both patient and staff to radiation. The second technique uses ultrasound-guided-tracking. This technique has some positive points compared to the first technique. It is less expensive, more readily available, doesn’t expose patient and staff to radiation, it can show a real-time image and last but not least it can be done in a small operating room. Both the techniques doesn’t cause any neural damage.[3] [4]
Indication[edit | edit source]
This is a therapy that is more often used with elderly patients and only used when the patient have had shoulder for about 2 to 3 months. These patients have multiple medical comorbidities. Many of them even are unfit for anesthesia. So this is a therapy that lend itself well to this group of patients.[5] [6] [7]
Clinical Presentation[edit | edit source]
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources[edit | edit source]
add appropriate resources here, including text links or content demonstrating the intervention or technique
Case Studies[edit | edit source]
I found an article on pubmed describing two cases treated with suprascapular nerve block.[4]
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ SHANAHAN E.M., AHERN M., SMITH M., 'suprascapular nerve block (using bupivacaine and methylprednisolone acetate) in chronic shoulder pain'. Ann Rheum Dis, 2003; 62:400-406 Level of evidence B
- ↑ GERBER C., BLUMENTHAL S., 'Effect of selective experimental suprascapular nerve block on abduction and external rotation strength of the shoulder'. Journal of Shoulder and Elbow Surgery Board of Trustees, 2007; doi:10.1016/j.jse2007.02.120 Level of evidence C
- ↑ MCCULLY S.P., SUPRAK D.N., 'Suprascapular nerve block disrupts the normal pattern of scapular kinematics'. Journal of Biomechanics, 2006; 21: 545-553
- ↑ 4.0 4.1 HUANG C.C., TSAO S.L., CHENG C.Y., HSIN M.T., CHEN C.M., 'treating frozen shoulder with ultrasound-guided mode radiofequency lesioning of the suprascapular nerve: two cases'. Pain Medicine, 2010; 11:1837-1840 Level of evidence C
- ↑ VORSTER W., LANGE C.P.E., 'The sensory branch of the suprascapular nerve: An anatomic study'. Journal of Shoulder and Elbow Surgery Board of Trustees, 2008; doi:10.106/j.jse.2007.10.008 Level of evidence D
- ↑ MCCULLY S.P., SUPRAK D.N., 'Suprascapular nerve block results in a compensatory increase in deltoid muscleactivity'. Journal of Biomechanics, 2007; 40: 1839-1846 Level of evidence D
- ↑ KANE T.P.C., ROGERS P., HAZELGROVE J., WIMSEY S., HARPER G.D., 'Pulsed radiofrequency applied to the suprascapular nerve in painful cuff tear arthropathy'. Journal of Shoulder and Elbow Surgery Board of Trustees, 2008; 1058-2746 Level of evidence C
