sultan j wilson j glover j goodyear e narendran u roy b trafford general hospital l.
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Ultrasound-Guided Suprascapular Nerve Block for Patients with Persistent Shoulder Pain PowerPoint Presentation
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Ultrasound-Guided Suprascapular Nerve Block for Patients with Persistent Shoulder Pain - PowerPoint PPT Presentation


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Sultan J, Wilson J, Glover J, Goodyear E, Narendran U, Roy B. Trafford General Hospital. Ultrasound-Guided Suprascapular Nerve Block for Patients with Persistent Shoulder Pain . Introduction. 70% of pain sensation around the shoulder is transmitted via the suprascapular nerve

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Presentation Transcript
introduction
Introduction
  • 70% of pain sensation around the shoulder is transmitted via the suprascapular nerve
  • Suprascapular nerve block (SSNB) has been previously described as a method of controlling pain from the shoulder (rheumatology clinics)
  • Bedside ultrasound-guided nerve blocks
slide3
Aim
  • To assess the efficacy of ultrasound-guided suprascapular nerve block for pain control in a group of patients with persistent shoulder pain and reduced function.
methods
Methods
  • Two experienced anaesthetists;
  • High-resolution ultrasound scanner,
  • Nerve was visualised in the suprascapular notch,
  • 10-15 mLs of 0.5% Bupivacaine
methods5
Methods
  • Jan 2010 – Sep 2010
  • 24 consecutive patients
  • Inclusion criteria:- Primary frozen shoulder - Persistent postoperative stiffness failed physiotherapy and oral analgesia
  • Three patients were excluded:- 2 were lost to follow-up- 1 underwent surgery within 2 weeks
methods6
Methods
  • Numerical analogue pain score (NAPS, 0-10) at:Pre-block, 20min, 2-3 days, 2 weeks and 8 weeks
  • Oxford Shoulder Score (OSS) at pre-block and 8 weeks post-block.
  • Complications
results
Results
  • 11 (55%) females
  • 12 right, 9 left
  • Mean age 55 ± 11 years
  • 9 post-operative stiffness8 primary frozen shoulders2 others
results8
Results
  • 19 (90%) patients had significant improvement of their NAPS and OSS,2 (10%) had no significant improvement
  • Mean post-block NAPS were significantly lower than pre-block NAPS at all points (p<0.0001)
  • Mean OSS was significantly improved at 8 weeks (p=0.0005)
results11
Results
  • No complications recorded
  • Better response in the persistent postoperative stiffness group (not statistically significant)
conclusion
Conclusion
  • SSNB is a simple, quick and safe technique that can achieve rapid, albeit temporary, relief of shoulder pain
  • Allows time for contemplating other interventions (physiotherapy, surgery)
  • Further research - compare to other types of injections
  • Questions?