The Impact of Suprascapular Nerve Interventions in Patients with Frozen Shoulder

JBJS Reviews ◽  
2021 ◽  
Vol 9 (12) ◽  
Author(s):  
Christopher M. Jump ◽  
Ashish Waghmare ◽  
Wael Mati ◽  
Rayaz A. Malik ◽  
Charalambos P. Charalambous
Keyword(s):  
Frozen Shoulder ◽  
Suprascapular Nerve ◽  
The Impact

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

scholarly journals The Impact of Arthroscopic Capsular Release in Patients with Primary Frozen Shoulder on Shoulder Muscular Strength

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Michał Waszczykowski ◽  
Michał Polguj ◽  
Jarosław Fabiś
Keyword(s):  
Muscular Strength ◽  
Frozen Shoulder ◽  
Active Motion ◽  
Capsular Release ◽  
Arthroscopic Capsular Release ◽  
Limited Function ◽  
And Function ◽  
The Impact

The aim of this study was to evaluate the impact of arthroscopic capsular release in patients with primary frozen shoulder on muscular strength of nonaffected and treated shoulder after at least two-year follow-up after the surgery. The assessment included twenty-seven patients, who underwent arthroscopic capsular release due to persistent limitation of range of passive and active motion, shoulder pain, and limited function of upper limb despite 6-month conservative treatment. All the patients underwent arthroscopic superior, anteroinferior, and posterior capsular release. After at least two-year follow-up, measurement of muscular strength of abductors, flexors, and external and internal rotators of the operated and nonaffected shoulder, as well as determination of range of motion (ROM) and function (ASES) in the operated and nonaffected shoulder, was performed. Measurement of muscular strength in the patient group did not reveal statistically significant differences between operated and nonaffected shoulder. The arthroscopic capsular release does not have significant impact on the decrease in the muscular strength of the operated shoulder.

scholarly journals Treating Frozen Shoulder with Ultrasound-Guided Pulsed Mode Radiofrequency Lesioning of the Suprascapular Nerve: Two Cases

Pain Medicine ◽  
2010 ◽  
Vol 11 (12) ◽  
pp. 1837-1840 ◽  
Author(s):  
Chien-Chih Huang ◽  
Shao-Lun Tsao ◽  
Chan-Yuan Cheng ◽  
Ming-Tai Hsin ◽  
Chien-Ming Chen
Keyword(s):  
Frozen Shoulder ◽  
Suprascapular Nerve ◽  
Ultrasound Guided ◽  
Pulsed Mode

scholarly journals Suprascapular nerve block for the treatment of frozen shoulder

2012 ◽  
Vol 6 (1) ◽  
pp. 52 ◽  
Author(s):  
Hakan Cift ◽  
FeyzaUnlu Ozkan ◽  
Koray Unay ◽  
Korhan Ozkan ◽  
AliNadir Ozcekic ◽  
...  
Keyword(s):  
Nerve Block ◽  
Frozen Shoulder ◽  
Suprascapular Nerve ◽  
Suprascapular Nerve Block

scholarly journals Prevalence of musculoskeletal conditions and related disabilities in Bangladeshi adults: a cross-sectional national survey

2020 ◽  
Author(s):  
Ahmad Zahid-Al-Quadir ◽  
Mohammad Mostafa Zaman ◽  
Shamim Ahmed ◽  
Mahfuzur Rahman Bhuiyan ◽  
Md Mujibur Rahman ◽  
...  
Keyword(s):  
Adult Population ◽  
Frozen Shoulder ◽  
Health Assessment ◽  
Formal Schooling ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Physical Trauma ◽  
Soft Tissue Rheumatism ◽  
History Of ◽  
The Impact

Abstract Background: The objective of this study was to determine the prevalence of musculoskeletal (MSK) conditions and related disabilities in the adult population of Bangladesh because was no nationally representative data. Methods: A total of 2000 individuals aged 18 years or older were targeted where 1843 (92.1%) participated from 20 primary sampling units (urban and rural) of all former seven divisions of Bangladesh in 2015. Structured interviews were done using the modified Community Oriented Program for Control of Rheumatic Disorders questionnaire to detect positive respondents. Standard criteria were used for diagnosing MSK conditions by rheumatology residents. In case of uncertainty, opinion was taken from senior rheumatologists. A Bangla version of the Health Assessment Questionnaire was used to determine disability. Results: Among the respondents, 892 men and 951 women participated from rural (n=716) and urban (n=1127) areas. Their mean age was 40.5 (standard deviation 14.7) years. Almost a third did not have any formal schooling. Overall, 30.4% (95% confidence interval, 28.3-32.5) had MSK conditions. Low back pain (18.6%, 16.9-20.5), knee osteoarthritis (7.3%, 6.1-8.5) and soft tissue rheumatism 3.8% (2.9-4.7) were the three top-ranking MSK conditions. Rheumatoid arthritis (1.6%, 1.0-2.1), spondyloarthritis (1.2%, 7-1.8) and frozen shoulder (1.4%, 0.9-1.9) were relatively uncommon. Among those who had rheumatic disorders, 24.8% (21.3-28.6) had some degree of disability. Of them, 24.4% (21.0-28.1) had history of work loss during last 12 months. Being overweight, having history of physical trauma and diabetes mellitus, age and female sex were positively but education was negatively associated with MSK disorders. Conclusions: The high burden of MSK conditions and related disabilities in Bangladesh is high. Further studies are needed to estimate the impact of this group of disorders particularly addressing YLD, quality of life and economic consequences.

456. Suprascapular Nerve Block for Pain Relief of Frozen Shoulder

2008 ◽  
Vol 33 (Suppl 1) ◽  
pp. e68.2-e68
Author(s):  
E. Antonopoulou ◽  
A. Tataraki ◽  
S. Poulaki ◽  
M. Papadopoulou ◽  
V. Karamoulas ◽  
...  
Keyword(s):  
Pain Relief ◽  
Nerve Block ◽  
Frozen Shoulder ◽  
Suprascapular Nerve ◽  
Suprascapular Nerve Block

FRI0546 Multiple Versus Single Ultrasound Guided Suprascapular Nerve Block in Treatment of Frozen Shoulder in Diabetic Patients

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 625.2-625
Author(s):  
M. Mortada ◽  
M.M. Ashour ◽  
S.F. Abbas ◽  
H.A. Ammar ◽  
N. Ezzeldin ◽  
...  
Keyword(s):  
Nerve Block ◽  
Frozen Shoulder ◽  
Suprascapular Nerve ◽  
Diabetic Patients ◽  
Ultrasound Guided ◽  
Suprascapular Nerve Block
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