scholarly journals Comparative Effectiveness of Suprascapular Nerve Block in the Relief of Acute Post-Operative Shoulder Pain: A Systematic Review and Meta-analysis

2016 ◽  
Vol 7;19 (7;9) ◽  
pp. 445-456
Author(s):  
Chih-Peng Lin
Keyword(s):  
Systematic Review ◽  
Laparoscopic Surgery ◽  
Shoulder Pain ◽  
Nerve Block ◽  
Odds Ratio ◽  
Meta Analysis ◽  
Suprascapular Nerve ◽  
Shoulder Surgery ◽  
Surgery Patient ◽  
Suprascapular Nerve Block

Background: The suprascapular nerve accounts for 70% of shoulder sensory innervations, and suprascapular nerve block (SSNB) has been shown to be effective in the relief of chronic shoulder pain including rotator cuff tendinitis, subdeltoid impingement syndrome, and adhesive capsulitis. However, this remains inconclusive for patients undergoing surgery. The present meta-analysis aimed to explore the effectiveness of SSNB for relieving acute postoperative shoulder pain. Objective: To explore the effectiveness of SSNB for relieving acute post-operative shoulder pain. Study Design: A systematic review and meta-analysis. Setting: Services of general surgery, orthopaedics, and anaesthesiology. Methods: A systematic search of studies on SSNB for post-operative shoulder pain was conducted mainly in PubMed and Scopus. The standardized mean difference (SMD) of postoperative pain scales of SSNB versus placebo was treated as the primary outcome, whereas the odds ratio of nausea of SSNB versus placebo comprised the secondary outcome. Results: The meta-analysis included 7 randomized controlled trials and 2 comparative studies comprising 681 participants in total. The quantitative analysis showed a significantly lower pain level of SSNB versus placebo in the shoulder surgery patient group (SMD: -0.33; 95% confidence level [CI]: -0.51 to -0.15), but not in the non-shoulder surgery group (SMD: 0.28; 95% CI: -0.37 to 1.93). The pooled odds ratio of nausea in the SSNB arm compared with the placebo arm was 0.20 (95% CI: 0.09 to 0.45), indicating a reduction in the incidence of nausea following SSNB. Limitations: Heterogeneity of included trials. Conclusions: SSNB significantly reduced acute post-operative shoulder pain in the shoulder surgery group but not in patients undergoing laparoscopic surgery or thoracotomy. This suggests that SSNB can be used as a method of polymodal analgesia for patients undergoing shoulder surgery; however, it is not recommended for the non-shoulder surgery patient population. Key words: Suprascapular nerve, shoulder surgery, thoracotomy, laparoscopic surgery

scholarly journals Effectiveness of Suprascapular Nerve Block in the Treatment of Hemiplegic Shoulder Pain: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Yajing Hou ◽  
Yong Wang ◽  
Xiaojing Sun ◽  
Yake Lou ◽  
Ying Yu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Shoulder Pain ◽  
Nerve Block ◽  
External Rotation ◽  
Meta Analysis ◽  
Suprascapular Nerve ◽  
Cochrane Library ◽  
Control Group ◽  
Suprascapular Nerve Block ◽  
Secondary Endpoints

Purpose: We aimed to investigate the effectiveness of suprascapular nerve block (SSNB) in patients with hemiplegic shoulder pain (HSP).Background: SSNB is widely used in various shoulder pains, but whether it is effective in HSP remains unknown.Methods: PubMed, Cochrane Library, and Embase databases were searched to identify potential citations. Randomized controlled trials meeting the eligible criteria were included in our analysis. The primary endpoint was Visual Analog Scale (VAS) with a maximum value of 100 and a minimum value of 0. Secondary endpoints were passive range of motion (PROM) that pain starts, and the PROM mainly included abduction, flexion, and external rotation. In addition, the upper extremity Fugl-Meyer assessment (FMA) was also included in our secondary endpoints.Results: Eight studies with 281 patients were included in our analysis. For VAS, there was no obvious difference between SSNB group and control group regardless of the follow-up period (<4 weeks or ≥4 weeks), which were −6.62 (−15.76, 2.53; p = 0.16) and 1.78 (−16.18, 19.74; p = 0.85). For shoulder function, the PROM of abduction, flexion, and external rotation was similar between groups. However, motor function indicator FMA is lower in SSNB control than that in control group, with a mean difference (and 95% CI) of −2.59 (−4.52, −0.66; p = 0.008).Conclusion: SSNB is an effective way for HSP patients.Systematic Review Registration: Registration ID: CRD42021252429.

scholarly journals ULTRA-SOUND GUIDED SUPRASCAPULAR NERVE BLOCK IN HEMIPLEGIC SHOULDER PAIN

2018 ◽  
Vol 5 (46) ◽  
pp. 3228-3232
Author(s):  
Swapnil Pramod Sonune ◽  
Anil Kumar Gaur ◽  
Shefali Gupta
Keyword(s):  
Shoulder Pain ◽  
Nerve Block ◽  
Suprascapular Nerve ◽  
Ultra Sound ◽  
Suprascapular Nerve Block

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

A case series of suprascapular nerve block (with an historical comparator) for shoulder pain in motor neurone disease

2020 ◽  
Vol 34 (8) ◽  
pp. 1127-1133
Author(s):  
E Michael Shanahan ◽  
Karen Glaezter ◽  
Tiffany Gill ◽  
Catherine Hill ◽  
Scott Graf ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Nerve Block ◽  
Case Series ◽  
Suprascapular Nerve ◽  
Motor Neurone ◽  
Motor Neurone Disease ◽  
Control Group ◽  
Placebo Control ◽  
Time Interval ◽  
Suprascapular Nerve Block

Background: Shoulder pain is a distressing but under-reported and poorly managed symptom in people with motor neurone disease. Objectives: This study aimed to assess the efficacy of suprascapular nerve block for the management of shoulder pain in patients with motor neurone disease. Methods: A total of 27 patients with motor neurone disease and shoulder pain were offered a suprascapular nerve block. Ten of these patients had bilateral shoulder pain and both were injected, making a total of 37 shoulders. The patients were followed up for a total of 3 months, or until death. Shoulder pain was measured using the pain scale (out of 100) of the shoulder pain and disability index and compared with baseline scores and a placebo control group from an earlier study using the same methodology (ACTRN12619000353190). Results: Following the nerve block there was a significant improvement of pain scores from baseline (58.4) at week 1 (20.8, p < 0.000), week 6 (17.6, p < 0.000) and week 12 (30.4, p = 0.001) and a significant improvement compared with the control group across each time interval. Conclusion: Suprascapular nerve block is a safe, effective therapy for patients with chronic shoulder pain.

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