지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.12
- 수록면
- 210 - 215 (6page)
이용수
초록· 키워드
오류제보하기
Background: This study was undertaken to evaluate early clinical outcomes of ultrasound-guided suprascapular nerve block (SSNB) using a proximal approach, as compared with subacromial steroid injection (SA).
Methods: This retrospective study included a consecutive series of 40 patients of SSNB and 20 patients receiving SA, from August 2017 to August 2018. The visual analogue scale (VAS), American Shoulder Elbow Surgeon’s score (ASES), University of California, Los Angeles score (UCLA), the 36 health survey questionnaire mental component summary (SF36-MCS), physical component summary (PCS), and range of motion (forward elevation, external rotation, and internal rotation) were assessed for clinical evaluations.
Results: Compared with the baseline, VAS, and ranges of motion in the SSNB group significantly improved at the 4-week follow-up (VAS scores improved from 6.7 ± 1.6 to 4.3 ± 2.4, p<0.001; all ranges of motion p<0.05), while other variables showed no statistically significant differences. All clinical variables were significantly improved in the SA group (p<0.05). However, all clinical scores at the 4-week follow-up showed no significant difference between groups.
Conclusions: Ultrasound-guided SSNB using proximal approach provides significant pain relief at 4-weeks after treatment, with statistically significant difference when compared with SA, suggesting that SSNB using proximal approach is a potentially useful option in man¬aging shoulder pain. However, in the current study, it was less effective in improving shoulder function and health-related quality of life, compared with SA.
Methods: This retrospective study included a consecutive series of 40 patients of SSNB and 20 patients receiving SA, from August 2017 to August 2018. The visual analogue scale (VAS), American Shoulder Elbow Surgeon’s score (ASES), University of California, Los Angeles score (UCLA), the 36 health survey questionnaire mental component summary (SF36-MCS), physical component summary (PCS), and range of motion (forward elevation, external rotation, and internal rotation) were assessed for clinical evaluations.
Results: Compared with the baseline, VAS, and ranges of motion in the SSNB group significantly improved at the 4-week follow-up (VAS scores improved from 6.7 ± 1.6 to 4.3 ± 2.4, p<0.001; all ranges of motion p<0.05), while other variables showed no statistically significant differences. All clinical variables were significantly improved in the SA group (p<0.05). However, all clinical scores at the 4-week follow-up showed no significant difference between groups.
Conclusions: Ultrasound-guided SSNB using proximal approach provides significant pain relief at 4-weeks after treatment, with statistically significant difference when compared with SA, suggesting that SSNB using proximal approach is a potentially useful option in man¬aging shoulder pain. However, in the current study, it was less effective in improving shoulder function and health-related quality of life, compared with SA.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (19)
참고문헌 신청
Dahan TH / 2000 / Double blind randomized clinical trial examining the efficacy of bupivacaine suprascapular nerve blocks in frozen shoulder / J Rheumatol 27(6):1464~1469
Ke-Vin Chang / 2015 / Ultrasound-Guided Proximal Suprascapular Nerve Block With Radiofrequency Lesioning for Patients With Malignancy-Associated Recalcitrant Shoulder Pain / Journal of Ultrasound in Medicine 34(11):2099~2105
Jin-Young Park / 2016 / Blind suprascapular and axillary nerve block for post-operative pain in arthroscopic rotator cuff surgery / Knee Surgery, Sports Traumatology, Arthroscopy 24(12):3877~3883
Ajmani ML / 1994 / The cutaneous branch of the human suprascapular nerve / J Anat 185:439~442
Ewan D. Ritchie / 1997 / Suprascapular Nerve Block for Postoperative Pain Relief in Arthroscopic Shoulder Surgery / Anesthesia & Analgesia 84(6):1306~1312
Ke-Vin Chang / 2015 / Ultrasound-Guided Proximal Suprascapular Nerve Block With Radiofrequency Lesioning for Patients With Malignancy-Associated Recalcitrant Shoulder Pain / Journal of Ultrasound in Medicine 34(11):2099~2105
Jin-Young Park / 2016 / Blind suprascapular and axillary nerve block for post-operative pain in arthroscopic rotator cuff surgery / Knee Surgery, Sports Traumatology, Arthroscopy 24(12):3877~3883
Ajmani ML / 1994 / The cutaneous branch of the human suprascapular nerve / J Anat 185:439~442
Ewan D. Ritchie / 1997 / Suprascapular Nerve Block for Postoperative Pain Relief in Arthroscopic Shoulder Surgery / Anesthesia & Analgesia 84(6):1306~1312
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UCI(KEPA) : I410-ECN-0101-2020-514-000120544