Bloqueio do nervo supraescapular: procedimento importante na prática clínica

Fernandes, Marcos Rassi; Barbosa, María Alves; Sousa, Ana Luíza Lima; Ramos, Gilson Cassem

doi:10.1590/s0034-70942012000100013

Cited by 9 publications

(9 citation statements)

References 17 publications

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“…Another therapeutic option would be blocking the suprascapular nerve, which is an efficient method when compared with placebo and intra-articular injections 21 . The procedure is justified, since this nerve is responsible for 70% of the sensitivity of the shoulder capsule, which becomes retractile and with its volume diminished in AC 3,7,8 . However, five of the ten patients (50%) underwent such a method, associated with physiotherapy measures, with no efficacy.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…It causes great disability, and many are its treatments 3,4 . Most patients respond adequately to conservative of clinical treatment 3,4 , joint injections 5 , manipulations 6 , the anesthetic blockades 7,8 and/or physical therapy 9 . The duration of conservative treatment for AC has been discussed, but it is recommended that it be done for at least six months 3 .…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

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Arthroscopic treatment of refractory adhesive capsulitis of the shoulder

Fernandes

2014

Rev. Col. Bras. Cir.

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Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Arthroscopic treatment of refractory adhesive capsulitis of the shoulder

Fernandes

2014

Rev. Col. Bras. Cir.

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“…The SSNB is part of the peripheral nerve block 12 and it becomes important to analyze the complications inherent to the use of local anesthetics. Complications are rare, but one should consider the occurrence of adverse events that can be devastating for both the patient and the physician.…”

Section: Systemic Toxicitymentioning

confidence: 99%

“…The fi rst part reported the historical aspects and clinical indications of the method, as well as drugs and the volume used in the single or multiple procedures. 12 …”

Section: Introductionmentioning

confidence: 99%

Bloqueio do nervo supraescapular: procedimento importante na prática clínica. Parte II

Fernandes¹,

Barbosa²,

Sousa³

et al. 2012

Rev. Bras. Reumatol.

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The suprascapular nerve block is a reproducible, reliable, and extremely effective treatment method in shoulder pain control. This method has been widely used by professionals in clinical practice such as rheumatologists, orthopedists, neurologists, and pain specialists in the treatment of chronic diseases such as irreparable rotator cuff injury, rheumatoid arthritis, stroke sequelae, and adhesive capsulitis, which justifi es the present review (Part II). The objective of this study was to describe the techniques and complications of the procedure described in the literature, as the fi rst part reported the clinical indications, drugs, and volumes used in single or multiple procedures. We present in details the accesses used in the procedure: direct and indirect, anterior and posterior, lateral and medial, upper and lower. There are several options to perform suprascapular nerve block. Although rare, complications can occur. When properly indicated, this method should be considered.

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“…Being a disease that causes great disability, many treatments have been proposed. 3 , 4 Most patients respond adequately to conservative treatment with medication, 3 , 4 joint infiltrations, 5 manipulations, 6 anesthetic block 7 , 8 and/or physiotherapy. 9 The duration of conservative treatment of AC has been discussed, but the authors have recommended at least six months.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic treatment of adhesive capsulitis of the shoulder with minimum follow up of six years

Fernandes

2015

Acta ortop. bras.

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OBJECTIVE: To evaluate the results of the arthroscopic treatment of adhesive capsulitis of the shoulder with six to nine years of follow up. METHODS: From August 2002 to December 2004, ten patients underwent arthroscopic capsular release for adhesive capsulitis refractory to conservative treatment. An interscalene catheter was used for postoperative analgesia, before the procedure. All were in stage II, with a minimum follow up of six years. The mean age was of 52.9 years old (range, 39 to 66), with female predominance (90%) and six left shoulders. The time between the onset of symptoms and surgery varied from six to 20 months. There were four patients in the primary form (40%) and six in the secondary (60%). RESULTS: In the preoperative evaluation, the mean active anterior elevation was 92°, 10.5° of external rotation, and internal rotation level L5. Postoperatively, the mean active elevation was 149°, 40° of external rotation and internal level T12, respectively. Thus, the average gains were 57° in forward active elevation, 29.5° in external rotation and six spinous processes, these values being statistically significant (p <0.001). According to the Constant functional score (arc of movements), the value increased from 13.8 (preoperative mean) to 32 points (postoperative mean). CONCLUSION: Arthroscopic treatment of adhesive capsulitis of the shoulder refractory to conservative treatment allows effective gain of range of motion of this joint. Level of Evidence IV, Retrospective Study (Case Series).

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Bloqueio do nervo supraescapular: procedimento importante na prática clínica

Abstract: Suprascapular nerve block is a safe and extremely effective procedure in shoulder pain therapy. It also has an easy reproducibility and has been very used by professionals of many medical specialties. When it is well-indicated, this method must be taken into consideration.

Cited by 9 publications

References 17 publications

Arthroscopic treatment of refractory adhesive capsulitis of the shoulder

Arthroscopic treatment of refractory adhesive capsulitis of the shoulder

Bloqueio do nervo supraescapular: procedimento importante na prática clínica. Parte II

Arthroscopic treatment of adhesive capsulitis of the shoulder with minimum follow up of six years

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