Ultrasound‐Guided Proximal Suprascapular Nerve Block With Radiofrequency Lesioning for Patients With Malignancy‐Associated Recalcitrant Shoulder Pain

Chang, Ke‐Vin; Hung, Chen-Yu; Wang, Tyng-Guey; Yang, Rong‐Sen; Sun, Wei‐Zen; Lin, Chih-Peng

doi:10.7863/ultra.14.12042

Cited by 15 publications

(16 citation statements)

References 17 publications

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“…In all, 36 of these publications were on pRF procedures and 29 of these publications reported procedures exclusively done on the suprascapular nerve. The other six publications, all case series or reports, were on aRF (Bone et al, 2013;Brown et al, 1988;Chang et al, 2015;Eckmann et al, 2019;Nakamura et al, 2013;Simopoulos et al, 2012). We also extracted data from nine conference abstracts (Cannon et al, 2012;Dua et al, 2016;Fernandes et al, 2011;Londono et al, 2014;Nakamura et al, 2013;Osako et al, 2016;Pieran, 2010;Vander Cruyssen et al, 2018;Yoshimura et al, 2018) that met the eligibility criteria for this review.…”

Section: Search Resultsmentioning

confidence: 99%

A systematic review and meta‐analysis of radiofrequency procedures on innervation to the shoulder joint for relieving chronic pain

Pushparaj

Hoydonckx

Mittal

et al. 2021

European Journal of Pain

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Background and Objective: Studies have reported relief of chronic shoulder pain with non-ablative pulsed neuromodulatory (pRF) or ablative radiofrequency (aRF) procedures on innervation of the shoulder joint but interpretation of these reports is hampered by inconsistent indications, anatomic targets and follow-up. This systematic review was conducted to synthesize the existing literature on procedures employing pRF or aRF for treating chronic shoulder pain. Databases and Data Treatment: MEDLINE and other medical literature databases were reviewed up to 31 December 2019 for publications on pRF or aRF procedures on shoulder joint innervation to relieve chronic pain. Data on analgesic and functional outcomes measured at any time point following the interventions were extracted. Existing knowledge on innervation of the shoulder joint with relevance to RF procedures was also synthesized. Results: In all, 42 publications, 7 randomized controlled trials (RCTs) and 35 observational studies, case series or reports were identified. Thirty-six of these publications were on pRF procedure and 29 of these reported procedures exclusively targeting the suprascapular nerve. A meta-analysis of the seven RCTs evaluating pRF indicated no analgesic benefit or functional improvement with this treatment over conventional medical management. Case series and reports on aRF indicate a potential for analgesic benefit but the quality of this evidence was low. Conclusions: RF treatments targeting the sensory innervation of the shoulder joint affected by degenerative conditions have the potential to reduce pain but the current

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Section: Search Resultsmentioning

confidence: 99%

A systematic review and meta‐analysis of radiofrequency procedures on innervation to the shoulder joint for relieving chronic pain

Pushparaj

Hoydonckx

Mittal

et al. 2021

European Journal of Pain

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“…Repositioning the transducer more laterally allows visualization of the suprascapular nerve leaving the upper trunk. 36 The needle can be introduced by an in-plane approach from lateral to medial until the perineurium is reached ( Figure 5D , Video S5 ).…”

Section: Suprascapular Nervementioning

confidence: 99%

Ultrasound-guided interventions for painful shoulder: from anatomy to evidence

Chang¹,

Mezian²,

Naňka³

et al. 2018

JPR

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Shoulder pain is a common musculoskeletal disorder of variable etiology, ranging from rotator cuff pathology to peripheral nerve entrapment. Advances in ultrasound (US) technology have allowed static and dynamic evaluation of shoulder problems and most importantly, offer real-time, radiation-free guidance for interventions. The present review aims to describe shoulder anatomy in detail using information from cadaveric models and to illustrate US-guided techniques using clearly labeled figures and videos. The review will also present evidence of specific US-guided therapies for shoulder pain by summarizing landmark studies, systematic reviews, and meta-analyses. The following shoulder structures will be covered: 1) the biceps long head tendon, 2) the acromioclavicular joint, 3) the subacromial–subdeltoid bursa, 4) the glenohumeral joint, 5) the suprascapular nerve, and 6) the axillary nerve.

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“…[ 9 – 11 ] In fact, ultrasound (US)-guided intervention for the proximal suprascapular nerve has been shown effective in recalcitrant shoulder pain. [ 12 ] Taken together, these observations suggest that clarification of the relationship between shoulder and cervical spine pathologies could be helpful in the diagnosis and treatment of relevant painful syndromes. The present study aimed to explore the association between rotator cuff tendon tears and cervical radiculopathies at the C5 and C6 root levels.…”

Section: Introductionmentioning

confidence: 96%