Fluroscopic guided capsular distention with and without suprascapular nerve block in frozen shoulder patients a prospective comparative study

  • Peepra D
  • Lodhi J S
  • Gajbhiye S
  • Vidyarthi A
  • Chauhan H PG Resident Department of Orthopaedics Netaji Subhash Chandra Bose Medical College, Jabalpur (M. P.)
Keywords: adhesive capsulitis, frozen shoulder, suprascapular nerve block

Abstract

Background: In general practise, frozen shoulder is a common condition, in which pain and gross restriction of movement around affected shoulder joint occur. Aim of our study is to compare the effectiveness of fluoroscopic guided capsular distension with and without suprascapular nerve block to relieve pain and improve range of movement.
Material & method: An observational study of 60 patients of frozen shoulder to compare capsular distension with steroid, local anaesthetic and normal saline in 30 patients with suprascapular nerve block (group A). Capsular distension with steroid, local anaesthetic and normal saline without suprascapular nerve block in 30 patients (Group B). After capsular distension all patients advised physiotherapy, ranges of movement and pain over shoulder joint were assessed over a 12-week period.
Results: In comparison to fluoroscopic guided capsular distension without suprascapular block (Group B), fluoroscopic guided capsular distension with suprascapular block (group A) has a more decreased SPADI and VAS score
Conclusions: According to this study, suprascapular nerve block is a more safe and effective method of treating frozen shoulder than distension with no nerve block.

Downloads

Download data is not yet available.

References

1. Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment. Am J Sports Med 2010;38:2346-56.
2. Karata GK, Meray J. Suprascapular nerve block for pain relief in adhesive capsulitis: Comparison of 2 different techniques. Arch Phys Med Rehib 2002; 83:593-7.
3. Dias R, Cutts S, Massoud S. Frozen shoulder: clinical review. Br Med J 2005;331:1453-6.
4. Saqlain HA, Zubari A, Taufiq I. Functional outcome of frozen shoulder after manipulation under anesthesia. J Pak Med Assoc 2007;57:181-5.
5. Lorbach O, Anagnostakos K, Scherf C, Seil R, Kohn D, Pape D. Nonoperative management of adhesive capsulitis of the shoulder: oral cortisone application versus intra-articular cortisone injections. J Shoulder Elbow Surg 2010;19:172-9.
6. Loebenberg MI, Rosen JE, Ishk C, Jazrawi LM, Zuckerman JD. A survey of decision making process in treatment of common shoulder ailments among primary care physicians. Bull Hosp Joint Dis 2006;63:137-44.
7. Lee HJ, Lim KB, Kim D Y, Lee KT. Randomized controlled trial for efficacy of intra-articular injection for adhesive capsulitis: ultrasonography-guided versus blind technique. Arch Phys Med Rehabil 2009;90:1997-2002.
8. Harris JD, Griesser MJ, Copelan A, Jones GL. Treatment of adhesive capsulitis with intra-articular hyaluronate: A systematic review. Int J Shoulder Surg 2011;5:31-7.
9. Taskaynatan MA, Yilmaz B, Ozgul A, Yazicioglu K, Kalyon TA. Suprascapular nerve block versus steroid injection for non specific shoulder pain. Tohoku J Exp Med 2005;205:19-25.
10. Boyles RE, Flynn TW, Whitman JM. Manipulation following regional interscalene anesthetic block for shoulder adhesive capsulitis: a case series. Man Ther 2005;10:80-7.
11. Dahan TH, FortinL, Pelletier M, Petit M, Vadeboncoeur R, Suissa S. Double blind randomized clinical trial examining the efficacy of bupivacaine suprascapular nerve blocks in frozen shoulder. J Rheumatol 2000;27:1464-9.
12. Wassef MR. Suprascapular nerve block: a new approach for the management of frozen shoulder. Anaesthesia 1992;47:120-4.
13. Shanahan EM, Smith MD, Wetherall M, Lott CW, Slavotinek J, FitzGerald O, et alSuprascapular nerve block in chronic shoulder pain: are the radiologists better? Ann Rheum Dis 2004;63:1035-40.
14. Yasar E, Vural D, Safaz I, Balaban B,Bilge, Ahmet Y, Goktepe AS, Alaca R.Which treatment approach is better for hemiplegic
15. Shanahan EM, Ahern M, Smith M, Wetherall M,BresnihanB,FitzGeraldO.Suprascapular nerve block (using bupivacaine and methylprednisolone acetate) in chronic shoulder pain. Ann Rheum Dis 2003;62:400-406.
16. Dangoisse MJ, Wilson DJ, Glynn CJ. MRIand clinical study of an easy safe technique of suprascapular nerve blockade. Acta Anaesth Belg1994;45:49-54.
17. BalA, Eksioglu E, Gulec B,Aydog E, Gurcay E, Cakci A .Effectiveness of corticosteroid injection in adhesive capsulitis. Clin Rehabil 2008;22:503-12.
18. Ryans I, Montgomery A, Galway R. A randomized controlled trial of intra-articular triamcinolone and/or physiotherapy in shoulder capsulitis. Rheumatology 2005; 44:529-35.
19. Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder: a long term follow-up. J Bone Joint Surg Am 1992;74:738–46.
20. MooreDC.Blockofsuprascapularnerve. In: Thomas CC, ed. Regional nerve Block.4thed.Springfield,1979;9:300-303.
21. Haque R, Baruah RK, Bari A, Sawah A. Is Suprascapular Nerve Block Better Than Intra-articular Corticosteroid Injection for the Treatment of Adhesive Capsulitis of the Shoulder? A Randomized Controlled Study. Ortop Traumatol Rehabil. 2021 Jun 30;23(3):157-165. doi: 10.5604/01.3001.0014.9152. PMID: 34187937.
22. Shanahan EM, Gill TK, Briggs E, Hill CL, Bain G, Morris T. Suprascapular nerve block for the treatment of adhesive capsulitis: a randomised double-blind placebo-controlled trial. RMD Open. 2022 Nov;8(2):e002648. doi: 10.1136/rmdopen-2022-002648. PMID: 36418088; PMCID: PMC9685228.
23. ElKardosy M, Mahmoud A, Zidan A, Elsawy G. Role of interventional radiology in Management of Chronic shoulder pain. Al-Azhar International Medical Journal. 2021;
24. Debeer P, Commeyne O, De Cupere I, Tijskens D, Verhaegen F, Dankaerts W, Claes L, Kiekens G. The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety. J Exp Orthop. 2021 Sep 30;8(1):85. doi: 10.1186/s40634-021-00394-3. PMID: 34591188; PMCID: PMC8484410.
25. Goyal T, Singh A, Negi P, Kharkwal B. Comparative functional outcomes of patients with adhesive capsulitis receiving intra-articular versus sub-acromial steroid injections: case-control study. Musculoskelet Surg. 2019 Apr;103(1):31-35. doi: 10.1007/s12306-018-0538-8. Epub 2018 May 23. PMID: 29796762.
26. Gencer Atalay K, Kurt S, Kaplan E, Yağcı İ. Clinical effects of suprascapular nerve block in addition to intra-articular corticosteroid injection in the early stages of adhesive capsulitis: A singleblind, randomized controlled trial. Acta Orthop Traumatol Turc. 2021 Dec;55(6):459-465. doi: 10.5152/j.aott.2021.21071. PMID: 34967732.
27. Dai Z, Liu Q, Liu B, Long K, Liao Y, Wu B, Huang W, Liu C. Combined arthroscopic release with corticosteroid hydrodilatation versus corticosteroid hydrodilatation only in treating freezing-phase primary frozen shoulder: a randomized clinical trial. BMC Musculoskelet Disord. 2022 Dec 17;23(1):1102. doi: 10.1186/s12891-022-06065-3. PMID: 36528565; PMCID: PMC9758809.
Published
2023-07-31
How to Cite
1.
Peepra D, Lodhi J S, Gajbhiye S, Vidyarthi A, Chauhan H. Fluroscopic guided capsular distention with and without suprascapular nerve block in frozen shoulder patients a prospective comparative study. ojmpc [Internet]. 2023Jul.31 [cited 2024Dec.21];29(01). Available from: https://ojmpc.com/index.php/ojmpc/article/view/171
Issue
Vol 29 No 01 (2023): JAN-JUN
Section
Original Article

The entire contents of the Orthopaedic Journal of Madhya Pradesh Chapter are protected under Indian and International copyrights. Orthopaedic Journal of Madhya Pradesh Chapter allow authors to retain the copyrights of their papers without restrictions, Authors grant the publisher the right of exclusive publication. The Journal then grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship. The journal also grants the right to make numbers of printed copies for their personal non-commercial use under Creative Commons Attribution-Non-commercial share alike 4.0 International Public License.