SUPRASCAPULAR NERVE BLOCK IN ADHESIVE CAPSULITIS SHOULDER- A RANDOMISED CONTROL TRIAL

Srivastava Ashish, Gupta A K, Sharma V P, Kumar D, Mishra S R, Yadav G

Abstract


Background: Adhesive capsulitis is a common condition involving glenohumeral joint.
Objective : To compare outcome of physical therapy alone and with suprascapular nerve block in adhesive capsulitis shoulder.
Methodology: This study was performed in a tertiary care teaching institution of North India. Age and sex matched, subjects with periarthritis
shoulder were enrolled in this study. Subjects were assessed by ROM parameters, Oxford Shoulder Score (OSS) and Shoulder Pain and Disability
Index (SPADI) at 3weeks, 6 weeks and 3 months interval.
Results: 80 patients were included with mean age group of 51.28 ± 7.63 yrs and 52.88 ± 7.59 yrs in control and intervention group respectively.
Outcome measures were ABD, ER, IR, FLX, EXT, OSS and SPADI which improved from 83.10 ± 8.57, 35.38 ± 6.03, 32.00 ± 5.52, 18.10 ± 1.71and
79.23 ± 2.51 respectively to 126.13 ± 10.65, 63.25 ± 5.83, 63.13 ± 5.37, 36.13 ± 2.03, 45.38 ± 2.94 respectively at 12 weeks of suprascapular nerve
block.
Conclusion: Combined approach of SSNB followed by physical therapy accelerates the recovery of idiopathic frozen shoulder. It is effective and
safe to administer.


Keywords


Adhesive capsulitis, Suprascapular nerve block, Oxford shoulder score, Shoulder pain and disability index.

Full Text:

PDF

References


Codman EA. The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston, MA; Thomas Todd Co.; 1934.

Neviaser JS. Adhesive capsulitis of the shoulder: a study of the pathological findings in periarthritis of the shoulder. J Bone Joint Surg Am 1945;27:211­22.

Matsen FA, Fu FH, Hawkins RJ. The shoulder: a balance of mobility and stability. Rosemont, IL: American Academy of Orthopaedic Surgeons; 1993.

Zuckerman J, Cuomo F, Rokito S. Definition and classification of frozen shoulder: a consensus approach. J Shoulder Elbow Surg 1994;3:S72.

Bridgman JF. Periarthritis of the shoulder and diabetes mellitus.AnnRheum 1945;27:211­22.

Wolf JM, Green A. Influence of comorbidity on self­assessment instrument scores of patients with idiopathic adhesive capsulitis.J Bone Joint Surg Am 2002;84:1167­73.

Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis 1972;31:69­71

Fisher L, Kurtz A, Shipley M. Association betweencheiroarthropathy and frozen shoulder in patients with insulin­dependent diabetes mellitus. Br J Rheumatol 1986;25:141­6.

Thomas SJ, McDougall C, Brown ID, Jaberoo MC, Stearns A, Ashraf R, et al. Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus. J Shoulder Elbow Surg

Hakim AJ, Cherkas LF, Spector TD, MacGregor AJ. Genetic associations between frozen shoulder and tennis elbow: a female twin study. Rheumatology (Oxford) 2003;42:739­42.

Bunker TD, Anthony PP.The pathology of frozen shoulder.ADupuytren­like disease. J Bone Joint Surg Br 1995;77:677­83.

Bridgman JF. Periarthritis of shoulder and Diabetes Mellitus. Ann Rheum Dis 1972;31:69-71

Bunker TD, Reilly J, Baird KS, Hamblen DL. Expression of growth factors, cytokines and matrix metalloproteinase in frozen shoulder.J Bone Joint Surg Br 2000;82:768­73.

Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder. J Orthop Res 1997;15:427­36.

Kanbe K, Inoue K, Inoue Y, Chen Q. Inducement of mitogenactivated protein kinases in frozen shoulders. J OrthopSci 2009;14:56­61.

Ryu JD, Kirpalani PA, Kim JM, Nam KH, Han CW, Han SH. Expression of vascular endothelial growth factor and angiogenesis in the diabetic frozen shoulder. J Shoulder Elbow Surg 2006;15:679­85.

Wiley AM. Arthroscopic appearance of frozen shoulder. Arthroscopy 1991;7:138­43.Rheum 1987;30:936­9.

Buchbinder R, Hoving JL, Green S, Hall S, Forbes A. Short course prednisolone for Adhesive Capsulitis Shoulder: a randomised, double blind, placebo controlled trial. Ann Rheum Dis 2004;63:1469-9

Ozaki J, Nakagawa Y, Sakurai G, Tamai S. Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J Bone Joint Surg Am 1989;71:1511­5.

Kim KC, Rhee KJ, Shin HD. Adhesive capsulitis of the shoulder: dimensions of the rotator interval measured with magnetic resonance arthrography. J Shoulder Elbow Surg 2009;18:437­42.


Refbacks

  • There are currently no refbacks.