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Ultrasound‐Guided Proximal Suprascapular Nerve Block With Radiofrequency Lesioning for Patients With Malignancy‐Associated Recalcitrant Shoulder Pain
Author(s) -
Chang Ke-Vin,
Hung Chen-Yu,
Wang Tyng-Guey,
Yang Rong-Sen,
Sun Wei-Zen,
Lin Chih-Peng
Publication year - 2015
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/ultra.14.12042
Subject(s) - medicine , suprascapular nerve , nerve block , malignancy , ultrasound , surgery , radiology , pathology , brachial plexus
The classic suprascapular nerve block has limitations, such as postural requirements and lack of direct nerve visualization. This series investigated the analgesic effect of ultrasound‐guided supraclavicular suprascapular nerve blocks in patients with malignancy‐associated shoulder pain. Ablative radiofrequency lesioning of the suprascapular nerve in 6 patients provided substantial pain relief. The mean distance from the suprascapular nerve to the brachial plexus was 8.05 mm, and the mean angle of needle entry was 20.6°. This approach appears to be effective in relieving malignancy‐associated shoulder pain and is tolerated by patients unable to sit or lie prone.