Eckert S, Hornburg M, Frey U, Kersten J, Rathgeber J
Abteilung Anästhesiologie und operative Intensivmedizin, Hamburg, Germany.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2001 Aug;36(8):514-7. doi: 10.1055/s-2001-16672.
Suprascapular nerve block may provide sufficient analgesia in painful immobilisation of the shoulder joint. In the following case report a 41 year old male presenting with adhesive capsulitis (frozen shoulder) has been treated successfully by performing continuous delivery of local anesthetics to the suprascapular nerve via catheter. The location of the catheter has been verified using MRI examination. Pain relief was quantified by using visual analog scale (VAS 1 - 10) and showed decretion from VAS 8 - 10 pre treatment to VAS 1 - 2 after insertion of the catheter and throughout five days of intensive physiotherapy, respectively. The technique of catheterization using a nerve stimulator and alternative peripheral nerve blocks are discussed. In summary, continuous suprascapular nerve block offers an advantageous alternative for pain relief in patients with frozen shoulder. It may provide better pain control and earlier discharge in the ambulatory setting than repetetive single dose blocks.
肩胛上神经阻滞可为肩关节疼痛性固定提供充分的镇痛效果。在以下病例报告中，一名患有粘连性关节囊炎（肩周炎）的41岁男性通过经导管向肩胛上神经持续输注局部麻醉药而获得成功治疗。导管位置已通过MRI检查得以验证。使用视觉模拟评分法（VAS 1 - 10）对疼痛缓解情况进行量化，结果显示在插入导管后以及整个五天的强化物理治疗期间，疼痛评分分别从治疗前的VAS 8 - 10降至VAS 1 - 2。文中讨论了使用神经刺激器进行导管插入术的技术以及替代性外周神经阻滞。总之，持续肩胛上神经阻滞为肩周炎患者的疼痛缓解提供了一种有利的替代方法。与重复单次剂量阻滞相比，它在门诊环境中可能提供更好的疼痛控制并实现更早出院。
