Jankovic D, van Zundert A
Pain Management Centre, Cologne-Huerth, Germany.
Acta Anaesthesiol Belg. 2006;57(2):137-43.
A frozen shoulder is considered by some authors to be a common stage of many disorders affecting the shoulder, while others regard it as an independent idiopatic condition. A consistent finding is that subscapularis muscle trigger points play a key role in the development of the frozen shoulder syndrome. Apart from the conventional treatment, a selective subscapularis fossa nerve block combined with subscapularis trigger points infiltration, may be an effective treatment in preventing chronic pain.
In this manuscript the posterior injection technique of the subscapularis fossa nerve block is described.
Five patients with typical symptoms of frozen shoulder, who did not respond to conventional treatment, but obtained pain relief after a combination of a subscapularis nerve block with the infiltration of trigger points, are presented.
The results of this block in various painful situations of the shoulder region suggest the importance of subscapularis muscle in the etiology of the frozen shoulder. Using this technique, we could demonstrate that a subscapular nerve block and subscapularis trigger points infiltration have both a diagnostic and therapeutic value for the treatment of the frozen shoulder.
一些作者认为肩周炎是影响肩部的多种疾病的常见阶段，而另一些人则将其视为一种独立的特发性病症。一个一致的发现是，肩胛下肌触发点在肩周炎综合征的发展中起关键作用。除了传统治疗外，选择性肩胛下窝神经阻滞联合肩胛下肌触发点浸润可能是预防慢性疼痛的有效治疗方法。
本文描述了肩胛下窝神经阻滞的后侧注射技术。
介绍了5例肩周炎典型症状患者，他们对传统治疗无反应，但在肩胛下神经阻滞联合触发点浸润后疼痛缓解。
该阻滞在肩部区域各种疼痛情况中的结果表明肩胛下肌在肩周炎病因中的重要性。使用该技术，我们可以证明肩胛下神经阻滞和肩胛下肌触发点浸润对肩周炎的治疗具有诊断和治疗价值。
