Wasser Pain Management Center, Mount Sinai Hospital, Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada.
Reg Anesth Pain Med. 2011 Jul-Aug;36(4):358-73. doi: 10.1097/AAP.0b013e3182204ec0.
Suprascapular nerve blockade (SSNB) is a simple and safe technique for providing relief from various types of shoulder pain, including rheumatologic disorders, cancer, and trauma pain, and postoperative pain due to shoulder arthroscopy. Posterior, superior, and anterior approaches may be used, the most common being the posterior. Recently, an ultrasound-guided approach has been described. In this review, the basic anatomy of the suprascapular nerve will be described. The different techniques of SSNB and indications for SSNB will be discussed. The complications of SSNB and outcomes of SSNB on the management of acute and chronic shoulder pain will be reviewed.
肩胛上神经阻滞(SSNB)是一种简单且安全的技术,可用于缓解各种类型的肩部疼痛,包括风湿性疾病、癌症和创伤疼痛,以及肩部关节镜手术后的疼痛。可采用后入路、上入路和前入路,最常用的是后入路。最近,一种超声引导下的方法已经被描述。在这篇综述中,将描述肩胛上神经的基本解剖结构。将讨论 SSNB 的不同技术和适应证。将回顾 SSNB 的并发症以及 SSNB 在急性和慢性肩部疼痛管理中的效果。