Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, 10 Union Square East 5th Floor, Suite 5P, New York, NY 10003, USA.
Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, 10 Union Square East 5th Floor, Suite 5P, New York, NY 10003, USA.
Phys Med Rehabil Clin N Am. 2021 Nov;32(4):675-682. doi: 10.1016/j.pmr.2021.07.002.
The shoulder is structurally and functionally complex. Shoulder pain may be refractory to conventional treatments, such as physical therapy, pharmacotherapy, and corticosteroid injections. In such cases, radiofrequency ablation may serve as an alternative treatment plan. Current literature has demonstrated 4 target nerves for ablative therapy: the suprascapular nerve, axillary nerve, lateral pectoral nerve, and subscapular nerve. Special caution is needed when targeting these nerves in order to avoid motor denervation. This article summarizes the current evidence for radiofrequency ablation as a useful treatment option for chronic shoulder pain as well as the described techniques for performing this promising procedure.
肩部结构和功能复杂。肩部疼痛可能对传统治疗方法（如物理治疗、药物治疗和皮质类固醇注射）无反应。在这种情况下，射频消融术可能是一种替代治疗方案。目前的文献已经确定了 4 个可用于消融治疗的目标神经：肩胛上神经、腋神经、胸外侧神经和肩胛下神经。在针对这些神经时需要特别小心，以避免运动神经失用。本文总结了射频消融术作为治疗慢性肩部疼痛的一种有效治疗选择的现有证据，以及描述了进行这种有前途的手术的技术。
