Haciomeroglu Mustafa, Takmaz Suna Akin, Serce Azize, Karaduman Yilmaz, Basar Hulya
Ercis Sehit Ridvan Cevik State Hospital, 65400 Ercis-Van, Turkey.
Ankara Training and Research Hospital, 06200 Ankara, Turkey.
J Clin Med. 2024 Nov 29;13(23):7258. doi: 10.3390/jcm13237258.
Rotator cuff lesions are common causes of shoulder pain. When not treated effectively, the functional loss associated with pain affects the quality of life and brings about psychosocial issues. In this study, prospective observational comparison of the effects of ultrasonography (USG) guided subacromial injection (SAI) versus subacromial injection combined with suprascapular nerve block (SSNB) on pain, functionality and sleep quality in the treatment of shoulder pain unresponsive to conservative treatments due to rotator cuff lesions is made. The data of 25 patients in both groups were compared prospectively. Patients were evaluated after 30 min, 1 week, 2 weeks, 1 month, and 3 months. Pain levels were measured with VAS, shoulder functions with SPADI and sleep quality with PSQI. Analgesic consumption and satisfaction were also recorded. Both treatment groups effectively reduced pain at rest over the 3-month follow-up period. However, the SAI group did not achieve the targeted level of analgesia for pain control during movement. In comparison, the SAI + SSNB group demonstrated significantly superior outcomes, with lower VAS scores both at rest and during motion, as well as improved SPADI and PSQI scores. Additionally, analgesic consumption was significantly reduced in the SAI + SSNB group. No side effects or complications were observed during the treatment applications or the follow-up period. Pain control, shoulder functionality, sleep quality, and patient satisfaction were found to be higher in patients treated with SAI + SSNB in the short-to-medium term in the treatment of shoulder pain due to rotator cuff lesions, in addition to lower analgesic consumption.
肩袖损伤是肩部疼痛的常见原因。若未得到有效治疗，与疼痛相关的功能丧失会影响生活质量，并引发心理社会问题。在本研究中，对超声引导下肩峰下注射（SAI）与肩峰下注射联合肩胛上神经阻滞（SSNB）治疗因肩袖损伤导致的保守治疗无效的肩部疼痛时对疼痛、功能和睡眠质量的影响进行了前瞻性观察比较。对两组25例患者的数据进行了前瞻性比较。在30分钟、1周、2周、1个月和3个月后对患者进行评估。用视觉模拟评分法（VAS）测量疼痛程度，用肩关节功能障碍指数（SPADI）评估肩部功能，用匹兹堡睡眠质量指数（PSQI）评估睡眠质量。还记录了镇痛药物的使用情况和满意度。在3个月的随访期内，两个治疗组均有效减轻了静息时的疼痛。然而，SAI组在运动时未达到疼痛控制的目标镇痛水平。相比之下，SAI + SSNB组显示出明显更好的结果，静息和运动时的VAS评分更低，SPADI和PSQI评分也有所改善。此外，SAI + SSNB组的镇痛药物使用量显著减少。在治疗过程和随访期间未观察到副作用或并发症。发现在治疗因肩袖损伤导致的肩部疼痛时，SAI + SSNB治疗的患者在短期至中期内除了镇痛药物使用量较低外，疼痛控制、肩部功能、睡眠质量和患者满意度更高。
