Dangoisse M J, Wilson D J, Glynn C J
Department of Anaesthesiology, St-Luc Hospital, University of Louvain-U.C.L., Brussels.
Acta Anaesthesiol Belg. 1994;45(2):49-54.
Suprascapular nerve block is used with increasing frequency by anaesthetists and rheumatologists in the management of shoulder pain from a variety of disorders. In the classical technique, the needle is introduced into the supraspinous fossa perpendicular to the blade of the scapula and then is moved to enter the scapular notch, with the risk of pneumothorax or damage to the suprascapular nerve or vessels. However, it is not necessary to locate the scapular notch in order to perform this block. Introducing the needle parallel to the blade, i.e. away from the direction of the lung and the suprascapular nerve and vessels, and injecting the solution into the floor of the supraspinous fossa is an easy and safe technique. We report the results of a MRI and clinical study that confirm the efficacy of this approach.
麻醉医生和风湿病医生在处理各种疾病引起的肩部疼痛时，使用肩胛上神经阻滞的频率越来越高。在传统技术中，将针垂直于肩胛骨的肩胛冈插入冈上窝，然后移动针进入肩胛切迹，存在气胸或损伤肩胛上神经或血管的风险。然而，进行这种阻滞并不一定需要定位肩胛切迹。将针平行于肩胛冈插入，即远离肺以及肩胛上神经和血管的方向，并将溶液注入冈上窝底部，是一种简单且安全的技术。我们报告了一项MRI和临床研究的结果，证实了这种方法的有效性。
