• J Ultrasound Med · Nov 2015

    Ultrasound-Guided Proximal Suprascapular Nerve Block With Radiofrequency Lesioning for Patients With Malignancy-Associated Recalcitrant Shoulder Pain.

    • Ke-Vin Chang, Chen-Yu Hung, Tyng-Guey Wang, Rong-Sen Yang, Wei-Zen Sun, and Chih-Peng Lin.
    • Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, and National Taiwan University College of Medicine, Taipei, Taiwan (K.-V.C.); Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Chu-Tung Branch, Hsinchu, Taiwan (C.-Y.H.); and Departments of Physical Medicine and Rehabilitation (T.-G.W.,), Orthopedic Surgery (R.-S.Y.), Anesthesiology (W.-Z.S., C.-P.L.), and Oncology (R.-S.Y., C.-P.L.), National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
    • J Ultrasound Med. 2015 Nov 1; 34 (11): 2099-105.

    AbstractThe classic suprascapular nerve block has limitations, such as postural requirements and lack of direct nerve visualization. This series investigated the analgesic effect of ultrasound-guided supraclavicular suprascapular nerve blocks in patients with malignancy-associated shoulder pain. Ablative radiofrequency lesioning of the suprascapular nerve in 6 patients provided substantial pain relief. The mean distance from the suprascapular nerve to the brachial plexus was 8.05 mm, and the mean angle of needle entry was 20.6°. This approach appears to be effective in relieving malignancy-associated shoulder pain and is tolerated by patients unable to sit or lie prone. © 2015 by the American Institute of Ultrasound in Medicine.

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