Ultrasound-guided suprascapular nerve block for shoulder reduction and adhesive capsulitis in the ED

作者:Herring Andrew A*; Stone Micheal B; Nagdev Arun
来源:American Journal of Emergency Medicine, 2011, 29(8): 963.e1.
DOI:10.1016/j.ajem.2010.08.024

摘要

The suprascapular nerve (SSN) emerges from the upper trunk of the brachial plexus (C5-C6) and provides the majority of the sensory innervation to the glenohumeral and acromioclavicular joints. In addition, it provides motor innervation to the supraspinatus and infraspinatus muscles [1]. Blockade of the SSN was first described in 1941 by Wertheim and Rovenstine [2] and, since then, has been used extensively by anesthesiologists for a variety of conditions including adhesive capsulitis and postoperative pain control for shoulder arthroscopy [3]. Recently, Harmon and Hearty [4] described an ultrasound-guided technique that could be easily learned and implemented by emergency physicians. Herein, we describe the successful SSN blockade with ultrasound guidance for treatment of emergency department (ED) patients with anterior shoulder dislocation and adhesive capsulitis.

  • 出版日期2011-10

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