International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
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Efficacy of Anatomical Landmark Guided Suprascapular Nerve Block in Arthroscopic Shoulder Surgeries for Post‐Operative Pain Management
Ameen Sneha Babubhai, Rekha Bayer, Ami V. Faneja and Tushar R. Baria
Page: 1-4 | Received 10 Oct 2023, Published online: 26 Oct 2023
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Abstract
In an effort to reduce the use of opioids after rotator cuff repair surgery, cryotherapy, intralesional anaesthesia, nerve block, continuous nerve block with catheters and multimodal analgesia have all been proposed as pain relief methods. The purpose of this study was to evaluate the efficacy of suprascapular nerve block as a post‐operative analgesic during shoulder arthroscopies. The present investigation is a retrospective observational study carried out at the affiliated medical college and hospital. The study encompassed all individuals who underwent arthroscopic shoulder interventions conducted by a solitary surgeon. Patients were divided at random into two groups of fifty individuals each. Patients in Group I (n = 50) were administered SSNB in accordance with the anatomical landmark method outlined by Dangoisse. SSNB was administered to patients in Group II (n = 50) via the USG procedure. The efficacy of SSNB was assessed using the following parameters pain, range of motion and disability. The VAS scale was employed to quantify pain, with a range of 0‐10 cm. Shoulder periarthritis accounted for the largest patient populations in both categories, followed by rotator cuff injury, post‐cerebrovascular accident sequela, impingement syndrome and shoulder arthritis. When compared to the baseline value the reduction in VAS in both groups was found to be statistically significant (p<0.001) immediately following the block, after one week and after four weeks. A statistically significant improvement was observed across the entire spectrum of shoulder movements (p<0.05). The findings of the present study indicate that by utilising ultrasound guidance, a reduced volume of injectate and steroid can be administered for SSN blocks. In addition, the implementation of ultrasound guidance yields a marginal enhancement in the reduction of discomfort. Further extensive prospective trials are required in order to validate the efficacy of ultrasound guidance in the treatment of persistent shoulder pain.
How to cite this article:
Ameen Sneha Babubhai, Rekha Bayer, Ami V. Faneja and Tushar R. Baria. Efficacy of Anatomical Landmark Guided Suprascapular Nerve Block in Arthroscopic Shoulder Surgeries for Post‐Operative Pain Management.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.3.1.4
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makrjms.2023.3.1.4