TY - JOUR
T1 - Evaluation of Interfascial Plane and Pericapsular Nerve Blocks to the Shoulder Joint
T2 - A Preliminary Analysis of Shoulder Anterior Capsular Block
AU - Galluccio, Felice
AU - Fajardo Perez, Mario
AU - Yamak Altinpulluk, Ece
AU - Hou, Jin De
AU - Lin, Jui An
N1 - Funding Information:
We thank Dr. Lorenzo Tofani for his contribution to the statistical analysis, and Guido Baroni and Fabrizio Sigismondi of Fisiotech Lab Studio who performed the physiotherapy sessions. This work was supported by Hualien Armed Forced General Hospital (805-C109-08). We thank all the participants of the study.
Funding Information:
We thank Dr. Lorenzo Tofani for his contribution to the statistical analysis, and Guido Baroni and Fabrizio Sigismondi of Fisiotech Lab Studio who performed the physiotherapy sessions. This work was supported by Hualien Armed Forced General Hospital (805-C109-08). We thank all the participants of the study. No funding or sponsorship was received for this study or publication of this article. All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work, and have given their approval for this version to be published. All authors participated in the interpretation of the data and revising of the manuscript and contributed important intellectual content and approved the final version of the manuscript. Felice Galluccio and Mario Fajardo Perez contributed to the concept and design. The selection and treatment of patients and data collection was performed by Felice Galluccio. Jui-An Lin, Ece Yamak Altinpulluk and Jin-De Hou contributed to the study methodology and data analysis. Felice Galluccio wrote the first draft of the manuscript. All authors commented on previous versions of the manuscript and read and approved the final manuscript. Felice Galluccio, Mario Fajardo Perez, Ece Yamak Altinpulluk, Jin-De Hou, Jui-An Lin have nothing to disclose. Ethics board approval was not required for a labeled procedure and anonymized data of patients already included in a registry dedicated to locoregional treatment. Written informed consent for data collection and publication was obtained from all participating patients. The datasets generated and analyzed during the current study are available from the first author on reasonable request.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Introduction: The aim of this study is to verify if the shoulder anterior capsular block (SHAC), combined with other nerve blocks, is effective in relieving shoulder pain, avoiding motor block and allowing an early rehabilitation program. Methods: Seventy-five consecutive patients with painful shoulder were treated with the SHAC, alone (30 patients) or in combination with a suprascapular nerve block (SSnb: 25 patients) or with pectoralis and serratus plane block (PECS-2: 20 patients). All blocks were performed with 0.2% ropivacaine plus 8 mg dexamethasone. All patients were treated with three-weekly physiotherapy sessions for the following 2 weeks and then with home exercises. Results: The post-procedural analgesic effect was strong in all groups, with a mean change in numeric rating scale (NRS) values of −6.05 in group 1, −6.25 in group 2, and −6.19 in group 3 (p <.0001), allowing all patients to complete an immediate physiotherapy session. Only a few patients needed to repeat the procedure 1 week after the first treatment for the recurrence of pain. From the treatment to the end of the follow-up, we noted a further drop in mean pain NRS values of 1.90 in group 1 and 1.80 in groups 2 and 3. No difference in effect over time was observed among the different groups. No adverse event or motor block was recorded. Conclusion: This study demonstrates that the SHAC, alone or in combination with other peripheral nerve blocks, is an attractive alternative for shoulder pain management, especially when physiotherapy is required to recover shoulder function.
AB - Introduction: The aim of this study is to verify if the shoulder anterior capsular block (SHAC), combined with other nerve blocks, is effective in relieving shoulder pain, avoiding motor block and allowing an early rehabilitation program. Methods: Seventy-five consecutive patients with painful shoulder were treated with the SHAC, alone (30 patients) or in combination with a suprascapular nerve block (SSnb: 25 patients) or with pectoralis and serratus plane block (PECS-2: 20 patients). All blocks were performed with 0.2% ropivacaine plus 8 mg dexamethasone. All patients were treated with three-weekly physiotherapy sessions for the following 2 weeks and then with home exercises. Results: The post-procedural analgesic effect was strong in all groups, with a mean change in numeric rating scale (NRS) values of −6.05 in group 1, −6.25 in group 2, and −6.19 in group 3 (p <.0001), allowing all patients to complete an immediate physiotherapy session. Only a few patients needed to repeat the procedure 1 week after the first treatment for the recurrence of pain. From the treatment to the end of the follow-up, we noted a further drop in mean pain NRS values of 1.90 in group 1 and 1.80 in groups 2 and 3. No difference in effect over time was observed among the different groups. No adverse event or motor block was recorded. Conclusion: This study demonstrates that the SHAC, alone or in combination with other peripheral nerve blocks, is an attractive alternative for shoulder pain management, especially when physiotherapy is required to recover shoulder function.
KW - Interfascial plane block
KW - Pericapsular block
KW - Shoulder anterior capsular block
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U2 - 10.1007/s40122-021-00326-0
DO - 10.1007/s40122-021-00326-0
M3 - Article
AN - SCOPUS:85117313736
SN - 2193-8237
VL - 10
SP - 1741
EP - 1754
JO - Pain and Therapy
JF - Pain and Therapy
IS - 2
ER -