Background A new approach for the management of frozen shoulder associated with adhesive capsulitis is presented.
Objectives The choice of blockade of the suprascapular nerve is a new concept for the management of the frozen shoulder. This is based on the fact that the nerve contains a high proportion of sensitive fibres supplying the shoulder joint.
Methods 11 patients with adhesive capsulitis have been referred to us: women 9, men 2; mean age 55,5 years; mean duration of the disease 7,2 months.
All the patients had failed to prior treatment.
A suprascapular nerve block with anaesthesic solution and corticosteroid injection was performed by needle insertion through the suprascapular notch: behind the lateral end of the clavicle at its junction with the insertion of the trapezius muscle.
Results Evaluation of the efficacy was achieved by comparing subjective pain and passive range of movement before and after the first block and after the final one.
The block was repeated once weekly with a mean of 3 treatments.
Relief of the pain has been noted in 8 of 11 patients.
Conclusion This approach seems a new, non invasive and painless treatment of the adhesive capsulitis of the shoulder.
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