Journal of Korean Neurosurgical Society

  • 제54권6호
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  • Pages.507-510
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Effect of Pulsed Radiofrequency Neuromodulation on Clinical Improvements in the Patients of Chronic Intractable Shoulder Pain

  • Jang, Ji Su (Department of Anesthesiology and Pain Medicine, School of Medicine, Hallym University) ;
  • Choi, Hyuk Jai (Department of Neurosurgery, School of Medicine, Hallym University) ;
  • Kang, Suk Hyung (Department of Neurosurgery, School of Medicine, Hallym University) ;
  • Yang, Jin Seo (Department of Neurosurgery, School of Medicine, Hallym University) ;
  • Lee, Jae Jun (Department of Anesthesiology and Pain Medicine, School of Medicine, Hallym University) ;
  • Hwang, Sung Mi (Department of Anesthesiology and Pain Medicine, School of Medicine, Hallym University)
  • 투고 : 2013.04.05
  • 심사 : 2013.12.12
  • 발행 : 2013.12.28
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초록

Objective : The aim of this study was to evaluate effect of pulsed radiofrequency (PRF) neuromodulation of suprascpaular nerve (SSN) in patients with chronic shoulder pain due to adhesive capsulitis and/or rotator cuff tear. Methods : The study included 11 patients suffering from chronic shoulder pain for at least 6 months who were diagnosed with adhesive capsulitis (n=4), rotator cuff tear (n=5), or adhesive capsulitis+rotator cuff tear (n=2) using shoulder magnetic resonance imaging or extremity ultrasonography. After a favorable response to a diagnostic suprascapular nerve block twice a week (pain improvement >50%), PRF neuromodulation was performed. Shoulder pain and quality of life were assessed using a Visual Analogue Scale (VAS) and the Oxford Shoulder Score (OSS) before the diagnostic block and every month after PRF neuromodulation over a 9-month period. Results : The mean VAS score of 11 patients before PRF was $6.4{\pm}1.49$, and the scores at 6-month and 9 month follow-up were $1.0{\pm}0.73$ and $1.5{\pm}1.23$, respectively. A significant pain reduction (p<0.001) was observed. The mean OSS score of 11 patients before PRF was $22.7{\pm}8.1$, and the scores at 6-month and 9 month follow-up were $41.5{\pm}6.65$ and $41.0{\pm}6.67$, respectively. A significant OSS improvement (p<0.001) was observed. Conclusion : PRF neuromodulation of the suprascapular nerve is an effective treatment for chronic shoulder pain, and the effect was sustained over a relatively long period in patients with medically intractable shoulder pain.

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참고문헌

  1. Aszmann OC, Dellon AL, Birely BT, McFarland EG : Innervation of the human shoulder joint and its implications for surgery. Cin Orthop Relat Res (330) : 202-207, 1996 https://doi.org/10.1097/00003086-199609000-00027
  2. Carron H : Relieving pain with nerve blocks. Geriatrics 33 : 49-57, 1978
  3. Chan CW, Peng PW : Suprascapular nerve block : a narrative review. Reg Anesth Pain Med 36 : 358-373, 2011 https://doi.org/10.1097/AAP.0b013e3182204ec0
  4. Checcucci G, Allegra A, Bigazzi P, Gianesello L, Ceruso M, Gritti G : A new technique for regional anesthesia for arthroscopic shoulder surgery based on a suprascapular nerve block and an axillary nerve block : an evaluation of the first results. Arthroscopy 24 : 689-696, 2008 https://doi.org/10.1016/j.arthro.2008.01.019
  5. Choi HJ, Choi SK, Kim TS, Lim YJ : Pulsed radiofrequency neuromodulation treatment on the lateral femoral cutaneous nerve for the treatment of meralgia paresthetica. J Korean Neurosurg Soc 50 : 151-153, 2011 https://doi.org/10.3340/jkns.2011.50.2.151
  6. Dahan TH, Fortin L, Pelletier M, Petit M, Vadeboncoeur R, Suissa S : Double blind randomized clinical trial examining the efficacy of bupivacaine suprascapular nerve blocks in frozen shoulder. J Rheumatol 27 : 1464-1469, 2000
  7. Emery P, Bowman S, Wedderburn L, Grahame R : Suprascapular nerve block for chronic shoulder pain in rheumatoid arthritis. BMJ 299 : 1079-1080, 1989 https://doi.org/10.1136/bmj.299.6707.1079
  8. Gado K, Emery P : Modified suprascapular nerve block with bupivacaine alone effectively controls chronic shoulder pain in patients with rheumatoid arthritis. Ann Rheum Dis 52 : 215-218, 1993 https://doi.org/10.1136/ard.52.3.215
  9. Green S, Buchbinder R, Glazier R, Forbes A : Systematic review of randomised controlled trials of interventions for painful shoulder : selection criteria, outcome assessment, and efficacy. BMJ 316 : 354-360, 1998 https://doi.org/10.1136/bmj.316.7128.354
  10. Gurbet A, Turker G, Bozkurt M, Keskin E, Uckunkaya N, Sahin S : [Efficacy of pulsed mode radiofrequency lesioning of the suprascapular nerve in chronic shoulder pain secondary to rotator cuff rupture]. Agri 17 : 48-52, 2005
  11. Hagiwara S, Iwasaka H, Takeshima N, Noguchi T : Mechanisms of analgesic action of pulsed radiofrequency on adjuvant-induced pain in the rat : roles of descending adrenergic and serotonergic systems. Eur J Pain 13 : 249-252, 2009 https://doi.org/10.1016/j.ejpain.2008.04.013
  12. Luleci N, Ozdemir U, Dere K, Toman H, Luleci E, Irban A : Evaluation of patients' response to pulsed radiofrequency treatment applied to the suprascapular nerve in patients with chronic shoulder pain. J Back Musculoskelet Rehabil 24 : 189-194, 2011 https://doi.org/10.3233/BMR-2011-0293
  13. Olley LM, Carr AJ : The use of a patient-based questionnaire (the Oxford Shoulder Score) to assess outcome after rotator cuff repair. Ann R Coll Surg Engl 90 : 326-331, 2008 https://doi.org/10.1308/003588408X285964
  14. Parsons S, Breen A, Foster NE, Letley L, Pincus T, Vogel S, et al. : Prevalence and comparative troublesomeness by age of musculoskeletal pain in different body locations. Fam Pract 24 : 308-316, 2007 https://doi.org/10.1093/fampra/cmm027
  15. Picavet HS, Schouten JS : Musculoskeletal pain in the Netherlands : prevalences, consequences and risk groups, the DMC(3)-study. Pain 102 : 167-178, 2003 https://doi.org/10.1016/s0304-3959(02)00372-x
  16. Rechardt M, Shiri R, Karppinen J, Jula A, Heliovaara M, Viikari-Juntura E : Lifestyle and metabolic factors in relation to shoulder pain and rotator cuff tendinitis : a population-based study. BMC Musculoskelet Disord 11 : 165, 2010 https://doi.org/10.1186/1471-2474-11-165
  17. Ritchie ED, Tong D, Chung F, Norris AM, Miniaci A, Vairavanathan SD : Suprascapular nerve block for postoperative pain relief in arthroscopic shoulder surgery : a new modality? Anesth Analg 84 : 1306-1312, 1997 https://doi.org/10.1213/00000539-199706000-00024
  18. Rohof OJ : Radiofrequency treatment of peripheral nerves. Pain Pract 2 : 257-260, 2002 https://doi.org/10.1046/j.1533-2500.2002.02033.x
  19. Rozen D, Parvez U : Pulsed radiofrequency of lumbar nerve roots for treatment of chronic inguinal herniorraphy pain. Pain Physician 9 : 153-156, 2006
  20. Shah RV, Racz GB : Pulsed mode radiofrequency lesioning of the suprascapular nerve for the treatment of chronic shoulder pain. Pain Physician 6 : 503-506, 2003
  21. Shanahan EM, Ahern M, Smith M, Wetherall M, Bresnihan B, FitzGerald O : Suprascapular nerve block (using bupivacaine and methylprednisolone acetate) in chronic shoulder pain. Ann Rheum Dis 62 : 400-406, 2003 https://doi.org/10.1136/ard.62.5.400
  22. Van Zundert J, de Louw AJ, Joosten EA, Kessels AG, Honig W, Dederen PJ, et al. : Pulsed and continuous radiofrequency current adjacent to the cervical dorsal root ganglion of the rat induces late cellular activity in the dorsal horn. Anesthesiology 102 : 125-131, 2005 https://doi.org/10.1097/00000542-200501000-00021
  23. Vecchio PC, Adebajo AO, Hazleman BL : Suprascapular nerve block for persistent rotator cuff lesions. J Rheumatol 203 : 453-455, 1993

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