抄録
Background: During the 38th annual meeting of Japan Shoulder Society, Minagawa reported the efficacy of shoulder manipulation for frozen shoulder under ultrasound guided Cervical nerve 5 and 6 block. The purpose of this study is to investigate the efficacy of the shoulder manipulation under ultrasound guided supraclavicular brachial plexus block.
Methods: Subjects consisted of 8 patients, mean age 65 years old, 75% female, who had a frozen shoulder with less than 120 degrees in elevation. Patients who had rotator cuff tears, osteoarthritis, calcifying tendinitis, diabetes mellitus, or a history of shoulder surgery were excluded. Manipulation was performed under ultrasound guided supraclavicular brachial plexus block and based on Minagawa's technique to evaluate complications, for efficacy of pain relief, and range of motion.
Results: All the patients were treated as outpatients, the manipulation didn't cause any vascular injuries, pneumothorax or infection. No massive fractures or rotator cuff tears were found. Night pain, rest pain, motion pain, and elevation were 2.8, 1.3, 6.3 and 97.5 degrees respectively before manipulation, 0.9, 0.6, 2.6 and 140.7 degrees respectively after 1 week, 0.75, 0.5, 1.5, and 155 degrees respectively after 1 month.
Conclusion: Shoulder manipulation under ultrasound guided supraclavicular brachial plexus block was performed safely as an outpatient treatment, and brought early pain relief and improvement of range of motion.
