Ultrasound-guided suprascapular nerve block combined with glenohumeral steroid injection for treatment of adhesive shoulder capsulitis / 中国介入影像与治疗学

ABSTRACT

Objective: To observe the effect of ultrasound-guided suprascapular nerve block combined with steroid injection of glenohumeral joint for treatment of adhesive shoulder capsular inflammation. Methods: Totally 60 patients with adhesive shoulder capsulitis were randomly assigned into research group and control group (each n=30). Patients in research group received ultrasound-guided suprascapular nerve block and glenohumeral steroid injection on the basis of conventional rehabilitation management, while patients in control group received only conventional rehabilitation management. The visual analogue scale (VAS), Constant shoulder scale (CSS) level and shoulder range of motion (ROM) were evaluated before, 2 weeks and 4 weeks after treatment. Results: VAS and CSS of research group after 2 and 4 weeks were lower than those before treatment (all P<0.01), also lower than those of control group (all P<0.01). The ranges of shoulder flexion, abduction, internal rotation and external rotation in research group were higher than before treatment (all P<0.01) and higher than those in control group (all P<0.01, except for the range of rotation after 2 weeks of treatment). The recurrence rate in research group 3 and 6 months after treatment were lower than those in control group (both P<0.05). Conclusion: Ultrasound-guided suprascapular nerve block and glenohumeral steroid injection can improve the rehabilitation effect of patients with adhesive shoulder capsulitis and decrease recurrence.