Anatomy


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See below video and watch how Dr. Rosenblum performs the  Suprascapular Block

Pre-Injection

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Innervation

  • Infraspinatus muscle
  • Supraspinatus muscle  
  • Essential portions of the capsule and ligaments in the shoulder joint
  • The nerve does not supply its own skin region

Relevant Anatomy

Suprascapular Block

Suprascapular Nerve Block

  • CPT 64418, 76942

  • Common Dx code M25.511, M25.512 (Right and Left Shoulder Pain)

  • Injectate- Bupivicaine 0.25% 5ml, +/- Depomedrol 5-20mg

  • Needle 25 G 3.5 Inch Spinal Needle

Evidence Supporting Suprascapular Nerve Block

“Suprascapular nerve block is a safe and effective treatment for patients with hemiplegic shoulder pain.” 

  •     Adey-Wakeling Z, Crotty M, Shanahan EM. Suprascapular nerve block for shoulder pain in the first year after stroke: a randomized controlled trial. Stroke. 2013 Nov;44(11): 3136-41.

“Effective results after suprascapular nerve blockage was obtained for the treatment of refractory  frozen shoulder cases.”

  •     Ozkan K, Ozcekic AN, Sarar S, Cift H, Ozkan FU, Unay K. Suprascapular nerve block for the treatment of frozen shoulder. Saudi J Aneasth. 2012 Jan;6(1): 52-5.

“Combination of physical treatment with Suprascapular nerve block is a safe and efficacious treatment for the treatment of shoulder pain in frozen and arthritis.”

  •  Abdelshafi ME, Yosry M, Elmulla AF, Al-Shahawy EA, Adou Aly M, Eliewa EA. Relief of chronic shoulder pain: a comparative study of three approaches. Middle East J Anesthesiol. 2011 Feb;21(1):83-92. 

“Suprascapular nerve block can be considered the preferred treatment for non-specific shoulder pain because of being as effective as steroid injection with rare side effects.” 

  •  Taskaynatan MA, Yilmaz B, Ozgul A, Yazicioglu K, Kalyon TA. Suprascapular nerve block versus steroid injection for non-specific shoulder pain. Tohoku J Exp Med. 2005 Jan; 205(1):19-25.

“Suprascapular nerve block is a safe and efficacious treatment for the treatment of shoulder pain in degenerative disease and/or arthritis. It improves pain, disability, and range of movement at the shoulder compared with placebo. It is a useful adjunct treatment for the practicing clinician to assist in the management of a difficult and common clinical problem.” 

  • 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. 2003 May;62(5):400-6. 

References

and Interesting Articles

  •     Adey-Wakeling Z, Crotty M, Shanahan EM. Suprascapular nerve block for shoulder pain in the first year after stroke: a randomized controlled trial. Stroke. 2013 Nov;44(11): 3136-41. Link
  •     Ozkan K, Ozcekic AN, Sarar S, Cift H, Ozkan FU, Unay K. Suprascapular nerve block for the treatment of frozen shoulder. Saudi J Aneasth. 2012 Jan;6(1): 52-5. Link
  •     Abdelshafi ME, Yosry M, Elmulla AF, Al-Shahawy EA, Adou Aly M, Eliewa EA. Relief of chronic shoulder pain: a comparative study of three approaches. Middle East J Anesthesiol. 2011 Feb;21(1):83-92.  Link
  •     Taskaynatan MA, Yilmaz B, Ozgul A, Yazicioglu K, Kalyon TA. Suprascapular nerve block versus steroid injection for non-specific shoulder pain. Tohoku J Exp Med. 2005 Jan; 205(1):19-25.  Link
  • 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. 2003 May;62(5):400-6.  Link



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