Ultrasound-guided tricompartmental blockade of the shoulder

  • Roberto Carlo Rivera Diaz Universidad CES, Colombian Pain Institute, Medellín, Colombia
  • Mario Andrés Arcila Lotero Colombian Pain Institute, Medellín, Colombia
  • Johana Giraldo Giraldo Pontificia Bolivariana University, Medellín, Colombia
Keywords: Chronic pain, Nerve Block, Ultrasonography, Fluoroscopy, Anesthesia

Abstract

Introduction: Chronic shoulder pain is one of the most frequent causes of consultation for musculoskeletal pain. Physical and drug therapy usually result in little improvement and surgical intervention commonly fails. Tricompartmental blockade of the shoulder is an option when baseline therapy fails and ultrasonography is a tool that facilitates the approach, improves the efficacy and reduces the complications.

Objective: To determine the efficacy and safety of ultrasound-guided tricompartmental blockade of the shoulder in chronic pain patients.

Methods and materials: A descriptive, prospective, follow-up study was made of a cohort of 19 patients with chronic shoulder pain receiving ultrasound-guided tricompartmental blockade of the shoulder. Data were collected prior to the procedure with four, eight and sixteen week controls. Pain intensity was measured with the visual analog scale. Results:Average age was 58.89 years, 73.7% were females. All patients referred severe pain prior to the block. The percentage of patients with reduced pain in the four follow-up periods was 78.3%.

Conclusions: Chronic shoulder pain considerably affects the quality of life. Tricompartmen-tal blockade of the shoulder is an alternative when drug therapy fails, with good outcomes, although the scientific evidence is very scarce. In our study the ultrasound-guided tricom-partmental blockade of the shoulder is an effective and safe technique.

References

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How to Cite
1.
Rivera Diaz RC, Arcila Lotero MA, Giraldo Giraldo J. Ultrasound-guided tricompartmental blockade of the shoulder. Colomb. J. Anesthesiol. [Internet]. 2013 Oct. 1 [cited 2024 Jun. 17];41(4):245-9. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/636

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Published
2013-10-01
How to Cite
1.
Rivera Diaz RC, Arcila Lotero MA, Giraldo Giraldo J. Ultrasound-guided tricompartmental blockade of the shoulder. Colomb. J. Anesthesiol. [Internet]. 2013 Oct. 1 [cited 2024 Jun. 17];41(4):245-9. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/636
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