肩部末端感觉关节神经射频消融术治疗肩袖病变和骨关节炎引起的非手术难治性肩痛:技术说明

IF 2.9 3区 医学 Q1 ANESTHESIOLOGY
Pain Medicine Pub Date : 2024-04-29 DOI:10.1093/pm/pnae035
Taylor R Burnham, Scott Miller, Amanda N Cooper, Aaron Conger, Ameet S Nagpal, Max Eckmann, Zachary L McCormick
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引用次数: 0

摘要

背景 鉴于慢性肩痛的高发病率以及末端感觉关节支(TSAB)射频消融术治疗肩痛的令人鼓舞的早期效果,有必要根据最新的神经解剖学知识改进手术技术,以进一步改善患者的治疗效果。目的 我们描述了一种最新的射频消融方案,该方案考虑到了个别患者肩胛上神经、腋神经、肩胛下神经和胸外侧神经 TSAB 的不同位置。设计 技术说明。方法 回顾了描述肩关节感觉神经支配的尸体研究,并根据历史描述提出了更全面的射频消融 (RFA) 方案。结论 根据对肩关节神经解剖的研究,所提出的射频消融方案将提供一种安全的方法来实现更全面的感觉去神经支配,并有可能改善临床疗效,但这必须在前瞻性研究中得到证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Shoulder terminal sensory articular nerve radiofrequency ablation for non-surgical refractory shoulder pain due to rotator cuff pathology and osteoarthritis: A technical note
Background Given the high prevalence of chronic shoulder pain and encouraging early results of terminal sensory articular branch (TSAB) radiofrequency ablation to treat shoulder pain, research is warranted to refine the procedural technique based on updated neuroanatomical knowledge with the goal of further improving patient outcomes. Objective We describe an updated radiofrequency ablation protocol that accounts for varied locations of the TSABs of suprascapular, axillary, subscapular and lateral pectoral nerves within individual patients. Design Technical note. Methods Cadaveric studies delineating the sensory innervation of the shoulder joint were reviewed, and a more comprehensive radiofrequency ablation (RFA) protocol is proposed relative to historical descriptions. Conclusions Based on neuroanatomical dissections of the shoulder joint, the proposed RFA protocol will provide a safe means of more complete sensory denervation and potentially improve clinical outcomes compared to historical descriptions, which must be confirmed in prospective studies.
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来源期刊
Pain Medicine
Pain Medicine 医学-医学:内科
CiteScore
6.50
自引率
3.20%
发文量
187
审稿时长
3 months
期刊介绍: Pain Medicine is a multi-disciplinary journal dedicated to pain clinicians, educators and researchers with an interest in pain from various medical specialties such as pain medicine, anaesthesiology, family practice, internal medicine, neurology, neurological surgery, orthopaedic spine surgery, psychiatry, and rehabilitation medicine as well as related health disciplines such as psychology, neuroscience, nursing, nurse practitioner, physical therapy, and integrative health.
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