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KMID : 1040020150060010032
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International Journal of Pain
2015 Volume.6 No. 1 p.32 ~ p.37
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Pulsed Radiofrequency Lesioning of Suprascapular Nerve by Supraclavicular Approach: A Case Report
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Lee Chang-Soon
Han Hyun-Seok
Kang Young-Jin
KIm Eun-Kyong
Moon Jee-Yoon
Lee Sang-Chul
Kim Yong-Chul
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Abstract
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Pulsed radiofrequency lesioning (pRF) of the suprascapular nerve (SSN) is an alternative treatment for repetitive SSN block. SSN pRF is typically conducted on the supraspinous fossa using an approach similar to that of conventional SSN block. The supraclavicular approach, which has been suggested for better visualization of the target nerve during SSN block, can be considered for pRF ablation of SSN, particularly when the nerve is not detected at the suprascapular fossa or more proximal and a superficial approach is needed. Herewith, we report a case in which we used ultrasound-guided SSN pRF on a patient complaining of chronic shoulder pain through a supraclavicular approach by tracing the omohyoid muscle as a landmark. The procedure provided significant pain relief for a considerable period of time without adverse procedure-related events.
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KEYWORD
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Omohyoid muscle, Pulsed radiofrequency treatment, Suprascapular nerve, Ultrasound
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