Sami Kaan ÇOŞARCAN, Emine ÖZYUVACI TOZAN, Alper Tunga DOĞAN, Ömür ECELEN, Yasemin PEKİN DOĞAN

Supraskapular Sinirin Supraklavikuler Yaklaşımla Bloğunun Omuz AğrısıTedavisinde Etkinliği: Prospektif Randomize Klinik Çalışma

Amaç: Supraskapuler sinir blokajı çeşitli omuz ağrılarında kullanılan tedavi yöntemlerinden birisidir. Çalışmamızın amacı omuz ağrısı olan hastalarda supraklavikuler yaklaşımla yapılan bloğunun klinik olarak etkinliğini araştırmaktır. Yöntem: Çalışmamız 6 ay içerisinde omuz ağrısı nedeniyle tedavi gören hastalar üzerinde yapılmıştır. Toplam 40 hasta çalışmaya alındı ve supraklavikuler yaklaşımla supraskapular sinir bloğu ve konvansiyonel supraskapular sinir bloğu uygulanan hastalar olmak üzere iki gruba randomize olarak ayrıldı. Her iki gruba %0.5 levobupivakain 5 mL uygulandı. İşlem öncesi hastaların eklem hareket açıklığı (EHA), ağrıları (Verbal Analogue Scale, VAS) ölçüldü. Yaşam kalitelerinin değerlendirilmesi için kısa-form-36 (SF-36), “Disability of Arm, Shoulder and Hand-questionnaire” (DASH) ölçütleri dolduruldu. İşlem sonrası 1. saat ve 3. haftada hastalar tekrar değerlendirildi. Bulgular: Her iki gruptaki hastaların VAS skoru 3. hafta ortalaması 1. saat ve işlem öncesi ortalamalarından; 1. saat ortalaması da işlem öncesi ortalamalarından anlamlı düşük bulunmuştur (p

The Effectiveness of Supraclavicular Suprascapular Nerve Block in the Treatment of Shoulder Pain: Prospective Randomized Trial

stigate the clinical efficacy of suprascapular nerve block performed using the supraclavicular approach in patients with shoulder pain. Methods: This study involved patients treated for shoulder pain. Forty-patients were randomly divided into two groups, one treated with suprascapular nerve block with the supraclavicular approach, and conventional suprascapular nerve block. Both groups received 5 mL of 0.5% levobupivacaine. The patients’ range of motion (ROM) and pain (Verbal Analogue Scale, VAS) were measured before the procedures. Short-form-36 (SF-36), and the Disability of Arm, Shoulder and Hand (DASH) questionnaire were studied. The patients were re-evaluated at the $1^{st}$ hour of the procedure and 3 weeks after the procedure. Results: Mean VAS scores at the $3^{rd}$ week were significantly lower than at the $1^{st}$ hour and before the procedure in both groups (p

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