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The Effectiveness of Ultrasonography-guided Suprascapular Nerve Block in Patients treated with Arthroscopic Rotator Cuff Repair
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¹®¿µ·¡(Moon Young-Lae) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
°Á¤ÈÆ(Kang Jeong-Hoon) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
±èÇöÇÐ(Kim Hyun-Hak) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
Abstract
¸ñÀû: º» ¿¬±¸´Â ȸÀü±Ù °³ ÆÄ¿¿¡ ´ëÇÏ¿© °üÀý°æÇÏ ºÀÇÕ¼úÀ» ½ÃÇà¹ÞÀº ȯÀÚ ±º¿¡ ´ëÇÏ¿© ¼ö¼ú ÈÄ ½ÃÇàÇÑ Ç÷¼ÒÆÇ ³óÃà Ç÷ÀåÀ» ÀÌ¿ëÇÑ »ó°ß°© ½Å°æ Â÷´Ü¼úÀÇ È¿°ú¿¡ ´ëÇÏ¿© ¾Ë¾Æº¸°íÀÚ ÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý: 2013³â 3¿ùºÎÅÍ 2014³â 3¿ù »çÀÌ º»¿ø¿¡¼ ȸÀü±Ù °³ ÆÄ¿ Áø´Ü ÇÏ¿¡ ¼ö¼úÀû Ä¡·á¸¦ ½ÃÇàÇÑ È¯ÀÚ 50¸í À» ´ë»óÀ¸·Î ÇÏ¿´´Ù. ¼ö¼ú ÈÄ 6ÁÖ °æ°úÇÏ¿© ¿Ü·¡ ³»¿ø½Ã ÃÊÀ½ÆÄ À¯µµ ÇÏ¿¡ Ç÷¼ÒÆÇ ³óÃà Ç÷ÀåÀ» ÀÌ¿ëÇÑ »ó°ß°© ½Å°æ Â÷´Ü ¼úÀ» ½ÃÇàÇÏ¿´À¸¸ç ¼ö¼ú Àü, ¼ú ÈÄ 6ÁÖ, ±×¸®°í ¼ú ÈÄ 3°³¿ù Ã߽ø¦ ÅëÇÏ¿© ȯÀÚÀÇ ÅëÁõ¿¡ ´ëÇÑ visual analog score (VAS), °üÀý ¿îµ¿ ¹üÀ§(ROM), Constant Shoulder Score (CSS)¸¦ Æò°¡ÇÏ¿´´Ù.
°á°ú: »ó°ß°© ½Å°æ Â÷´Ü¼úÀ» ½ÃÇàÇÑ ÈÄ È¯ÀÚµéÀÇ VAS, °üÀý ¿îµ¿ ¹üÀ§, CSSÀÌ ½Ã¼úÀü°ú ºñ±³ÇÏ¿© ÀÓ»óÀûÀ¸·Î À¯ÀÇÇÏ°Ô Çâ»óµÇ¾ú´Ù.
°á·Ð: ÃÊÀ½ÆÄ À¯µµ ÇÏ Ç÷¼ÒÆÇ ³óÃà Ç÷ÀåÀ» ÀÌ¿ëÇÑ »ó°ß°© ½Å°æ Â÷´Ü¼úÀº ¾î±ú ÁÖº¯ ÅëÁõ¿¡ ´ëÇÑ Ä¡·á È¿°ú»Ó ¾Æ´Ï¶ó ¼ú ÈÄ ³²¾Æ ÀÖ´Â °ß°üÀý ÅëÁõÀ̳ª ¿îµ¿ ¹üÀ§ Á¦ÇÑ µî¿¡µµ È¿°úÀûÀÎ Ä¡·á¹ýÀ¸·Î »ý°¢µÈ´Ù.
Purpose: The purpose of this study was to analyze the effectiveness of suprascapular nerve block using platelet-richplasma (PRP) under ultrasonographic guidance in patients treated with arthroscopic rotator cuff repair.
Material and Methods: 50 cases of patients, from March 2013 to March 2014, treated with arthroscopic rotator cuff repair were retrospectively analyzed. We performed ultrasonography-guided suprascapular nerve block using platelet-rich-plasma (PRP) to these patients in the outpatient clinics at the 6 weeks follow-up after operation. We evalulated results for visual analogue score (VAS) for pain, range of motion (ROM), Constant Shoulder Score (CSS) for these patients before arthroscopic operation, following 6 weeks and 3 months after operation.
Results: There was clinically significant improvement in VAS, ROM, CSS after ultrasonography-guided suprascapular nerve block using platelet-rich-plasma (PRP).
Conclusion: Ultrasonography-guided suprascapular nerve block using platelet-rich-plasma (PRP) is an effective treatment method not only for around shoulder pain but also postoperative residual shoulder pain and limitation of shoulder motion.
Å°¿öµå
Shoulder, Rotator cuff tear, Suprascapular nerve block, Ultrasonography, Platelet-rich-plasma
KMID :
1195520140070020084
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