Combined Intra-articular Shoulder Injection and Stellate Ganglion Block in Chronic Post-mastectomy Shoulder Pain
Status:
Completed
Trial end date:
2018-04-02
Target enrollment:
Participant gender:
Summary
Background and Purpose: Adhesive capsulitis of the shoulder is commonly found in patients
after breast cancer treatment. We aimed to determine the effectiveness of combined shoulder
joint intra-articular injection of platelet rich plasma (PRP) with stellate ganglion block
(SGB) with ketamine &bupivacaine injection as a new technique for frozen shoulder (FS)
management after mastectomy.
Methods: Sixty four patients with chronic post-mastectomy shoulder pain and stiffness were
randomly allocated into one of two groups: group A; ultrasound guided SGB (1 ml ketamine in a
dose of 0.5mg/kg plus 5ml bupivacaine 0.5% in total volume 10 ml) and group B; ultrasound
guided SGB plus posterior approach shoulder injection with PRP. Visual analogue score (VAS)
at rest and at shoulder movement, range of motions (ROM) of shoulder and disability of arm,
shoulder and hand (DASH) questionnaire were recorded.