Costoclavicular block in shoulder adhesive capsulitis- A clinical& Radiocontrast corelation assessing Analgesic efficacy
试验速览
- 阶段
- 4 期
- 状态
- Other
- 发起方
- 入组人数
- 10
- 试验地点
- 1
- 主要终点
- - To evaluate analgesic efficacy of costoclavicular block. Adequate analgesia will help patient to perform shoulder rehabilitation exercises efficiently.
研究概览
简要总结
Shoulder adhesive capsulitis is characterised by stiff and painful shoulder joint. treatment options include oral analgesics, intraarticular steroid injections and physiotherapy exercises.
Recently costoclavicular block was implemented as analgesic modality in shoulder arthroscopy surgery.
we hypothesize that costoclavicular block can be used as analgesic modality in shoulder adhesive capsulitis so that after giving costoclavicular block, the analgesia produced will help patient to perform shoulder rehabilitation exercises efficiently
研究设计
- 研究类型
- Interventional
- 分配方式
- Not Applicable
- 盲法
- Not Applicable
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- 未提供
排除标准
- •Patient with MRI noncompatible implant, history of surgery of ipsilateral clavicle/ shoulder, history of MRI contrast/ local anaesthetic drug allergy COPD, PREGNANCY,Contralateral Phrenic nerve paresis, diabetes mellitus.
结局指标
主要结局
- To evaluate analgesic efficacy of costoclavicular block. Adequate analgesia will help patient to perform shoulder rehabilitation exercises efficiently.
时间窗: Post injection patient will be monitored in recovery room for vital signs every 10min for 1hr. | Patients SPADI score will be evaluated at 1st hr by shoulder surgery resident. | Two hours later SPADI will be reassessed and post block 50% reduc-tion in shoulder pain will be taken as positive response. A clinical score would be assigned to patient. | After surgeon finishes clinical assessment, patient will be shifted to scan area for performing ipsilateral shoulder & neck MRI scan.
次要结局
- To understand the spread of contrast with help of MRI images after costocla-vicular block(- To assess incidence of hemidiaphragmatic paresis.)