Use of Costoclavicular block in Frozen shoulder syndrome to produce analgesia

Phase 4

Conditions: Adhesive capsulitis of shoulder, (2) ICD-10 Condition: M256||Stiffness of joint, not elsewhereclassified,

Registration Number: CTRI/2022/02/040397

Lead Sponsor: Sancheti institute for orthopaedics and rehabilitation

Brief Summary: 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

Detailed Description: Not available

Recruitment & Eligibility

Status: Other

Sex: All

Target Recruitment: 10

Inclusion Criteria

Not provided

Exclusion Criteria

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.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
- To evaluate analgesic efficacy of costoclavicular block. Adequate analgesia will help patient to perform shoulder rehabilitation exercises efficiently.	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.

Secondary Outcome Measures

Name	Time	Method
To understand the spread of contrast with help of MRI images after costocla-vicular block	- To assess incidence of hemidiaphragmatic paresis.

Trial Locations

Locations (1): Sancheti institute for orthopaedics and rehabilitation
🇮🇳
Pune, MAHARASHTRA, India
Sancheti institute for orthopaedics and rehabilitation
🇮🇳Pune, MAHARASHTRA, India
Avinash Gaikwad
Principal investigator
8007778750
avipune22@gmail.com