Costoclavicular block in shoulder adhesive capsulitis- A clinical& Radiocontrast corelation assessing Analgesic efficacy
Trial Snapshot
- Phase
- Phase 4
- Status
- Other
- Sponsor
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- - To evaluate analgesic efficacy of costoclavicular block. Adequate analgesia will help patient to perform shoulder rehabilitation exercises efficiently.
Study Overview
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
Study Design
- Study Type
- Interventional
- Allocation
- Not Applicable
- Masking
- Not Applicable
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
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.
Outcomes
Primary Outcomes
- To evaluate analgesic efficacy of costoclavicular block. Adequate analgesia will help patient to perform shoulder rehabilitation exercises efficiently.
Time Frame: 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 Outcomes
- To understand the spread of contrast with help of MRI images after costocla-vicular block(- To assess incidence of hemidiaphragmatic paresis.)