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• W2018875312 abstract "S284 After mobilisation of a frozen shoulder, patients should work with a physiotherapist one to two times a day. In the remaining time patients have to exercise on their own; otherwise, the shoulder will loose mobility again. Exercise is only possible when the patients are free of pain during the exercises. Therefore adequate analgesic therapy for four to five days after the first mobilisation is of great importance. We treated patients suffering from a painful frozen shoulder with interscalene blockade of the brachial plexus for mobilisation. We investigated the efficacy of this technique by the registration of additional analgetics use and asking the patient's assessment [1]. The observation time was 18 months. Methods: 37 patients were treated with an interscalene blockade (Winnie) of the brachial plexus using a catheter inserted at the affected side. Catheter location was verified with electric nerve stimulation. In all patients a bolus of 20 ml bupivacaine 0,375% was given for the first mobilisation, followed by 10 ml bupivacaine 0,25% every 6 hours. Results: In 34 of 37 (92%) patients mobilisation of the shoulder could superfound without general anaesthesia. 33 of 37 (89%) patients did not need any additional analgesics during the following mobilisations. The mean duration of catheter treatment was 4 days; infections occurred. The following side effects were observed at the first mobilisation: Horner syndrome in 20 patients (54%); paresis of the recurrens nerve in 9 patients (24%); paresis of the phrenic nerve in 6 patients (16%). During the consecutive treatment a Horner syndrome was visible in 15 patients (41%) and a paresis of the recurrens nerve in 8 patients (21%). In an interview after the end of the treatment period all patients stated that they would choose this method again, if necessary. Conclusions: With the use of this regional anaesthesia technique it was possible to provide comfortable pain therapy during the mobilisation period. For a sufficient analgesia with only a mild motor blockade of the motoneurons the exact location of the catheter tip is important, which can be verified using electrical stimulation [2]." @default.
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• W2018875312 date "1998-02-01" @default.
• W2018875312 modified "2023-09-24" @default.
• W2018875312 title "TREATMENT OF FROZEN SHOULDER WITH INTERSCALENE BLOCKADE OF THE BRACHIAL PLEXUS" @default.
• W2018875312 doi "https://doi.org/10.1097/00000539-199802001-00282" @default.
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