Shoulder Discomfort Injection Suprascapular Nerve Block - Whatever You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s instructional animated video explains blind and ultrasound assisted injection of the suprascapular nerve.
The Meier’s Technique is explained also.
The suprascapular nerve arises from the upper trunk of the brachial plexus (C5-C6). The suprascapular nerve passes through the suprascapular notch under the exceptional transverse ligament. the nerve then goes through the spinoglenoid notch under the inferior transverse ligament.
The nerve offers innervation to the supraspinatus muscle, subacromial bursa, Air Conditioning joint, the shoulder joint and ends by innervating the infraspinatus muscle.
Injection block can be valuable to treat shoulder discomfort. Block of the suprascapular nerve can be provided either blind or through ultrasound guidance.
Block of the suprascapular nerve is given at the location of the suprascapular notch.
Before injection of the suprascapular nerve the scapular spinal column is determined and marked.
The website of injection is marked by utilizing the Meier technique. The line marking the scapular line is halved. The injection site is marked 2 cm cranial and after that 2 cm medial to the spinal column of the scapula.
The needle is inserted down to the scapula. The instructions of the needle should be around 45 degrees.
Walk the needle to the suprascapular notch and inject fluid.
Patient position: the client needs to sit upright.
The probe is put parallel to the scapular spine. Move the probe cephalad to recognize the suprascapular notch.
The notch is seen covered by the trapezius and supraspinatus muscles in addition to the transverse scapular ligament.
Examine the blood flow by ultrasound to recognize and prevent the suprascapular artery.
The position of the needle: the needle originates from the median side along the long axis of the probe and permeates around 5 cm.
Aspirate before injection to make sure that the needle is not placed into the artery.
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