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Clinical case: shoulder: Articular branch block of shoulder joint ;C arm; complicated 

Practical Pain Management with Dr. Lee
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this video is a clinical case of an articular branch block of the shoulder joint. This clinical case and technique are based on our original article. She is 82 years old and has had chronic intractable right shoulder pain. On physical examination, she showed a capsular pattern of limitation and pain.
technique brief description; Put the patient oblique supine position. Putting the support to the back would help her stay easy. Find the notch between the clavicle and scapular spine through gentle palpation. with the help of AP view, and Y view, I can approach the needle to the articular branch of the suprascapular nerve and superior nerve to the subscapularis.
#shoulder #anatomy #suprascapularnerve #articularbranch #Peng #cadaver #sensorynerve #axillarynerve #subscapularis #ACJ #coracoidprocess #ultrasound #chronicshoulderpain #GE #venue50 #어깨통증 #해부학 #어깨신경

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26 авг 2024

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Комментарии : 11   
@sherifgabr8790
@sherifgabr8790 3 года назад
great vid dr lee thank you for your great insight
@practicalpainmanagementwit8115
@practicalpainmanagementwit8115 2 года назад
thank you
@sherifgabr8790
@sherifgabr8790 3 года назад
im a c arm tech. and it was very beneficial for me
@practicalpainmanagementwit8115
@practicalpainmanagementwit8115 3 года назад
welcome. thank you for enjoying it
@rafaelmoralesvalero4358
@rafaelmoralesvalero4358 2 года назад
Dr Lee, when do you do suprascapular nerve block by ultrasound? It is easier
@practicalpainmanagementwit8115
@practicalpainmanagementwit8115 2 года назад
I do ultrasound guided suprascapular nerve block, but it is not easy to target the subscapular nerve. I try to target the upper edge of labrum of scapular for the subscapular nerve on ultrasound.
@rafaelmoralesvalero4358
@rafaelmoralesvalero4358 2 года назад
@@practicalpainmanagementwit8115 thank you master
@rostyslavchaplynskyy7055
@rostyslavchaplynskyy7055 2 года назад
Hello! It seems to me that in the first case the projection as at blockade of a suprascapular nerve would be better than AP ......Your opinion???
@practicalpainmanagementwit8115
@practicalpainmanagementwit8115 2 года назад
I can not understand. could you be more specific? AP view to the scapular bone or any other view ?
@rostyslavchaplynskyy7055
@rostyslavchaplynskyy7055 2 года назад
@@practicalpainmanagementwit8115 superior oblique view of the blade notch...
@rostyslavchaplynskyy7055
@rostyslavchaplynskyy7055 2 года назад
I'm sorry but I think the discussion makes the right decisions and helps to learn
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