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Radiofrequency Thermocoagulation of Shoulder Articular Branches (X-Ray-Guided)

  • Hiroaki YamagamiEmail author
  • Yukiyo Shiomi
Chapter

Abstract

The shoulder joint capsule is innervated by articular branches that mainly ramify from axillary and suprascapular nerves. Radiofrequency thermocoagulation of the articular branches of the shoulder is a procedure that can reduce arthresthesia and relieve pain in the dominant nerve branch near the joint capsule. Under X-ray fluoroscopy-guided method, insert an electrode probe into the lateral side of the upper acetabular joint space, and then search for the site of recurrent pain by stimulating at approximately 50 Hz and 0.5 V. Visualize the site of recurrent pain, and confirm that the site is not a blood vessel or in the joint capsule, and then carefully perform radiofrequency thermocoagulation.

Keywords

Periarthritis scapulohumeralis Radiofrequency thermocoagulation Rotator cuff injury 

References

  1. 1.
    Yamagami H, Fukushima T, Yanaidani F. Radiofrequency thermocoagulation for refractory omarthralgia. Pain Clinic. 2002;23:969–74. (in Japanese)Google Scholar
  2. 2.
    Ohseto K. Radiofrequency thermocoagulation of peripheral nerve. In: Wakasugi B, editor. Pain clinic—nerve block method. 2nd ed. Tokyo: Igaku-shoin; 2000. p. 263–7. (in Japanese).Google Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Yamato Pain ClinicOsakaJapan
  2. 2.Anesthesiology Pain Clinic of Jinsenkai HospitalOsakaJapan

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