Indwelling Interscalene Nerve Catheters in Surgical Management of Idiopathic Adhesive Capsulitis
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | June 2012 |
| End Date: | July 2014 |
| Contact: | Marjorie Delaney, APN |
| Email: | marjorie.delaney@oadortho.com |
| Phone: | 630-225-2554 |
In patients who undergo shoulder manipulation for idiopathic adhesive capsulitis, a
postoperative indwelling analgesic pain catheter will improve patient outcomes by decreasing
shoulder pain and improving range of motion compared to a single-dose interscalene block.
postoperative indwelling analgesic pain catheter will improve patient outcomes by decreasing
shoulder pain and improving range of motion compared to a single-dose interscalene block.
Shoulder manipulation under anesthesia to treat idiopathic adhesive capsulitis is performed
only when conservative treatment fails to remedy the condition.
It is common practice to use an interscalene nerve block as anesthesia for this surgical
intervention. This randomized prospective study is designed to evaluate the effects of two
different anesthesia methods on patient's post-surgical rehabilitation after manipulation.
Forty patients scheduled for surgery will be entered into this study. Patients will be
randomly assigned to receive a single-doseinterscalene block or a single-dose interscalene
block and an indwelling nerve catheter which will provide a continuous infusion of local
anesthetic. Patients with the continuous infusion of local anesthetic will receive the
additional anesthesia for 24 hours. Patient's range of motion will be evaluated pre-op,
intra-op and post-operatively at 10 days, 4,8,16 weeks and 6 months
only when conservative treatment fails to remedy the condition.
It is common practice to use an interscalene nerve block as anesthesia for this surgical
intervention. This randomized prospective study is designed to evaluate the effects of two
different anesthesia methods on patient's post-surgical rehabilitation after manipulation.
Forty patients scheduled for surgery will be entered into this study. Patients will be
randomly assigned to receive a single-doseinterscalene block or a single-dose interscalene
block and an indwelling nerve catheter which will provide a continuous infusion of local
anesthetic. Patients with the continuous infusion of local anesthetic will receive the
additional anesthesia for 24 hours. Patient's range of motion will be evaluated pre-op,
intra-op and post-operatively at 10 days, 4,8,16 weeks and 6 months
Inclusion Criteria:
- Males and Females over the age of 18 with a diagnosis of idiopathic adhesive
capsulitis
- Failed conservative treatment for a minimum of 4 months
- Patient had 3 sequential office visits with no clinical improvement
Exclusion Criteria:
- Adhesive capsulitis following a surgical procedure and/or fracture
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