Pilot study for treatment of symptomatic shoulder arthritis utilizing cooled radiofrequency ablation: a novel technique.
Minimally invasive
Nerve ablation
Osteoarthritis
Shoulder
Journal
Skeletal radiology
ISSN: 1432-2161
Titre abrégé: Skeletal Radiol
Pays: Germany
ID NLM: 7701953
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
07
11
2021
accepted:
09
01
2022
revised:
08
01
2022
pubmed:
15
1
2022
medline:
18
6
2022
entrez:
14
1
2022
Statut:
ppublish
Résumé
To introduce cooled radiofrequency nerve ablation (C-RFA) as an alternative to managing symptomatically moderate to severe glenohumeral osteoarthritis (OA) in patients who have failed other conservative treatments and who are not surgical candidates or refuse surgery. This prospective pilot study includes a total of 12 patients experiencing chronic shoulder pain from moderate to severe glenohumeral OA. Patients underwent anesthetic blocks of the axillary, lateral pectoral, and suprascapular nerves to determine candidacy for C-RFA treatment. Adequate response after anesthetic block was over 50% immediate pain relief. Once patients were deemed candidates, they underwent C-RFA of the three nerves 2-3 weeks later. Treatment response was evaluated using the clinically validated American Shoulder and Elbow Surgeons (ASES) score and visual analog scale (VAS) to assess pain, stiffness, and functional activities of daily living. Follow-up outcome scores were collected up to 6 months after C-RFA procedure. Twelve patients underwent C-RFA procedure for shoulder OA. VAS scores significantly improved from 8.8 ± 0.6 to 2.2 ± 0.4 6 months after the C-RFA treatment (p < 0.001). Patient's ASES score results significantly improved in total ASES from 17.2 ± 6.6 to 65.7 ± 5.9 (p < 0.0005). No major complications arose. No patients received re-treatment or underwent shoulder arthroplasty. Image-guided axillary, lateral pectoral, and suprascapular nerve C-RFA has minimal complications and is a promising alternative to treat chronic shoulder pain and stiffness from glenohumeral arthritis.
Identifiants
pubmed: 35029737
doi: 10.1007/s00256-022-03993-y
pii: 10.1007/s00256-022-03993-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1563-1570Informations de copyright
© 2022. ISS.
Références
van der Windt DA, et al. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959–64.
doi: 10.1136/ard.54.12.959
Cadogan A, et al. A prospective study of shoulder pain in primary care: prevalence of imaged pathology and response to guided diagnostic blocks. BMC Musculoskelet Disord. 2011;12:119.
doi: 10.1186/1471-2474-12-119
Millett PJ, Gobezie R, Boykin RE. Shoulder osteoarthritis: diagnosis and management. Am Fam Physician. 2008;78(5):605–11.
pubmed: 18788237
Jung JH, et al. Association between osteoarthritis and mental health in a Korean population: a nationwide study. Int J Rheum Dis. 2018;21(3):611–9.
doi: 10.1111/1756-185X.13098
Kobayashi T, et al. Prevalence of and risk factors for shoulder osteoarthritis in Japanese middle-aged and elderly populations. J Shoulder Elbow Surg. 2014;23(5):613–9.
doi: 10.1016/j.jse.2013.11.031
Ibounig T, et al. Glenohumeral osteoarthritis: an overview of etiology and diagnostics. Scandinavian Journal of Surgery. 2021;110(3):441–51.
doi: 10.1177/1457496920935018
Kruckeberg BM, et al. Incidence of and risk factors for glenohumeral osteoarthritis after anterior shoulder instability: a US population–based study with average 15-year follow-up. Orthop J Sports Med. 2020;8(11):2325967120962515.
doi: 10.1177/2325967120962515
Ansok CB, Muh SJ. Optimal management of glenohumeral osteoarthritis. Orthop Res Rev. 2018;10:9–18.
pubmed: 30774456
pmcid: 6209346
Merolla G, et al. Efficacy of Hylan G-F 20 versus 6-methylprednisolone acetate in painful shoulder osteoarthritis: a retrospective controlled trial. Musculoskelet Surg. 2011;95(3):215–24.
doi: 10.1007/s12306-011-0138-3
Zachariah C, et al. Physiological and functional responses of water-cooled versus traditional radiofrequency ablation of peripheral nerves in rats. Reg Anesth Pain Med. 2020;45(10):792–8.
doi: 10.1136/rapm-2020-101361
Laumonerie P, et al. Sensory innervation of the human shoulder joint: the three bridges to break. J Shoulder Elbow Surg. 2020;29(12):e499–507.
doi: 10.1016/j.jse.2020.07.017
Eckmann MS, et al. Cadaveric study of the articular branches of the shoulder joint. Reg Anesth Pain Med. 2017;42(5):564–70.
doi: 10.1097/AAP.0000000000000652
Tran A, et al. Review of extraosseous applications of thermal ablation in the treatment of moderate to severe large joint osteoarthritis. Semin Musculoskelet Radiol. 2021;25(6):745–55.
doi: 10.1055/s-0041-1735474
Schumaier A, et al. Evaluating glenohumeral osteoarthritis: the relative impact of patient age, activity level, symptoms, and Kellgren-Lawrence grade on treatment. Arch Bone Jt Surg. 2019;7(2):151–60.
pubmed: 31211193
pmcid: 6510923
Wagner ER, et al. Increasing body mass index is associated with worse outcomes after shoulder arthroplasty. J Bone Joint Surg Am. 2017;99(11):929–37.
doi: 10.2106/JBJS.15.00255
Cepeda MS, et al. What decline in pain intensity is meaningful to patients with acute pain? Pain. 2003;105(1–2):151–7.
doi: 10.1016/S0304-3959(03)00176-3
Michener LA, McClure PW, Sennett BJ. American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section: reliability, validity, and responsiveness. J Shoulder Elbow Surg. 2002;11(6):587–94.
doi: 10.1067/mse.2002.127096
Richards RR, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg. 1994;3(6):347–52.
doi: 10.1016/S1058-2746(09)80019-0
Eckmann MS, et al. Terminal sensory articular nerve radiofrequency ablation for the treatment of chronic intractable shoulder pain: A Novel Technique and Case Series. Pain Med. 2020;21(4):868–71.
doi: 10.1093/pm/pnz335
Simopoulos TT, Nagda J, Aner MM. Percutaneous radiofrequency lesioning of the suprascapular nerve for the management of chronic shoulder pain: a case series. J Pain Res. 2012;5:91–7.
doi: 10.2147/JPR.S29864
Orhurhu V, et al. Radiofrequency ablation for management of shoulder pain. Curr Pain Headache Rep. 2019;23(8):56.
doi: 10.1007/s11916-019-0791-z
Cedeno DL, et al. Comparisons of lesion volumes and shapes produced by a radiofrequency system with a cooled, a protruding, or a monopolar probe. Pain Physician. 2017;20(6):E915-e922.
doi: 10.36076/ppj.20.5.E915
Vallejo R, et al. An ex vivo comparison of cooled-radiofrequency and bipolar-radiofrequency lesion size and the effect of injected fluids. Reg Anesth Pain Med. 2014;39(4):312–21.
doi: 10.1097/AAP.0000000000000090
Jena BR, et al. A comparative study of continuous versus pulsed radiofrequency discectomy for management of low backache: prospective randomized, double-blind study. Anesth Essays Res. 2016;10(3):602–6.
doi: 10.4103/0259-1162.186616
Lazarevic MB, et al. Reduction of cortisol levels after single intra-articular and intramuscular steroid injection. Am J Med. 1995;99(4):370–3.
doi: 10.1016/S0002-9343(99)80183-1
Hegedus EJ, et al. Positive outcomes with intra-articular glenohumeral injections are independent of accuracy. J Shoulder Elbow Surg. 2010;19(6):795–801.
doi: 10.1016/j.jse.2010.03.014
Sethi PM, Kingston S, Elattrache N. Accuracy of anterior intra-articular injection of the glenohumeral joint. Arthroscopy. 2005;21(1):77–80.
doi: 10.1016/j.arthro.2004.09.009
Eyigor C, et al. Intra-articular corticosteroid injections versus pulsed radiofrequency in painful shoulder: a prospective, randomized, single-blinded study. Clin J Pain. 2010;26(5):386–92.
doi: 10.1097/AJP.0b013e3181cf5981
Sun Y, et al. Steroid injection and nonsteroidal anti-inflammatory agents for shoulder pain: a PRISMA systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore), 2015. 94(50): p. e2216.
Chen AF, et al. Cooled radiofrequency ablation compared with a single injection of hyaluronic acid for chronic knee pain: a multicenter, randomized clinical trial demonstrating greater efficacy and equivalent safety for cooled radiofrequency ablation. JBJS. 2020;102(17):1501–10.
doi: 10.2106/JBJS.19.00935
Rivera F, Mariconda C, Annaratone G. Percutaneous radiofrequency denervation in patients with contraindications for total hip arthroplasty. Orthopedics. 2012;35(3):e302–5.
doi: 10.3928/01477447-20120222-19
Tran A, et al. Alternative treatment of hip pain from advanced hip osteoarthritis utilizing cooled radiofrequency ablation: single institution pilot study. Skeletal Radiology, 2021.
Stolzenberg D, Gordin V, Vorobeychik Y. Incidence of neuropathic pain after cooled radiofrequency ablation of sacral lateral branch nerves. Pain Med. 2014;15(11):1857–60.
doi: 10.1111/pme.12553
Kidd VD, et al. Genicular nerve radiofrequency ablation for painful knee arthritis: the why and the how. JBJS Essent Surg Tech, 2019. 9(1): p. e10
Wong PK, et al. Safety and efficacy comparison of three- vs four-needle technique in the management of moderate to severe osteoarthritis of the knee using cooled radiofrequency ablation. Skeletal Radiol. 2021;50(4):739–50.
doi: 10.1007/s00256-020-03619-1
Dellon A. Partial knee joint denervation for knee pain: a review. 2014.
Kaynak G, et al. An overview of the Charcot foot pathophysiology. Diabet Foot Ankle, 2013. 4.
Malik K, HT Benzon, Walega D. Water-cooled radiofrequency: a neuroablative or a neuromodulatory modality with broader applications? Case Rep Anesthesiol, 2011. 2011: p. 263101.
Pilcher TA, et al. Convective cooling effect on cooled-tip catheter compared to large-tip catheter radiofrequency ablation. Pacing Clin Electrophysiol. 2006;29(12):1368–74.
doi: 10.1111/j.1540-8159.2006.00549.x
Khan FM, et al. Management of uncomplicated total knee arthroplasty chronic pain and stiffness utilizing cooled radiofrequency ablation: a single institution pilot study. Skeletal Radiol, 2021