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Physical harms associated with suprascapular nerve block interventions in the non-surgical management of acute and chronic shoulder pain: A systematic review

Annison, David Richard; Smith, Neil; Salt, Emma; Noblet, Tim; Rangan, Amar; McDaid, Catriona

Authors

David Richard Annison

Neil Smith

Emma Salt

Tim Noblet

Amar Rangan

Catriona McDaid



Abstract

Background The utility of the suprascapular nerve block (SSNB) in the non-surgical management of shoulder pain continues to be explored, whilst its associated physical harms have not. This systematic review aims to report the physical harms associated with the SSNB in the non-surgical management of shoulder pain. Methods A search was undertaken of AMED, CINAHL, Cochrane Library, EMBASE, Medline, Pubmed, and Scopus databases. Studies were included if they reported the presence or absence of harm following a SSNB intervention (injection, pulsed radiofrequency, ablation) in the non-surgical management of acute or chronic shoulder pain. Excluded studies were those which utilised SSNB for peri, intra, or post-surgical intervention. The McMaster tool for assessing quality of harms assessment and reporting was utilised. Results A total of 111 studies were included in this review of which 168 episodes of harm were reported across 4142 participants. Harm severity ranged from pneumothorax (n = 5) to local pain and bruising (n = 50). The quality of harms assessment and reporting across all studies was poor. Discussion Despite heterogeneity in SSNB intervention, and low-quality evidence, SSNB carries a low risk of physical harm. Further work is needed in addressing the poor quality of harms assessment and reporting in SSNB studies.

Citation

Annison, D. R., Smith, N., Salt, E., Noblet, T., Rangan, A., & McDaid, C. (in press). Physical harms associated with suprascapular nerve block interventions in the non-surgical management of acute and chronic shoulder pain: A systematic review. Shoulder and Elbow, https://doi.org/10.1177/17585732241255679

Journal Article Type Review
Acceptance Date Apr 18, 2024
Online Publication Date Jun 3, 2024
Deposit Date Jun 17, 2024
Publicly Available Date Jun 4, 2025
Journal Shoulder & Elbow
Print ISSN 1758-5732
Electronic ISSN 1758-5740
Publisher Wiley
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1177/17585732241255679
Keywords suprascapular nerve block, shoulder pain, adverse events, adverse effects, harm, safety
Public URL https://keele-repository.worktribe.com/output/850517
Publisher URL https://journals.sagepub.com/doi/10.1177/17585732241255679
Related Public URLs https://eprints.whiterose.ac.uk/213227/
https://pure.york.ac.uk/portal/en/publications/physical-harms-associated-with-suprascapular-nerve-block-interven

Files

This file is under embargo until Jun 4, 2025 due to copyright reasons.

Contact s.martin1@keele.ac.uk to request a copy for personal use.




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