Injection of Dorsal Scapular n at Different Levels, Dose it Make Difference?

NCT ID: NCT04693312

Last Updated: 2021-01-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2/PHASE3
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-01-01
• Study Completion Date: 2020-07-01

Brief Summary

Dorsal scapular nerve (DSN) entrapment syndrome is an under-recognized cause of neck and shoulder pain. DSN injuries can be the origin of a well-defined chronic pain syndrome, often referred to as DSN syndrome. DSN syndrome is often characterized by a dull ache along the medial border of the scapula.

Detailed Description

Dorsal scapular nerve syndrome typically presents with a weakness of the levator scapulae and the rhomboid muscles, and results in a winged scapula. A winged scapula is where the scapula protrudes from the patient's back and can affect the ability to lift objects or pull and push. The winging of the scapula seen with dorsal scapular nerve syndrome is not as severe as seen as injury or paralysis of the serratus anterior muscle.

Dorsal scapular nerve entrapment is a very under-recognized cause of neck and shoulder pain. The scapular winging may be subtle, and the symptoms are easily mistaken for other problems. A careful history and physical exam, along with a high index of suspicion, are necessary for accurate diagnosis and therefore appropriate treatment. Injection of the dorsal scapular nerve under ultrasound guidance can be diagnostic as well as therapeutic.

Conditions

Pain, Chronic

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: TRIPLE

Study Groups

Group I

scalene muscle level injection of depomedrol

Group Type: EXPERIMENTAL

Depo medrol

Intervention Type: DRUG

local injection

Group II

Rheumboid muscle level injection of depomedrol

Group Type: EXPERIMENTAL

Depo medrol

Intervention Type: DRUG

local injection

Interventions

Depo medrol

local injection

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• scapular pain

Exclusion Criteria

• cervical radiculopathy

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Manal Hassanien

Assistant professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Manal Hassanien, MD

Role: PRINCIPAL_INVESTIGATOR

assistant professor

Locations

Assiut governorate

Asyut, , Egypt

Countries

Egypt

Other Identifiers

Dorsal scapular entrapment

Identifier Type: -

Identifier Source: org_study_id