POS1276 LONG TERM OUTCOME OF MULTIPLE ULTRASOUND GUIDED SUPRASCAPULAR NERVE BLOCK IN TREATMENT OF FROZEN SHOULDER IN DIABETIC PATIENTS

Background: Frozen shoulder is prevalent among diabetic patients, and usually has aggressive course, with more tendency to be bilateral resistant treatment. Suprascapular nerve block (SSNB) used increasing frequency by anesthetists rheumatologists in the management of frozen shoulder. We previously introduced a protocol nine injections for SSNB better short term outcome than single injection (1). Long still not detected. Objectives: To evaluate long effect multiple (nine) ultrasound guided supra-scapular treatment Methods: A retrospective cohort study followed up 40 patients who received course (9 injections) on 2014. In this we retrospectively assessed from recorded data at mean duration 6 years after completing 9 clinically measuring active range motion (using goniometer three planes: abduction, internal, external rotation). Visual analogue scale Functional assessment pain disability index (SPADI). Results: Thirty four (85% original cohort) completed follow up. The were 19 (55.9%) females, 60.6 y age, disease was 85.6 months. majority (33 97.05%) continues improvement gained within normal complete motions all directions excellent grades function (Table 1). Table 1. Clinical Parameters At base line 4 months Last (72months±4 ) **P value SPADI score (100 (68.8 ± 0.5)a (10.3 7.4)b (0.9±1.9)c 0.00* (69.2 7.7)a (6.25 2.25)b (0.4±0.8)c total (69.1 8.5)a (8.15 5.4)b (1.1±0.9)c Patient global (90.2 8.2)a (8.2 4.2)b (0.4±2.1)c Night (55.4±10.2)a 4.9)b (2.3±1.1)c Abduction (180° (77.5 4.7)a (170.3 10.3)b (174.2±6.2)b External rotation ° (46 12.6)a (80.1 10.2)b (86.4±10.3)b Internal (70 (34.5 2.4)a (55.4 10.1)b (60.2±9.5)b * P <0.05 there statistical significant difference •A,b,c --- alphabet different symbols ---means between groups SPADI: Conclusion: courses an efficacy as This method should choice do respond physiotherapy. References: [1]Mortada, M. A., Ezzeldin, N., Abbas, S. F., Ammar, H. A. & Salama, N. Multiple versus suprascapular patients. J. Back Musculoskelet. Rehabil. 30, 537–542 (2017). Disclosure Interests: None declared