CT-Guided Cooled Radiofrequency Denervation for Chronic Arthritis Pain of the Hip and Shoulder

Alan Alper Sag; Preet Patel

doi:10.1055/s-0042-1745796

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2022; 39(02): 150-156
DOI: 10.1055/s-0042-1745796

Review Article

CT-Guided Cooled Radiofrequency Denervation for Chronic Arthritis Pain of the Hip and Shoulder

Alan Alper Sag

¹Division of Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina

,

Preet Patel

²Duke University School of Medicine, Durham, North Carolina

› Author Affiliations

Abstract

The paradigm in the treatment of arthritis pain is shifting for previously open surgical denervations of the hip and shoulder, as it already has for the geniculate nerves in knee arthritis. Interventional radiology is poised to contribute to this space with the use of CT guidance to provide safe, fast, and effective targeting of the target nerves for unequivocal diagnostic nerve block and definitive cooled radiofrequency denervation. The authors provide the background of which nerves are targeted for hip and shoulder denervation and the normal CT appearance of these blocks.

Keywords

interventional radiology - arthritis - pain management - analgesia - thermal ablation

Full Text

References

References
1 Nho SJ, Kymes SM, Callaghan JJ, Felson DT. The burden of hip osteoarthritis in the United States: epidemiologic and economic considerations. J Am Acad Orthop Surg 2013; 21 (Suppl. 01) S1-S6
2 da Costa BR, Reichenbach S, Keller N. et al. Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis. Lancet 2017; 390 (10090): e21-e33
3 Towheed TE, Maxwell L, Judd MG, Catton M, Hochberg MC, Wells G. Acetaminophen for osteoarthritis. Cochrane Database Syst Rev 2006; 2006 (01) CD004257
4 McCabe PS, Maricar N, Parkes MJ, Felson DT, O'Neill TW. The efficacy of intra-articular steroids in hip osteoarthritis: a systematic review. Osteoarthritis Cartilage 2016; 24 (09) 1509-1517
5 Lee SH, Kim DH, Lee YS. Is there an optimal age for total knee arthroplasty? A systematic review. Knee Surg Relat Res 2020; 32 (01) 60
6 Bhatia A, Hoydonckx Y, Peng P, Cohen SP. Radiofrequency procedures to relieve chronic hip pain: an evidence-based narrative review. Reg Anesth Pain Med 2018; 43 (01) 72-83
7 Levy J, Hopkins T, Morris J. et al. Radiofrequency ablation for the palliative treatment of bone metastases: outcomes from the Multicenter OsteoCool Tumor Ablation Post-Market Study (OPuS One Study) in 100 patients. J Vasc Interv Radiol 2020; 31 (11) 1745-1752
8 Murphy LB, Helmick CG, Schwartz TA. et al. One in four people may develop symptomatic hip osteoarthritis in his or her lifetime. Osteoarthritis Cartilage 2010; 18 (11) 1372-1379
9 Haebich SJ, Mark P, Khan RJK, Fick DP, Brownlie C, Wimhurst JA. The influence of obesity on hip pain, function, and satisfaction 10 years following total hip arthroplasty. J Arthroplasty 2020; 35 (03) 818-823
10 Barnett SL, Peters DJ, Hamilton WG, Ziran NM, Gorab RS, Matta JM. Is the anterior approach safe? Early complication rate associated with 5090 consecutive primary total hip arthroplasty procedures performed using the anterior approach. J Arthroplasty 2016; 31 (10) 2291-2294
11 Cheney CW, Ahmadian A, Brennick C. et al. Radiofrequency ablation for chronic hip pain: a comprehensive, narrative review. Pain Med 2021; 22 (Suppl. 01) S14-S19
12 Birnbaum K, Prescher A, Hessler S. et al. The sensory innervation of the hip joint–an anatomical study. Surg Radiol Anat 1997; 19 (06) 371-375
13 Kapural L, Jolly S, Mantoan J, Badhey H, Ptacek T. Cooled radiofrequency neurotomy of the articular sensory branches of the obturator and femoral nerves - combined approach using fluoroscopy and ultrasound guidance: technical report, and observational study on safety and efficacy. Pain Physician 2018; 21 (03) 279-284
14 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: 91-97
15 Parada SA, Flurin PH, Wright TW. et al. Comparison of complication types and rates associated with anatomic and reverse total shoulder arthroplasty. J Shoulder Elbow Surg 2021; 30 (04) 811-818
16 Eckmann MS, Bickelhaupt B, Fehl J. et al. Cadaveric study of the articular branches of the shoulder joint. Reg Anesth Pain Med 2017; 42 (05) 564-570
17 Orhurhu V, Akinola O, Grandhi R, Urits I, Abd-Elsayed A. Radiofrequency ablation for management of shoulder pain. Curr Pain Headache Rep 2019; 23 (08) 56