Significance of three-point novocaine blockade in complex treatment of shoulder-scapularis periartheritis

The technique of three-point novocaine blockade for shoulder-scapularis periartheritis is described. It is based on the modern concepts of shoulder-scapularis periatheritis pathogenesis which assumes the impingement between greater tubercle of the humerus and anterior segment of acromion in upper expremity abduction (impingement syndrome). The aim of the blockade is the creation of subacromial decompression as a condition for free sliding of rotator cuff in abduction phase. The first point of novocaine injection is subacromial space, the second one — biceps sulcus, the third — the region of muscle teres minor of scapula. Addition of corticosteroids allows to cure the inflammation of periarticular soft tissues. Novocaine blockade is used in combination with exercise therapy. Complex treatment results are satisfactory. Only 18% of patients with persistent course of shoulder-scapularis periarthritis underwent the operation — anterior acromial- plasty by Neer.