Dr. Wing-Sang CHAN
CUHK Medical Center
✓ MBChB (CUHK)
FANZCA, FHKAM(Anes), FHKCA(Anes), DipPainMgt, FHKCA(Pain Medicine)
Shoulder pain is one of the most common scenarios in pain clinic. Interventions for shoulder pain are evolving further with the introduction and popular use of ultrasound techniques. Understanding the anatomical basis of various interventional approaches and practices is an indispensable asset for a pain physician. The refined studies on the nerve supply of the shoulder joints, the associated tendons and ligaments help to refine our techniques in shoulder nerve blockade and intervention. Studies on sensory branches of shoulder joints innervation are the starting point for the development of techniques for sensory denervation of shoulder joints and anaesthetic blockade for shoulder tendons and ligaments injections. A good knowledge of the function and the course of the ramification of the nerves from brachial plexus help us to predict the outcomes of injections and neurological interventions. An appreciation of the musculoskeletal components of the shoulder joints including the bones, capsule, bursa, ligaments, and tendons, as well as their anatomical relationship and function serve as the groundwork for proper identification of shoulder pathology and pain generators, as well as the foundation for correct approaches of subsequent musculoskeletal interventions. The correlation of the various anatomical components and recognition of pathology with ultrasound imaging is another vital step towards successful outcomes for interventional pain treatments. As a pain physician, it is both challenging and rewarding to brush up our knowledge and master this essential resource.