Comparison of Subacromial Injection and Interscalene Block for Immediate Pain Management After Arthroscopic Rotator Cuff Repair

Gross, Benjamin D.; Paganessi, Steven A.; Vazquez, Oscar

doi:10.1016/j.arthro.2020.01.032

Cited by 7 publications

(2 citation statements)

References 36 publications

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“…2 We read with interest the Level IV study by Gross, Paganessi, and Vazquez titled "Comparison of Subacromial Injection and Interscalene Block for Immediate Pain Management Following Arthroscopic Rotator Cuff Repair." 3 This study compared the postoperative pain management in arthroscopic rotator cuff surgery between the subacromial bupivacaine and morphine administration group and the single-shot interscalene block (ISB) group. The most interesting result in this study was that the postoperative visual analog scale scores were nearly 0 within a few hours after surgery in the ISB group, and all patients reported complete pain relief.…”

Section: See Related Article On Page 1243mentioning

confidence: 99%

Editorial Commentary: Postoperative Pain Management After Arthroscopic Rotator Cuff Repair: The Journey to Pain Relief

Toyooka

Miyamoto

Ito

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: See Related Article On Page 1243mentioning

confidence: 99%

Editorial Commentary: Postoperative Pain Management After Arthroscopic Rotator Cuff Repair: The Journey to Pain Relief

Toyooka

Miyamoto

Ito

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Of note, there are concerns of chondrotoxicity with intra-articular injections [8]. However, PAI involves the injection of local anaesthetic around the joint space and surrounding structures [9,10]. Although PAI has been shown to decrease shoulder pain and opioid consumption [2,10,11], it has been shown to be less effective compared with other regional anaesthetic techniques [12,13].…”

Section: Introductionmentioning

confidence: 99%

Erector spinae plane block vs. peri‐articular injection for pain control after arthroscopic shoulder surgery: a randomised controlled trial

et al. 2021

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Interscalene brachial plexus block is the standard regional analgesic technique for shoulder surgery. Given its adverse effects, alternative techniques have been explored. Reports suggest that the erector spinae plane block may potentially provide effective analgesia following shoulder surgery. However, its analgesic efficacy for shoulder surgery compared with placebo or local anaesthetic infiltration has never been established. We conducted a randomised controlled trial to compare the analgesic efficacy of pre-operative T2 erector spinae plane block with peri-articular infiltration at the end of surgery. Sixty-two patients undergoing arthroscopic shoulder repair were randomly assigned to receive active erector spinae plane block with saline peri-articular injection (n = 31) or active peri-articular injection with saline erector spinae plane block (n = 31) in a blinded double-dummy design. Primary outcome was resting pain score in recovery. Secondary outcomes included pain scores with movement; opioid use; patient satisfaction; adverse effects in hospital; and outcomes at 24 h and 1 month. There was no difference in pain scores in recovery, with a median difference (95%CI) of 0.6 (À1.9-3.1), p = 0.65. Median postoperative oral morphine equivalent utilisation was significantly higher in the erector spinae plane group (21 mg vs. 12 mg; p = 0.028). Itching was observed in 10% of patients who received erector spinae plane block and there was no difference in the incidence of significant nausea and vomiting. Patient satisfaction scores, and pain scores and opioid use at 24 h were similar. At 1 month, six (peri-articular injection) and eight (erector spinae plane block) patients reported persistent pain. Erector spinae plane block was not superior to peri-articular injection for arthroscopic shoulder surgery.

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Rotatorenmanschettenrekonstruktion im AOP – zu schmerzhaft?

Müller-Rath,

Hannig

2023

Arthroskopie

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Comparison of Subacromial Injection and Interscalene Block for Immediate Pain Management After Arthroscopic Rotator Cuff Repair

Cited by 7 publications

References 36 publications

Editorial Commentary: Postoperative Pain Management After Arthroscopic Rotator Cuff Repair: The Journey to Pain Relief

Editorial Commentary: Postoperative Pain Management After Arthroscopic Rotator Cuff Repair: The Journey to Pain Relief

Erector spinae plane block vs. peri‐articular injection for pain control after arthroscopic shoulder surgery: a randomised controlled trial

Rotatorenmanschettenrekonstruktion im AOP – zu schmerzhaft?

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