Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair
Rotator cuff tear is the most common cause of shoulder pain in middle-age and older people. Arthroscopic rotator cuff repair (ARCR) is the most common treatment method for rotator cuff tear. Early postoperative pain after ARCR is the primary concern for surgeons and patients and can affect postopera...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Korean Shoulder and Elbow Society
2022-12-01
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Series: | Clinics in Shoulder and Elbow |
Subjects: | |
Online Access: | http://www.cisejournal.org/upload/pdf/cise-2022-01263.pdf |
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author | Tae-Yeong Kim Jung-Taek Hwang |
author_facet | Tae-Yeong Kim Jung-Taek Hwang |
author_sort | Tae-Yeong Kim |
collection | DOAJ |
description | Rotator cuff tear is the most common cause of shoulder pain in middle-age and older people. Arthroscopic rotator cuff repair (ARCR) is the most common treatment method for rotator cuff tear. Early postoperative pain after ARCR is the primary concern for surgeons and patients and can affect postoperative rehabilitation, satisfaction, recovery, and hospital day. There are numerous methods for controlling postoperative pain including patient-controlled analgesia, opioid, interscalene block, and local anesthesia. Regional blocks including interscalene nerve block, suprascapular nerve block, and axillary nerve block have been successfully and commonly used. There is no difference between interscalene brachial plexus block (ISB) and suprascapular nerve block (SSNB) in pain control and opioid consumption. However, SSNB has fewer complications and can be more easily applied than ISB. Combination of axillary nerve block with SSNB has a stronger analgesic effect than SSNB alone. These regional blocks can be helpful for postoperative pain control within 48 hours after ARCR surgery. |
first_indexed | 2024-03-08T07:25:49Z |
format | Article |
id | doaj.art-058727a0065f401bac1dd1babd61d0b6 |
institution | Directory Open Access Journal |
issn | 2288-8721 |
language | English |
last_indexed | 2024-03-08T07:25:49Z |
publishDate | 2022-12-01 |
publisher | Korean Shoulder and Elbow Society |
record_format | Article |
series | Clinics in Shoulder and Elbow |
spelling | doaj.art-058727a0065f401bac1dd1babd61d0b62024-02-02T21:53:08ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212022-12-0125433934610.5397/cise.2022.01263893Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repairTae-Yeong Kim0Jung-Taek Hwang1 Department of Orthopedic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University Medical College, Chuncheon, KoreaRotator cuff tear is the most common cause of shoulder pain in middle-age and older people. Arthroscopic rotator cuff repair (ARCR) is the most common treatment method for rotator cuff tear. Early postoperative pain after ARCR is the primary concern for surgeons and patients and can affect postoperative rehabilitation, satisfaction, recovery, and hospital day. There are numerous methods for controlling postoperative pain including patient-controlled analgesia, opioid, interscalene block, and local anesthesia. Regional blocks including interscalene nerve block, suprascapular nerve block, and axillary nerve block have been successfully and commonly used. There is no difference between interscalene brachial plexus block (ISB) and suprascapular nerve block (SSNB) in pain control and opioid consumption. However, SSNB has fewer complications and can be more easily applied than ISB. Combination of axillary nerve block with SSNB has a stronger analgesic effect than SSNB alone. These regional blocks can be helpful for postoperative pain control within 48 hours after ARCR surgery.http://www.cisejournal.org/upload/pdf/cise-2022-01263.pdfarthroscopic rotator cuff repairinterscalene nerve blocksuprascapular nerve blockaxillary nerve blockregional block |
spellingShingle | Tae-Yeong Kim Jung-Taek Hwang Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair Clinics in Shoulder and Elbow arthroscopic rotator cuff repair interscalene nerve block suprascapular nerve block axillary nerve block regional block |
title | Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair |
title_full | Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair |
title_fullStr | Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair |
title_full_unstemmed | Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair |
title_short | Regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair |
title_sort | regional nerve blocks for relieving postoperative pain in arthroscopic rotator cuff repair |
topic | arthroscopic rotator cuff repair interscalene nerve block suprascapular nerve block axillary nerve block regional block |
url | http://www.cisejournal.org/upload/pdf/cise-2022-01263.pdf |
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