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...

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Main Authors: Tae-Yeong Kim, Jung-Taek Hwang
Format: Article
Language:English
Published: Korean Shoulder and Elbow Society 2022-12-01
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.
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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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