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Combined axillary, suprascapular nerve block improves rotator cuff repair outcomes
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Ultrasonographically guided axillary nerve block combined with suprascapular nerve block in arthroscopic rotator cuff repair improved patients’ mean VAS scores during the first 24 hours after surgery compared with suprascapular nerve block alone, according to study results.
Researchers randomly assigned 42 patients with rotator cuff tears who had undergone arthroscopic rotator cuff repair to receive either both suprascapular nerve block (SSNB) and axillary nerve block (ANB) with 10 mL ropivacaine (group 1) or SSNB with 10 mL 0.75% ropivacaine and ANB with 10 mL saline (group 2). Researchers checked VAS pain score, patient satisfaction and lateral pain index at 1, 3, 6, 12, 18, 24, 36 and 48 hours postoperatively.
A significantly lower mean VAS score was reported in group 1 postoperatively at 1, 3, 6, 12, 18 and 24 hours, according to the researchers.
The researchers also observed a significantly higher mean patient satisfaction and lower mean lateral pain index postoperatively at 1, 3, 6, 12, 18, 24 and 36 hours in group 1.
Compared with group 2, the frequency of rebound pain decreased in group 1 and univariate logistic regression showed rebound phenomenon showed a correlation with ANB, according to the researchers.
Disclosure: The authors have no relevant financial disclosures.
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