Safer and more reliable effect than ultrasonic induction
Blocking the peripheral nerves instead of the central nervous system reduces complication
Arthroscopy was found to be effective in controlling pain that occurs after surgery due to injury to the rotator cuff pointing to the four muscles of the shoulder.
Hallym University Kangnam Sacred Heart Hospital Orthopedic Surgery Professor Gyu-cheol Noh’s team (responsible author Prof. Noh Gyu-cheol and first author Kim Jeong-yeon) has reported that arthroscopy has a higher nerve blocking effect than conventional ultrasound for pain control after rotator cuff rupture repair. of Sports Medicine).
The rotator cuff with dense nerves has greater pain after surgery compared to other areas. The use of pain relievers is high, and even narcotic pain relievers are sometimes used. In particular, there is no safe and reliable pain control method that can be performed early immediately after surgery.
The subjects of this study were 93 patients with arthroscopic rotator cuff repair. According to the superscapular nerve block method for postoperative pain control, the ultrasound guided block group and the arthroscopic block group were compared.
As a result, the arthroscopy had a clear and effective nerve blocking effect. It has also been confirmed that the risk of complications is low if the procedure is performed on the peripheral nerve rather than the central nerve.
The research team also proposed PCA catheterization, called painless injection, after rotator cuff suture and upper scapular nerve block, and injecting analgesics.
Compared to conventional oral, venous pain control agents or brachial plexus nerve block, the research team explained that it has a number of advantages such as pain control, control of rebound pain, reduction of total hospital stay, rapid rehabilitation, and high patient satisfaction after surgery. did.
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