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Archives of Orthopaedic and Trauma Surgery

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01-05-2019 | Arthroscopy and Sports Medicine

Rotator cuff repair is more painful than other arthroscopic shoulder procedures

Authors: Emilio Calvo, Maria Dolores Torres, Diana Morcillo, Victorino Leal

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2019

Abstract

Aim

To evaluate the influence of the specific procedure performed and other variables on the intensity of acute postoperative pain following outpatient shoulder arthroscopy.

Methods

One hundred patients undergoing outpatient shoulder arthroscopy under single-shot interscalene block plus general anaesthesia were prospectively studied. Acetaminophen with ibuprofen was prescribed for postoperative pain control and tramadol HCl as rescue medication. Patients scored pain intensity at 2, 6, and 24 h postoperatively. The influence of the surgical procedure, age, gender, surgery duration, and irrigation volume used on the intensity of postoperative pain was studied.

Results

Five patients were excluded due to ineffective block or protocol deviation. Among the 95 remaining patients, 51 underwent rotator cuff tear repair, 25 shoulder stabilisation, and 19 subacromial decompression. While there were no differences at 2 and 6 h after surgery, pain intensity was significantly higher among those undergoing rotator cuff tear repair (5.2, 1–10) at 24 h compared to stabilisation (4.1, 1–8) or subacromial decompression (5, 1–8) (p < 0.0001). No association was found between pain intensity and other variables.

Conclusion

A higher degree of acute postoperative pain should be expected in patients undergoing arthroscopic rotator cuff tear repair compared to other arthroscopic shoulder procedures, and additional pain treatment is recommended.

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Title: Rotator cuff repair is more painful than other arthroscopic shoulder procedures
Authors: Emilio Calvo
Maria Dolores Torres
Diana Morcillo
Victorino Leal
Publication date: 01-05-2019
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 5/2019
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-018-3100-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Rotator cuff repair is more painful than other arthroscopic shoulder procedures

Abstract

Aim

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Aim

Methods

Results

Conclusion

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