Home / 2025 Congress / Abstracts

Adding an Erector Spinae Plane Catheter Block AfteraAn Interscalene Nerve Block Significantly Improves Pain Relief and Decreases Opioid Use Following Arthroscopic Rotator Cuff Repair

myRating

Adding an Erector Spinae Plane Catheter Block AfteraAn Interscalene Nerve Block Significantly Improves Pain Relief and Decreases Opioid Use Following Arthroscopic Rotator Cuff Repair

Chih-Kai Hong, MD, TAIWAN Wei-Kuo Hsu, MD, TAIWAN Shu-Cheng Liu, MD, TAIWAN Chi-Hsiu Wang , B.S., MSc, TAIWAN Hao-Chun Chuang, MD, TAIWAN Fachuan Kuan, MD, PhD, TAIWAN Kai-Lan Hsu, MD, TAIWAN Wei-Ren Su, MD, MSc, TAIWAN

National Cheng Kung University Hospital, Tainan, TAIWAN

2025 Congress ePoster Presentation 2025 Congress Not yet rated

Anatomic Location

Shoulder Rotator Cuff

Diagnosis / Condition

Tears

Treatment / Technique

Repair / Reconstruction

Sports Medicine

Medical Aspects

Summary: Additional catheterization for ESP block reduced postoperative pain, opioid consumption, and opioid-related side effects during the acute postoperative period of arthroscopic rotator cuff repair when ISNB and multimodal oral analgesics had already been administered.

Background

The effects of the erector spinae plane (ESP) block and interscalene nerve block (ISNB) on arthroscopic rotator cuff repair (RCR) have been investigated separately.

Purpose

To evaluate whether additional catheterization for ESP block decreases acute postoperative pain and opioid consumption in patients undergoing arthroscopic RCR when ISNB and multimodal oral analgesics have already been given.

Study Design: Cohort study; Level of evidence, 3.

Methods

The retrospective study included patients undergoing primary arthroscopic RCR who received either ISNB or additional ESP block catheterization as part of their pain management between January 1 and December 31, 2021, in our medical center by a single surgeon. Patients who underwent concomitant shoulder procedures were excluded. Patient demographics, surgical details, selected pain control protocols, preoperative and postoperative numerical pain rating score (NRS), rescue analgesic use, and possible opioid-related side effects were recorded. The primary outcome was the postoperative NRS at 9 PM following surgery; secondary outcomes included the rescue opioid use and possible opioid-related side effects (nausea and vomiting, headache, dizziness, and urinary retention) until patients were discharged the next day. Mann-Whitney U test or chi-squared analysis was used for between group comparison. Factors were examined for their contributions to the total morphine dosage in a multiple linear regression model.

Results

Fifty-four patients were included: 21 underwent the ISNB protocol and 33 underwent additional ESP catheterization protocol. The additional ESP group exhibited significantly lower postoperative NRS (3.0 ± 1.6 vs 2.0 ± 0.3, p= 0.003), reduced morphine milligram-equivalent (MME) consumption during hospitalization (6.1 ± 8.3 vs 0.5 ± 1.3, p< 0.001), and fewer morphine-related side effects (3 vs 0, p= 0.022). Multiple linear regression analysis suggested that the ISNB protocol (ß = 5.750, p< 0.001) and the number of anchors used in surgery (ß = 1.609, p= 0.022) were independently correlated with higher opioid consumption. Subanalysis revealed additional ESP block significantly reduced MME (7.6 ± 9.0 vs 0.5 ± 1.4, p< 0.001) during repairs involving two or more tendons.

Conclusions

Our retrospective study demonstrates that additional catheterization for ESP block reduced postoperative pain, opioid consumption, and opioid-related side effects during the acute postoperative period of arthroscopic RCR when ISNB and multimodal oral analgesics had already been administered. Future studies to evaluate this treatment protocol are needed to further assess pain relief after arthroscopic RCR surgery.

Innovative Approach to Rotator Cuff Assessment: Introducing The Muscle Efficiency Index and Its Role in Injury Analysis and Shoulder Biomechanics ePoster Presentation Farid Amirouche, PhD, UNITED STATES Majd Mzeihem, MD, UNITED STATES Bassem T. Elhassan, MD, UNITED STATES Jason L. Koh, MD, MBA, UNITED STATES
Patients With Untreated Long Head Of The Biceps Tendon Pathology During Rotator Cuff Repair Have Worse Objective And Subjective Outcomes ePoster Presentation Chukwudi Onyeukwu, MD, MS, UNITED STATES Ryan T. Lin, MS, UNITED STATES Ryan Kelly, BS, UNITED STATES Sydney Scanlon, MS, UNITED STATES Joseph P Mullen, BS, UNITED STATES Kelly A Murphy, BS, UNITED STATES Stephen E. Marcaccio, MD, UNITED STATES Albert Lin, MD, UNITED STATES
The Effects of Arthroscopic Rotator Cuff Repair on Human Sexual Activity ePoster Presentation Tarek M. T. Ghandour, MD, EGYPT
Aaos Orthoinfo Provides More Accessible Information Regarding Rotator Cuff Surgery Than Chatgpt ePoster Presentation Catherine Hand, BS, UNITED STATES Camden Bohn, BA, UNITED STATES Shadia Tannir, BA, UNITED STATES Yining Lu, MD, UNITED STATES Erick Marigi, MD, UNITED STATES Josh Chang, BS, UNITED STATES Daanish Khazi-Syed, BS, UNITED STATES Brian Forsythe, MD, UNITED STATES
Impact Of Rotator Cuff Repair Surgery And Rehabilitation On Anxiety And Depression As Assessed By Hads And Montgomery Depression Scale And Its Correlation With Functional Outcomes . ePoster Presentation Prince Shanavas Khan, D' ORTHO, M.S. ORTHO, INDIA Ayyappan V Nair, D'ORTHO,DNB ORTHO, INDIA Kiran Veerendra Kumar , MS (Orthopaedics), MRCS (Edinburgh), INDIA Aravind Rajan, MS ORTHO, DNB ORTHO , INDIA Sreejith Thampy J, MS ortho, INDIA Bharath Bharadwaj M S, M S Ortho, INDIA
Persistent Subacromial Bursal Effusion Leads to Inferior Patient-Reported Outcome in Individuals with Symptomatic Isolated Supraspinatus Tendon Tears ePoster Presentation Jumpei Inoue, MD, UNITED STATES Luke Mattar, BS, UNITED STATES Efstathios Konstantinou, MD, MSc, UNITED STATES Adam J. Popchak, DPT, PhD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Richard E Debski, PhD, UNITED STATES
Superior Capsular Reconstruction With the Distal Fascia Lata ePoster Presentation Tomohiko Sano, MD, PhD, JAPAN Aki Fukuda, MD, JAPAN Masahiro Hasegawa, MD, PhD, Prof., JAPAN
Human Dermal Allograft Augmentation In Rotator Cuff Repair: Is There Patch Integration? ePoster Presentation Jonas Fernandez, MD, Ms Orth, MALAYSIA Yong Girl Rhee, MD, KOREA, REPUBLIC OF
No Influence of Biceps Sheath Fluid on Patient-Reported Outcome in Individuals with Symptomatic Isolated Supraspinatus Tendon Tears ePoster Presentation Jumpei Inoue, MD, UNITED STATES Luke Mattar, BS, UNITED STATES Efstathios Konstantinou, MD, MSc, UNITED STATES Adam J. Popchak, DPT, PhD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Richard E Debski, PhD, UNITED STATES
Enhancing Rotator Cuff Repair With Dermal Allograft Augmentation: Healing & Patient Outcomes ePoster Presentation Reza Ojaghi, MD MSc FRCSC, UNITED STATES Sarah Remedios, MSc, PhD(c), CANADA Ivan Wong, MD, FRCSC, MACM, Dip. Sports Med, CANADA
Bio-Ravioli: A Novel Surgical Technique For Biologic Augmentation Of Rotator Cuff Repair ePoster Presentation Andrea Pratobevera, MD, ITALY Andrea Bergomi, MD, ITALY Emanuele Maggini, MD, ITALY Giulio Vittone, MD, ITALY Maristella Francesca Saccomanno, MD, PhD, ITALY Giuseppe Milano, Prof., ITALY
Tear Characteristics Influence Tendon Retraction And Postoperative Outcomes Following Arthroscopic Repair Of Acute Traumatic Rotator Cuff Tears ePoster Presentation Amin Karimi, MD, UNITED STATES Ryan T. Lin, MS, UNITED STATES Soheil Sabzevari, MD, UNITED STATES Sophia Mcmahon, BA, UNITED STATES Fritz Steuer, BS, UNITED STATES Michael Fox, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Albert Lin, MD, UNITED STATES
Muscle Err? Activation Mitigates Muscle Fibrosis And Fatty Infiltration After Rotator Cuff Injury ePoster Presentation Aiping Lu, MD, UNITED STATES Ping Guo, PhD, UNITED STATES Matthieu Huard, BS, UNITED STATES Ashley Groesbeck, BS, UNITED STATES Johnny Huard, PhD, UNITED STATES
Predicting Risk Factors For Retear In Massive Rotator Cuff Double Row Repair- Using Multiple Regression Analysis And Follow Up MRI Study ePoster Presentation Rajagopalakrishnan Ramakanth, D.ortho, DNB(ortho), D.SICOT, INDIA Silvampatti Ramasamy Sundararajan, MS(Orth), INDIA
Precision Medicine for Patients with Rotator Cuff Diseases: Relationship Between Clinical Scores and Shoulder Kinematic Parameters ePoster Presentation Letizia Mancini, MD, ITALY Arianna Carnevale, PhD, ITALY Matilde Mancuso, ITALY Antonio Cerasa, MD, PhD, ITALY Giovanni Pioggia, PhD, ITALY Ara Nazarian, PhD, UNITED STATES Vincenzo Candela, MD, PhD, ITALY Alessandra Berton, MD, ITALY Giuseppe Salvatore, MD, PhD, ITALY Emiliano Schena, Eng, ITALY Rocco Papalia, MD, PhD, Prof., ITALY Umile Giuseppe Longo, MD, MSc, PhD, Prof., ITALY
Clinical Outcome And Long Term Follow-Up After Failed Arthroscopic Repair Of Massive Rotator Cuff Tear – Who Can Go To Conservative Treatment Instead Of Revision? ePoster Presentation Hsuan‑Hsiao Ma, MD, TAIWAN Kun-Hui Chen, MD, TAIWAN En-Rung Chiang, MD, PhD, TAIWAN
Evaluation Of The Relationship Between Rotator Cuff Tear And Humeral Shaft-Neck Angle ePoster Presentation Abdurrahman Aydın, MD, TURKEY
Clinical Outcomes of Arthroscopic Superior Capsular Reconstruction Using Long Head of the Biceps With Rotator Cuff Repair ePoster Presentation Daichi Morikawa, MD, PhD, JAPAN Yoshimasa Saigo, MD, JAPAN Hirohisa Uehara, MD, JAPAN Yasutaka Yoshimura, MD, JAPAN Yoshiaki Itoigawa, MD, PhD, JAPAN Hironori Tsurukami, MD, JAPAN Fumitoshi Hatae, MD, JAPAN Muneaki Ishijima, MD, PhD, JAPAN
Effectiveness Of Intraoperative Glenohumeral Joint Injection Of Hyaluronate/Carboxymethyl Cellulose In Arthroscopic Rotator Cuff Repair ePoster Presentation Supanut Klaiudom, MD, THAILAND Thun Itthipanichpong, MD, THAILAND Thanathep Tanpowpong, MD, THAILAND Danaithep Limskul, MD, THAILAND
Machine-Learning Models For Shoulder Rehabilitation Exercises Classification Using A Wearable System ePoster Presentation Arianna Carnevale, PhD, ITALY Martina Sassi, Eng., ITALY Matilde Mancuso, ITALY Emiliano Schena, Eng, ITALY Leandro Pecchia, ITALY Umile Giuseppe Longo, MD, MSc, PhD, Prof., ITALY
Functional Outcomes And Radiological Cuff Tear Healing In Arthroscopic Single Row Rotator Cuff Repair In Patients Of Age More Than 65: A Retrospective Case Study ePoster Presentation Jaimeen Pravinkumar Jesalpura, MD, INDIA
Impact Of Remplissage On Rotator Cuff Muscle Elasticity And Early Postoperative Stiffness In Anterior Shoulder Instability Patients. ePoster Presentation Yoshimasa Saigo, MD, JAPAN Daichi Morikawa, MD, PhD, JAPAN Hirohisa Uehara, MD, JAPAN Yoshiaki Itoigawa, MD, PhD, JAPAN Muneaki Ishijima, MD, PhD, JAPAN
Biological Augmentation In Revision Surgery: A Pilot Study Of The Effect Of A Bioinductive Collagen Patch In Patients With Rotator Cuff Retear And A Previous Arthroscopic Rotator Cuff Repair. ePoster Presentation Cristina Delgado, MD, PhD, SPAIN Gia Rodriquez Vaquero, MD, MSc, SPAIN Carmen Ortega Tapia, SPAIN Jordi Ardèvol , SPAIN Vanesa Lopez-Fernandez, MD, PhD, SPAIN Emilio Calvo, MD, PhD, MBA, SPAIN
The investigation to clarify the most effective rotatory range of cuff exercise for making the good force couple mechanism ePoster Presentation Yasunari Fujii, MD, JAPAN Hironori Kakoi, MD, PhD, JAPAN Hideyasu Kaieda, MD, JAPAN
Patient Satisfaction And Donor Site Morbidity Following Arthroscopic Superior Capsule Reconstruction Using Fascia Lata Autograft For Irreparable Rotator Cuff Tears ePoster Presentation Akihiko Hasegawa, MD, PhD, JAPAN Akihiro Uchida, MD, PhD, JAPAN Yusuke Noguchi, MD, JAPAN Hiroyuki Shimizu, MD, JAPAN Shuhei Otsuki, JAPAN Teruhisa Mihata, MD, PhD, JAPAN
“Surviving the Dip” after Subacromial Balloon Spacer Implantation for Massive Rotator Cuff Tear Treatment: A Retrospective Case Series ePoster Presentation Michael Sirignano, MD, UNITED STATES John Nyland, EdD, DPT, UNITED STATES Ryan Jeffrey Krupp, MD, UNITED STATES
Evaluation Of Clinico-Radiological Outcomes Of Arthroscopic Repair Of Rotator Cuff Tear With Bioaugmentation Using Autologous Platelet Rich Plasma ePoster Presentation Vinod Kumar, MBBS, MS, DNB, MNAMS, INDIA Rohan Goel, MBBS, MS (Ortho), INDIA
Mihata Superior Capsular Reconstruction With Fascia Lata Auto Graft For Irreparable Rotator Cuff Tears In The Usa: Early Mri Results. ePoster Presentation Paul Byron Roache, MD, UNITED STATES
Mid-term outcomes of arthroscopically assisted lower trapezius tendon transfer with associated partial cuff repair in the treatment of functional irreparable posterior-superior rotator cuff tears. ePoster Presentation Gia Rodriquez Vaquero, MD, MSc, SPAIN Vanesa López Fernández, PhD, SPAIN Pablo Jiménez Baena, MD, SPAIN Fernando Cabanes Villajos, MD, SPAIN Emilio Calvo, MD, PhD, MBA, SPAIN Cristina Delgado, MD, PhD, SPAIN
Does Long Head Biceps Augmentation Improve The Biomechanics In Anterior L-Shaped Supraspinatus Tendon Tear?: A Cadaveric Study ePoster Presentation Nadhaporn Saengpetch, MD, THAILAND
Can Popular AI Large Language Models Provide Reliable Answers to Frequently Asked Questions About Rotator Cuff Tears? ePoster Presentation Orhan Mete Karademir, MD, TURKEY Ulaş Can Kolaç, MD, TURKEY Gökhan Ayik, PhD, TURKEY Mehmet Kaymakoglu, M.D, TURKEY Erdi Ozdemir, MD, UNITED STATES Filippo Familiari, MD, Prof., ITALY Gazi Huri, Prof. MD, QATAR
Comparison of clinical outcome and cuff repair integrity between arthroscopic rotator cuff repair with and without superior capsular reconstruction for reinforcement ePoster Presentation Katsutoshi Miyatake, MD, PhD, JAPAN Tomoya Takasago, MD, PhD, JAPAN Daisuke Nakai, MD, PhD, JAPAN Akihiro Nagamachi, MD, PhD, JAPAN
Can Fatty Infiltration Percentages On MRI Predict Irreparable Cuff Tears? ePoster Presentation Gregory A. Hoy, FRACS, FAOrthA, FACSP, FASMF, AUSTRALIA David Connell, Adjunct Assoc Prof, AUSTRALIA

Menu

Search Filters

Adding an Erector Spinae Plane Catheter Block AfteraAn Interscalene Nerve Block Significantly Improves Pain Relief and Decreases Opioid Use Following Arthroscopic Rotator Cuff Repair

Adding an Erector Spinae Plane Catheter Block AfteraAn Interscalene Nerve Block Significantly Improves Pain Relief and Decreases Opioid Use Following Arthroscopic Rotator Cuff Repair

Background

Purpose

Methods

Results

Conclusions

Shoulder Rotator Cuff ePosters

Sign-in to ISAKOS

Adding an Erector Spinae Plane Catheter Block AfteraAn Interscalene Nerve Block Significantly Improves Pain Relief and Decreases Opioid Use Following Arthroscopic Rotator Cuff Repair

Adding an Erector Spinae Plane Catheter Block AfteraAn Interscalene Nerve Block Significantly Improves Pain Relief and Decreases Opioid Use Following Arthroscopic Rotator Cuff Repair

Background

Purpose

Methods

Results

Conclusions