TY - JOUR T1 - Suprascapular Nerve Blockade for Postoperative Pain Control After Arthroscopic Shoulder Surgery: A Systematic Review and Meta-analysis. AU - Kay,Jeffrey, AU - Memon,Muzammil, AU - Hu,Thomas, AU - Simunovic,Nicole, AU - Duong,Andrew, AU - Paul,James, AU - Athwal,George, AU - Ayeni,Olufemi R, Y1 - 2018/12/28/ PY - 2019/1/11/entrez PY - 2019/1/11/pubmed PY - 2019/1/11/medline KW - arthroscopy KW - nerve block KW - regional KW - shoulder KW - suprascapular SP - 2325967118815859 EP - 2325967118815859 JF - Orthopaedic journal of sports medicine JO - Orthop J Sports Med VL - 6 IS - 12 N2 - BACKGROUND: Regional nerve blocks are commonly used to manage postoperative pain after arthroscopic shoulder procedures. The interscalene brachial plexus block (ISB) is commonly used; however, because of the reported side effects of ISB, the use of a suprascapular nerve block (SSNB) has been described as an alternative strategy with fewer reported side effects. PURPOSE: To examine the efficacy of SSNB for pain control after shoulder arthroscopy compared with ISB as well as anesthesia without a nerve block. STUDY DESIGN: Systematic review; Level of evidence, 1. METHODS: Three databases (PubMed, MEDLINE, and EMBASE) were searched on April 20, 2018, to systematically identify and screen the literature for randomized controlled trials (RCTs). A meta-analysis of standard mean differences (SMDs) was performed to pool the estimated effects of the nerve blocks. RESULTS: The search identified 14 RCTs that included 1382 patients, with a mean age of 54 years (SD, 13 years). The mean follow-up time was 3 days (range, 24 hours to 6 weeks). Postoperative pain control was significantly more effective in the SSNB groups compared with the control groups within 1 hour (SMD, -0.76; 95% CI, -1.45 to -0.07; P = .03) and 4 to 6 hours (SMD, -0.81; 95% CI, -1.53 to -0.09; P = .03) postoperatively. However, pain control was significantly less effective in the SSNB groups compared with ISB within 1 hour (SMD, 0.87; 95% CI, 0.28 to 1.46; P = .004). No major complications were noted in the SSNB groups, and minor complications such as hoarseness and prolonged motor block were significantly less common for SSNB compared with ISB. CONCLUSION: Although not more efficacious than ISB in terms of pain control for patients undergoing shoulder arthroscopy, SSNB provides significantly improved pain control in comparison with analgesia without a nerve block. Moreover, few major and minor complications are associated with SSNB reported across the literature. SN - 2325-9671 UR - https://www.unboundmedicine.com/medline/citation/30627589/Suprascapular_Nerve_Blockade_for_Postoperative_Pain_Control_After_Arthroscopic_Shoulder_Surgery:_A_Systematic_Review_and_Meta_analysis_ DB - PRIME DP - Unbound Medicine ER -