Abstract
BackgroundPostoperative pain and edema are the most common problems associated with arthroscopic rotator cuff repair. The purpose of the present study was to compare ice wrap and subacromial injection (SI) as treatments for early postop pain and edema control and to contrast them with a control group.Materials and methods59 patients treated with arthroscopic rotator cuff repair were randomized into three groups: 23 patients who received an ice wrap, 20 patients who received a SI, and a control group of 16 patients.ResultsPatient demographics, comorbidities, tear retraction, degree of fatty muscle degeneration, surgical procedures, and amount of irrigation fluid were similar for the three groups, which also showed similar results regarding postoperative pain and edema control as well as analgesic consumption.ConclusionsThe present study failed to show any difference in effectiveness between the two most common pain management modalities, or between those modalities and the control group.Level of evidenceIV, prospective observational study.
Highlights
Arthroscopic rotator cuff repair is an attractive option for patients who have a symptomatic rotator cuff tear but fail to respond to conservative treatment
Cryotherapy seems to be associated with less morbidity than the other modalities and appears to be effective at reducing pain compared to control groups [7, 8]
Postoperative pain control remains an issue in patients undergoing arthroscopic rotator cuff repair (ARCR) or subacromial decompression
Summary
Arthroscopic rotator cuff repair is an attractive option for patients who have a symptomatic rotator cuff tear but fail to respond to conservative treatment. It is still associated with severe postoperative pain and decreased patient comfort [1]. Numerous pain management modalities have been described, including opioid analgesics, interscalene brachial plexus nerve block, suprascapular nerve block, periarticular analgesic injection, cryotherapy, and ice wrap [1, 3–6]. The purpose of the present study was to compare ice wrap and subacromial injection (SI) as treatments for early postop pain and edema control and to contrast them with a control group
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