Comparing Three Nerve Block Methods for Managing Pain After Shoulder Arthroscopic Surgery Anterior Glenoid Nerve Block, Pericapsular Nerve Group PENG Block, and Interscalene Brachial Plexus ISB Block

What this Trial Is About

Researchers are comparing three types of nerve blocks used for managing pain after shoulder arthroscopic surgeries. The study focuses on anterior glenoid nerve block, pericapsular nerve group PENG block, and interscalene brachial plexus ISB block. These blocks help reduce postoperative pain, improve patient comfort, speed up rehabilitation, and potentially shorten hospital stays. ISB blocks are well known as the standard method, while the PENG block is a newer technique that may provide pain relief with fewer side effects and quicker movement recovery. Participants will be randomly assigned to receive one of the three nerve blocks the interscalene brachial plexus block, the anterior glenoid nerve block, or the pericapsular nerve group PENG block. All blocks are applied using ultrasound guidance during shoulder arthroscopic surgery. The study is double-blinded, meaning neither patients nor doctors know which block is given to ensure unbiased results. During the study, researchers will monitor the time until patients need their first rescue pain medication within 24 hours after surgery. They will also track total opioid use, pain levels, hospital stay duration, time to freely move the operated shoulder, and patient satisfaction. These measures help assess each blocks effectiveness and safety. The entire study includes follow-up up to one week after surgery to observe recovery progress and potential complications.

Anterior Glenoid Nerve Block Versus Pericapsular Nerve Group Block Versus Interscalene Brachial Plexus Block for Postoperative Pain Management in Shoulder Arthroscopic Surgeries