Comparing Anterior Glenoid, Pericapsular Nerve Group, and Interscalene Brachial Plexus Blocks for Postoperative Pain Management in Shoulder Arthroscopic Surgeries

What this Trial Is About

Researchers are evaluating three types of nerve blocks—Anterior glenoid nerve block, pericapsular nerve group (PENG) block, and interscalene brachial plexus (ISB) block—to manage pain after shoulder arthroscopic surgeries. Shoulder surgeries often cause moderate to severe pain, and controlling this pain is important for patient comfort, quicker rehabilitation, and shorter hospital stays. ISB blocks are a well-known standard for pain relief after shoulder surgery, while the newer PENG block may offer effective pain control with fewer motor side effects and complications. Participants will receive one of the three nerve block treatments during their shoulder arthroscopic surgery: the anterior glenoid nerve block, the PENG block performed under ultrasound guidance, or the ISB block. Each method aims to provide postoperative pain relief but differs in how it targets nerves and the possible side effects, such as motor impairment. The study compares these techniques to see which provides the best pain management after surgery. During the study, researchers will monitor participants for the time until they first need additional pain medication within 24 hours after surgery. Assessments will include monitoring pain levels and side effects to evaluate how well each nerve block controls postoperative pain. The study involves adults aged 18 to 70 undergoing shoulder arthroscopic surgery, and all participants will be closely observed for their recovery and any complications related to the nerve blocks.

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