Actively Recruiting

Phase Not Applicable
Age: 20Years +
All Genders
ID06878391

Pain Control Effects of Interscalene Brachial Plexus Block Combined With Suprascapular and Axillary Nerve Blocks in Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial

Led by Chuncheon Sacred Heart Hospital · Updated on 2025-05-29

100

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating pain control methods in patients undergoing arthroscopic rotator cuff repair. This randomized, double-blind trial compares the effects of an interscalene brachial plexus block combined with suprascapular and axillary nerve blocks using ropivacaine versus the same brachial plexus block combined with placebo (saline) nerve blocks. The study aims to assess differences in pain levels and patient satisfaction at various times before and after surgery, as well as changes in blood markers related to stress and inflammation. Participants receive an ultrasound-guided interscalene brachial plexus block with ropivacaine immediately before surgery. They are then assigned to receive either suprascapular and axillary nerve blocks with ropivacaine or placebo blocks with saline. Both groups use low fixed dose patient-controlled analgesia with fentanyl and nefopam during the postoperative period. The study measures outcomes at multiple timepoints from before surgery up to 48 hours after. During the study, participants' pain scores and satisfaction are recorded preoperatively and at 1, 3, 6, 12, 18, 24, 36, and 48 hours after surgery. Blood samples are collected before surgery and at 1, 6, 12, 24, and 48 hours postoperatively to analyze levels of cortisol, various interleukins, substance P, serotonin, beta-endorphin, and norepinephrine. This detailed monitoring helps researchers understand the effects of the nerve blocks on pain and biological stress responses following rotator cuff repair.

CONDITIONS

Brief Title

ISB With SSNB & ANB

Who Can Participate

Age: 20Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • A confirmed rotator cuff tear needing repair seen on preoperative MRI
  • Willingness to undergo arthroscopic rotator cuff repair surgery
  • Age 20 years or older
  • Acceptance of preemptive regional nerve blocks, patient-controlled analgesia, and blood testing
Not Eligible

You will not qualify if you...

  • Not undergoing arthroscopic rotator cuff repair
  • Stopping patient-controlled analgesia before 48 hours postoperatively due to side effects
  • History of previous surgery or fracture on the same shoulder
  • Presence of neurological disorders around the shoulder
  • Failure of blood sampling such as hemolysis

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit

Treatment

Duration - 48 hours

Participants undergo arthroscopic rotator cuff repair surgery with preemptive regional nerve blocks and receive patient-controlled analgesia at a low fixed dose for pain control.

1 baseline visit (surgery day) and multiple assessments during 48 hours postoperatively

Follow-up

Duration - 48 hours

Participants are monitored for pain levels, satisfaction, and blood markers through 48 hours after surgery to assess the effects of the nerve blocks and analgesia.

Several visits or assessments at postoperative 1, 3, 6, 12, 18, 24, 36, and 48 hours

Trial Site Locations

Total: 2 locations

1

Hallym University Chuncheon Sacred Heart Hospital

Chuncheon, Gangwon-do, South Korea, 24253

Not Yet Recruiting

2

Hallym University Chuncheon Sacred Heart Hospital

Chuncheon, Gangwon-do, South Korea, 24253

Actively Recruiting

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Research Team

J

Jung-Taek Hwang, MD, PhD

S

Su-Jung Seo, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Frequently Asked Questions

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Published Research Related To This Trial

Effect of ultrasonographically guided axillary nerve block combined with suprascapular nerve block in arthroscopic rotator cuff repair: a randomized controlled trial.

Jae Jun Lee, Do-Young Kim, Jung-Taek Hwang...

https://pubmed.ncbi.nlm.nih.gov/24880194

Dexmedetomidine combined with suprascapular nerve block and axillary nerve block has a synergistic effect on relieving postoperative pain after arthroscopic rotator cuff repair.

Jae Jun Lee, Do-Young Kim, Jung-Taek Hwang...

https://pubmed.ncbi.nlm.nih.gov/32975624