OBJECTIVE: The addition of open subpectoral biceps tenodesis to arthroscopic shoulder surgery with interscalene block has been anecdotally observed to result in increased postoperative pain. This study aims to evaluate the impact of tenodesis on early postoperative pain and recovery. METHODS: A retrospective review of patients undergoing arthroscopic shoulder surgery with general anesthesia and interscalene block was conducted. RESULTS: Patients undergoing tenodesis experienced longer OR time, pain numeric rating scale (NRS), and consumed more morphine milligram equivalents (MME) in PACU. After controlling for confounding factors, tenodesis was significantly associated with increased opioid MME consumption in the PACU (β = 1.045, p = .028) and last PACU pain NRS (β = 0.541, p = .009). CONCLUSION: Overall, pain scores and narcotic consumption were low after surgery, making these differences potentially clinically insignificant. Further study is required to evaluate whether these trends are consistent among this population.
OBJECTIVE: The addition of open subpectoral biceps tenodesis to arthroscopic shoulder surgery with interscalene block has been anecdotally observed to result in increased postoperative pain. This study aims to evaluate the impact of tenodesis on early postoperative pain and recovery. METHODS: A retrospective review of patients undergoing arthroscopic shoulder surgery with general anesthesia and interscalene block was conducted. RESULTS: Patients undergoing tenodesis experienced longer OR time, pain numeric rating scale (NRS), and consumed more morphine milligram equivalents (MME) in PACU. After controlling for confounding factors, tenodesis was significantly associated with increased opioid MME consumption in the PACU (β = 1.045, p = .028) and last PACU pain NRS (β = 0.541, p = .009). CONCLUSION: Overall, pain scores and narcotic consumption were low after surgery, making these differences potentially clinically insignificant. Further study is required to evaluate whether these trends are consistent among this population.
Authors: Deborah Faryniarz; Christine Morelli; Struan Coleman; Tara Holmes; Answorth Allen; David Altchek; Frank Cordasco; Russell F Warren; Michael K Urban; Michael A Gordon Journal: J Shoulder Elbow Surg Date: 2006-09-01 Impact factor: 3.019
Authors: Julie Y Bishop; Mark Sprague; Jonathan Gelber; Marina Krol; Meg A Rosenblatt; James N Gladstone; Evan L Flatow Journal: J Shoulder Elbow Surg Date: 2006 Sep-Oct Impact factor: 3.019
Authors: Laura Bosco; Cheng Zhou; John A C Murdoch; Ryan Bicknell; Wilma M Hopman; Rachel Phelan; Vidur Shyam Journal: Can J Anaesth Date: 2017-07-18 Impact factor: 5.063
Authors: Costantino Fontana; Attilio Di Donato; Giovanni Di Giacomo; Alberto Costantini; Andrea De Vita; Fabrizio Lancia; Alessio Caricati Journal: Eur J Anaesthesiol Date: 2009-08 Impact factor: 4.330