A comparison of ice wrap and subacromial injection for postoperative pain and edema control following arthroscopic rotator cuff repair

Abstract

Background: Postoperative 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 methods: 59 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. Results: Patient 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. Conclusions: The 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.

Comparison of Analgesia Treatment Methods After Arthroscopic Rotator Cuff Repair: A Network Meta-analysis of 42 Randomized Controlled Trials

“…In terms of operative techniques, rotator cuff repair was used in 23 studies ¶ ; rotator cuff repair and acromioplasty in 9 studies 7 – 9 , 18 , 21 , 26 , 30 , 31 , 53 ; rotator cuff repair and distal clavicle resection in 2 studies 16 , 23 ; rotator cuff repair and biceps tenotomy or tenodesis in 2 studies 20 , 34 ; rotator cuff repair, biceps tenodesis or tenotomy, and distal clavicle resection in 2 studies 50 , 56 ; rotator cuff repair, acromioplasty, and biceps tenotomy or tenodesis in 3 studies 29 , 45 , 51 ; and rotator cuff repair, distal clavicle resection, biceps tenotomy or tenodesis, and acromioplasty in 1 study. 55 A full-thickness tear was evaluated in 14 studies ＃ and partial- and full-thickness tears in 12 studies, ** but the tear size was not mentioned in the other 16 studies.…”

“…Blinding methods were described in 34 studies: 24 studies were double blinded, § § 4 studies were single blinded, 11,16,37,38 and 6 studies were not blinded. 18,23,29,31,56,68 Pain scores were reported in 39 studies, kk morphine consumption in $3#20 studies, {{ and complications in 20 studies.…”

“… ∥∥ References 2, 3, 5 –9, 11, 14, 16, 20, 21, 23, 26, 28, 29, 31 –38, 40 –42, 44, 45, 50, 53, 55 –58, 61, 63, 67, 68. …”

“…References 2,3,[5][6][7][8][9]11,16,18,20,21,23,26,[28][29][30][31][32][33][34][35][36][37][38][40][41][42]44,45,50,51,53,[55][56][57][58]61,67. References 2,3, 5, 9, 14, 21, 26, 28, 30, 32, 34, 35, 40-42, 45, 50, 51, 53, 55, 57, 61, 63, 67. …”

Critical shoulder angle (CSA): age and gender distribution in the general population

“…The potential importance of the skeletal anatomy on the genesis of rotator cuff tear has been studied for decades, and remains a controversial subject [ 41 – 43 ]. The association between the acromion index with the development of cuff tears and glenohumeral osteoarthritis has been well analyzed [ 44 ].…”