Subacromial Local Anesthetics Do Not Interfere With Rotator Cuff Healing After Arthroscopic Repair

The American Journal of Sports Medicine
Sung-Min RheeJoo Han Oh

Abstract

Subacromial pain pumps are used for analgesia after arthroscopic rotator cuff surgery. However, there is controversy about myotoxic or tendinotoxic effects of local anesthetics. Ropivacaine administered via a subacromial pain pump would have no adverse effect on rotator cuff tendon healing, fatty degeneration, strength, or functional outcomes after arthroscopic repair. Cohort study; Level of evidence, 3. This study continues follow-up of patients enrolled in the authors' 3 published prospective studies regarding pain control after arthroscopic rotator cuff repair. In total, 118 patients who underwent rotator cuff repair and returned for evaluation at least 1 year postoperatively were divided into 3 groups: patients who received continuous subacromial ropivacaine infusion (group 1, n = 33), those who received patient-controlled subacromial ropivacaine infusion (group 2, n = 30), and those who received other pain control modalities (intravenous patient-controlled analgesia and/or interscalene block; group 3, n = 55). At least 1 year postoperatively, tendon healing and changes in global fatty degeneration index (GFDI) were estimated through computed tomographic arthrography, magnetic resonance imaging, or ultrasonography. Changes ...Continue Reading

References

May 1, 1988·AJR. American Journal of Roentgenology·L A MackD Harvey
Mar 1, 1986·AJR. American Journal of Roentgenology·J R CrassS B Feinberg
Sep 23, 2003·Anesthesia and Analgesia·Wolfgang ZinkBernhard M Graf
Dec 13, 2003·Journal of Shoulder and Elbow Surgery·Daniel GoutallierStéphane Van Driessche
May 4, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Gregory P HarveyKevin Coupe
Dec 6, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hiroyuki SugayaJoji Moriishi
Jan 24, 2006·European Journal of Anaesthesiology·E AmanitiD Vasilakos
Feb 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Bruno FuchsChristian Gerber
Oct 13, 2007·The American Journal of Sports Medicine·Edwin E SpencerUNKNOWN Shoulder Multicenter Orthopaedic Outcomes Network
May 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Samantha L Piper, Hubert T Kim
Sep 12, 2008·Current Opinion in Anaesthesiology·Wolfgang Zink, Bernhard M Graf
Apr 7, 2009·Clinical Orthopaedics and Related Research·Joo Han OhChung Hee Oh
Nov 26, 2009·Clinical Orthopaedics and Related Research·Joo Han OhChung Hee Oh
Feb 18, 2011·Upsala Journal of Medical Sciences·Yoichi KoikeEiji Itoi
Jun 8, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Florian HaastersMatthias Schieker
Aug 5, 2011·The American Journal of Sports Medicine·Seok Won ChungSae Hoon Kim
Oct 5, 2011·Clinical and Investigative Medicine. Médecine Clinique Et Experimentale·Karamehmet YildizEser Kilic
Dec 31, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mi Ja YunHo Young Kil
Sep 20, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sun Sook HanSae Hoon Kim
Oct 10, 2014·The American Journal of Sports Medicine·Chang-Meen SungHyung Bin Park
Feb 13, 2016·The American Journal of Sports Medicine·Yong Bok ParkJae Chul Yoo

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