Paracoracoid Subscapularis Plane Block Versus Iso Block for Shoulder Surgery for Shoulder Surgery

NCT ID: NCT05439837

Last Updated: 2025-09-29

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-06-14
• Study Completion Date: 2023-02-01

Brief Summary

Shoulder surgery is the second orthopedic operation cause post operative pain Interscalene block is the standard block for shoulder surgery but it cause phrenic nerve block and diaphragmatic hemipareses Iso block is the block used to block the brachial plexuses cord and suprascapular nerve And paracoracoid subscapularis block supra scapular nerve in supra scapular fosa and axillary nerve as it curves around humeral head

Detailed Description

Two groups Group S for paracoracoid subscapularis block Group I for iso block Twenty patients for para coracoid subscapularis block with ultra sonography 50 mm 22G needle inserted anterior to the fascia and 15ml o.5% bupivicaine injected another twenty patients for iso block a linear probe of ultrasound is placed in the infraclavicular region to identify the cords the needle is inserted 2-3cm superior to the clavicle and advanced in.plane posterior to the clavicle toward the cods and 25ml local anaesthesia is injected

Conditions

Post Operative Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: QUADRUPLE

Study Groups

Infraclavicular and subomohoid block

Group Type: ACTIVE_COMPARATOR

Infraclavicular and subomohoid block

Intervention Type: PROCEDURE

Its blockade of subscapular nerve in the subscapular fossa and axillary nerve as it curves around humeral And blocking of brachial plexuses cord and supra scapular nerve And blocking of the brachial plexuses cord and supra scapular nerve

Paracoracoid subscapularis plane block

Group Type: ACTIVE_COMPARATOR

Paracoracoid subscapularis plane block

Intervention Type: PROCEDURE

Blocking of suprascapular nerve in supra scapular fossa and axillary nerve as it curves the humeral head

Interventions

Paracoracoid subscapularis plane block

Blocking of suprascapular nerve in supra scapular fossa and axillary nerve as it curves the humeral head

Intervention Type: PROCEDURE

Infraclavicular and subomohoid block

Its blockade of subscapular nerve in the subscapular fossa and axillary nerve as it curves around humeral And blocking of brachial plexuses cord and supra scapular nerve And blocking of the brachial plexuses cord and supra scapular nerve

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• male or female patient >20year for shoulder surgery American Society of anaesthesiologist physical state 1 to2

Exclusion Criteria

• refusal of patient Systemic infection Local infection Neurological or respiratory disease

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Fayoum University Hospital

OTHER

Sponsor Role: lead

Responsible Party

Amr hamdy Mahmoud

Assistant lecturer of anesthesia and intensive care

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mohammed A Shawky, MD

Role: PRINCIPAL_INVESTIGATOR

Fayoum university hodpital

Joseph M Botros, MD

Role: PRINCIPAL_INVESTIGATOR

Eygpt fayoum university

Maged L Bolus, MD

Role: PRINCIPAL_INVESTIGATOR

Fayoum universty hospital

Locations

Fayoum University hospital

Al Fayyum, Fayoum, Madīnat Al Fayyūm, Faiyum Governorate, Egypt, Egypt

Countries

Egypt

References

Garrett WE Jr, Swiontkowski MF, Weinstein JN, Callaghan J, Rosier RN, Berry DJ, Harrast J, Derosa GP. American Board of Orthopaedic Surgery Practice of the Orthopaedic Surgeon: Part-II, certification examination case mix. J Bone Joint Surg Am. 2006 Mar;88(3):660-7. doi: 10.2106/JBJS.E.01208. No abstract available.

Reference Type: BACKGROUND

PMID: 16510834 (View on PubMed)

Other Identifiers

D 229

Identifier Type: -

Identifier Source: org_study_id