Interscalene vs Infraspinatus-teres Minor (ITM) Interfascial Block in Shoulder Surgery
NCT ID: NCT06844630
Last Updated: 2025-12-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
60 participants
INTERVENTIONAL
2025-03-01
2025-08-30
Brief Summary
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Due to the phrenic nerve paralysis frequently seen in interscalene block, alternative diaphragm-sparing block techniques have emerged over time. One of these is the Infraspinatus teres minor interfascial block. Infraspinatus teres minor interfascial block can block both the suprascapular nerve and the axillary nerve, which are effective in the innervation of the shoulder, with a single-point injection.
The main aim of our study was to show that there is no difference between interscalene block and infraspinatus-teres-minor interfascial block in terms of their effects on postoperative analgesia in patients undergoing arthroscopic shoulder surgery.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
OTHER
TRIPLE
Study Groups
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Interscalene Block
Patients randomized to receive interscalene block
Preoperative block application (İntersclane Block)
Before surgery, patients will receive a unilateral interscalene block under ultrasound guidance.
Infraspinatus-teres minor (ITM) interfascial block
Patients randomized to receive Infraspinatus-teres minor (ITM) interfascial block
Preoperative block application (Infraspinatus-teres minor interfascial block)
Before surgery, patients will receive a unilateral infraspinatus-teres minor interfascial block under ultrasound guidance.
Interventions
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Preoperative block application (İntersclane Block)
Before surgery, patients will receive a unilateral interscalene block under ultrasound guidance.
Preoperative block application (Infraspinatus-teres minor interfascial block)
Before surgery, patients will receive a unilateral infraspinatus-teres minor interfascial block under ultrasound guidance.
Eligibility Criteria
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Inclusion Criteria
* Scheduled for arthroscopic shoulder surgery under general anesthesia
Exclusion Criteria
* receiving anticoagulant treatment
* infection of the skin at the site of the needle puncture
* pregnancy or lactation
* patients who do not accept the procedure
* Allergy to local anesthetics
* Chronic pain syndromes requiring opioid intake
18 Years
75 Years
ALL
No
Sponsors
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Kadem Koc
OTHER
Responsible Party
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Kadem Koc
Research Fellow
Locations
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Samsun University
Samsun, , Turkey (Türkiye)
Countries
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References
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Kim SH, Yeo IS, Jang J, Jung HE, Chun YM, Yang HM. Infraspinatus-teres minor (ITM) interfascial block: a novel approach for combined suprascapular and axillary nerve block. Reg Anesth Pain Med. 2024 Jan 11;49(1):67-72. doi: 10.1136/rapm-2023-104738.
Aliste J, Bravo D, Layera S, Fernandez D, Jara A, Maccioni C, Infante C, Finlayson RJ, Tran DQ. Randomized comparison between interscalene and costoclavicular blocks for arthroscopic shoulder surgery. Reg Anesth Pain Med. 2019 Jan 11:rapm-2018-100055. doi: 10.1136/rapm-2018-100055. Online ahead of print.
Neal JM, Gerancher JC, Hebl JR, Ilfeld BM, McCartney CJ, Franco CD, Hogan QH. Upper extremity regional anesthesia: essentials of our current understanding, 2008. Reg Anesth Pain Med. 2009 Mar-Apr;34(2):134-70. doi: 10.1097/AAP.0b013e31819624eb.
Other Identifiers
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SamsunOm
Identifier Type: -
Identifier Source: org_study_id