ReviewCurrent pain and headache reports2025
Efficacy of Combined Suprascapular Block and Axillary Nerve Block for Post-Operative Pain Management in Shoulder Arthroplasty: A Narrative Review.
Review in Current pain and headache reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Pain Management Strategies in Reverse Total Shoulder Arthroplasty.Current reviews in musculoskeletal medicine · 2026Review
- Regional anesthesia strategies for proximal humerus fracture surgery: anatomical considerations, diaphragm-sparing techniques, and expert perspectives-a narrative review.Langenbeck's archives of surgery · 2026Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewShoulder arthroplasty is associated with significant postoperative pain. Pain management following shoulder arthroplasty has been traditionally treated using interscalene block (ISB) and systemic opioids. However, these techniques are limited by short analgesic duration, respiratory complications, and a high risk of opioid dependence. Surgeons have considered the benefits of a multimodal approach via the suprascapular nerve block (SSNB) combined with an axillary nerve block (ANB) for managing postoperative pain following shoulder arthroplasty.The present investigation aims to evaluate the efficacy, safety, and clinical utility of a combined suprascapular nerve block (SSNB) and axillary nerve block (ANB) as an alternative to ISB for postoperative analgesia in shoulder arthroplasty. A comprehensive literature search was conducted and particular attention was given to outcomes such as pain control, opioid consumption, adverse events, and patient-specific considerations. RECENT
findingsMultiple studies demonstrate that SSNB + ANB provides comparable pain control to ISB while significantly reducing the risk of phrenic nerve paralysis, rebound hyperalgesia, and opioid-related complications. SSNB alone offers diaphragmatic-sparing benefits but may have limited analgesic coverage. When paired with ANB, the dual-block technique achieves broader sensory blockade and improved patient satisfaction. Recent advances in ultrasound-guided delivery and long-acting adjuvants, such as liposomal bupivacaine, dexmedetomidine, and dexamethasone, further enhance block duration and safety. The combined SSNB and ANB represents a safe, effective, patient-centered alternative to ISB for postoperative analgesia in shoulder arthroplasty. Its favorable safety profile and comparable efficacy make it especially valuable in high-risk populations and in settings aiming to reduce opioid reliance.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.