Regional anesthesia

Comparison between infraspinatus-Teres minor (ITM) Interfascial block and superior trunk block in shoulder arthroscopy: A randomized non-inferiority trial

J Clin AnesthPublished Randomised controlled trial

Primary resultResult — go to the resultMedian difference 0 95 % CI −1 to 0

Authors' conclusion

For maximal postoperative pain control within 24 h after shoulder arthroscopy, the ITM block was noninferior to STB, with significantly reduced diaphragmatic paralysis rates.

Study context

Population
Patients aged 18 to 65 years scheduled for elective shoulder arthroscopic surgery
Participants
100 patients
Comparison
Infraspinatus-teres minor interfascial block vs superior trunk block
Primary endpoint
Highest resting pain score
Follow-up
First 24 h postoperatively
Methodological detailsprospective, non-inferiority, single tertiary hospital
  • Prospective
  • Non-inferiority
  • Single tertiary hospital

Primary result

As reported in the abstract

Median difference

0

95 % CI −1 to 0

P < 0.01

By group

Superior trunk block (STB)

3

range 2.0–4.0

ITM

3

range 2.8–4.3

ITM vs STB
median difference 0 (95 % CI −1 to 0); P < 0.01

Non-inferiority margin 1 as printed, not drawn

Safety

Hemidiaphragmatic paralysis

Significantly reduced diaphragmatic paralysis rates with ITM

Original publication

Comparison between infraspinatus-Teres minor (ITM) Interfascial block and superior trunk block in shoulder arthroscopy: A randomized non-inferiority trial. J Clin Anesth. Published 24 December 2025. doi:10.1016/j.jclinane.2025.112106

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