{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T04:33:03Z","timestamp":1778819583260,"version":"3.51.4"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate whether the use of a pericapsular nerve group (PENG) block would reduce perioperative pain after arthroscopic therapy for femoroacetabular impingement syndrome (FAIS) and to examine opioid requirements and occurrence of postoperative nausea and vomiting (PONV).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between May 2022 and October 2022, patients (N\u00a0= 68) undergoing arthroscopic surgery for FAIS were randomly allocated into 2 groups. The first group received an ultrasound\u2010guided PENG preoperatively with 20 mL of 0.375% ropivacaine and standardized postoperative oral medication. The second group received a sham block preoperatively with 20 mL of 0.9% saline and standardized postoperative oral medication. The primary end point was pain scores (visual analog score [VAS], 0\u201010) during the first 24 hours postoperatively. To quantify clinical significance of outcome achievement for the VAS pain score, the minimal clinically important difference (MCID) was calculated using the half standard deviation method. The incidence of PONV as well as opioid usage (converted to morphine equivalent) within the first 24 hours were secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Randomization and permission were successfully obtained from 68 participants. From the fifteenth postoperative hour, the PENG group reported significantly less postoperative pain than the control group (24th postoperative hour: VAS pain PENG group 1.3 \u00b1 0.9 [0\u20103]; 95% confidence interval {CI} 0.4\u20101.2 vs the VAS pain control group 2.4 \u00b1 1.6 [0\u20105]; 95% CI 1.4\u20104.7;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .009). The VAS pain score threshold for achieving the MCID at 24 hours postoperative was defined as a decrease of 1.1. 27 patients (79%) in the PENG group and 22 patients (65%) in the control group were able to achieve MCID (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .009). Opioid dosage and postoperative nausea did not differ significantly between groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.987 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .655, respectively). Concomitant complications such as falls, hematomas, or weakened muscles did not occur in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>According to this study, a PENG block minimally reduced pain after arthroscopic treatment for FAIS between the 18th and 24th postoperative hours. The PENG group achieved significantly more often the pain VAS MCID. However, there was no proof that the PENG group consumed fewer opioids than the control group. Overall, PONV was found at a low and comparable rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level I, randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.06.016","type":"journal-article","created":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T19:28:52Z","timestamp":1687462132000},"page":"373-380","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Pericapsular Nerve Group Block Leads to Small but Consistent Reductions in Pain Between 18 and 24 Hours Postoperatively in Hip Arthroscopy for Femoroacetabular Impingement Surgery: A Prospective, Randomized Controlled Clinical Trial"],"prefix":"10.1002","volume":"40","author":[{"given":"Benjamin","family":"Eppel","sequence":"first","affiliation":[{"name":"ARCUS Sportklinik Pforzheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco M.","family":"Schneider","sequence":"additional","affiliation":[{"name":"MVZ Praxisklinik Orthop\u00e4die Aachen University of Aachen Aachen Germany"},{"name":"University Witten\/Herdecke Witten Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Gebhardt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University Medicine Greifswald Greifswald Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Balcarek","sequence":"additional","affiliation":[{"name":"ARCUS Sportklinik Pforzheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Sobau","sequence":"additional","affiliation":[{"name":"ARCUS Sportklinik Pforzheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Wawer Matos","sequence":"additional","affiliation":[{"name":"ARCUS Sportklinik Pforzheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Zimmerer","sequence":"additional","affiliation":[{"name":"ARCUS Sportklinik Pforzheim Germany"},{"name":"Department of Orthopaedics University Medicine Greifswald Greifswald Germany"},{"name":"Orthop\u00e4dische Klinik Paulinenhilfe Diakonie\u2010Klinikum Stuttgart Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B7.15203"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096743"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-017-3735-4"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.08.027"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.01.024"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518765969"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.01060"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.03.060"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000417536.07871.ed"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09579-x"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnz050"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.09.012"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000847"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2020-101826"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15536"},{"key":"e_1_2_2_17_2","first-page":"458","article-title":"Pericapsular nerve group block: An overview","volume":"87","author":"Del Buono R.","year":"2021","journal-title":"Minerva Anestesiol"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2021-103228"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.08.036"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2022-103907"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4725.1999.99087.x"},{"issue":"03","key":"e_1_2_2_22_2","article-title":"Ropivacaine versus bupivacaine in postoperative pain control","volume":"02","author":"Mansour N.A.","year":"2012","journal-title":"J\u00a0Biotechnol Biomaterial"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000062554.74615.4C"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(89)90005-6"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-020-01751-z"},{"key":"e_1_2_2_26_2","article-title":"A\u00a0retrospective case series of pericapsular nerve group (PENG) block for primary versus revision total hip arthroplasty analgesia","volume":"12","author":"Kukreja P.","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hny030"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519898205"},{"key":"e_1_2_2_29_2","article-title":"Fascia iliaca block for postoperative pain control after hip arthroscopy: A systematic review of randomized controlled trials","author":"Smith J.\u2010R.H.","year":"2021","journal-title":"Am J Sports Med."},{"key":"e_1_2_2_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000002321"},{"key":"e_1_2_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.10.010"},{"key":"e_1_2_2_32_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e318265bacd"},{"key":"e_1_2_2_33_2","doi-asserted-by":"publisher","DOI":"10.5301\/HIP.2013.10613"},{"key":"e_1_2_2_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517734518"},{"key":"e_1_2_2_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.06.036"},{"key":"e_1_2_2_36_2","doi-asserted-by":"publisher","DOI":"10.5301\/hip.2011.8390"},{"key":"e_1_2_2_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4470-5"},{"key":"e_1_2_2_38_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31829481ed"},{"key":"e_1_2_2_39_2","first-page":"226","article-title":"Pericapsular nerves block (PENG) is an effective and safe alternative for postoperative pain management after primary total hip arthroplasty: A randomized clinical trial","volume":"67","author":"Iglesias S.L.","year":"2022","journal-title":"Rev Esp Cir Ortop Traumatol"},{"key":"e_1_2_2_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-022-01787-2"},{"key":"e_1_2_2_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2022.12.023"},{"key":"e_1_2_2_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.06.004"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980632300467X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980632300467X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2023.06.016","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2023.06.016","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2023.06.016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:12:09Z","timestamp":1773565929000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2023.06.016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,21]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1016\/j.arthro.2023.06.016"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2023.06.016","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,21]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pericapsular Nerve Group Block Leads to Small but Consistent Reductions in Pain Between 18 and 24 Hours Postoperatively in Hip Arthroscopy for Femoroacetabular Impingement Surgery: A Prospective, Randomized Controlled Clinical Trial","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2023.06.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}