{"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":1778819583219,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T00:00:00Z","timestamp":1705363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009885","name":"American Academy of Orthopaedic Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009885","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011549","name":"American Orthopaedic Society for Sports Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011549","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008450","name":"Biomet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008450","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004331","name":"Johnson and Johnson","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004331","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008542","name":"Arthroscopy Association of North America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To perform a systematic review of clinical studies evaluating the pericapsular nerve group (PENG) block in patients undergoing hip arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines to identify comparative studies of patients undergoing the PENG block before hip arthroscopy. The search phrase used was\n                      <jats:italic>hip arthroscopy pericapsular nerve block<\/jats:italic>\n                      . Patients were evaluated based on analgesic consumption, time to discharge from the postanesthesia care unit (PACU), and pain scores (Numeric Rating Scale and visual analog scale). The Modified Coleman Methodology Score was used to evaluate study methodology quality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five studies (2 Level I, 3 Level III) met inclusion criteria. The 5 studies included the following comparison groups: 0.9% normal saline injection, general anesthesia alone, and general anesthesia with intraoperative pericapsular bupivacaine injection. The 2 randomized controlled trials included in this review reported no significant difference between groups regarding opioid consumption. One of these did not find any statistically significant differences in their secondary outcomes either, including patient satisfaction with analgesia, opioid\u2010related adverse events, or persistent opioid use at 1 week. However, the other 3 studies found significantly lower opioid consumption in patients receiving the PENG block versus the control group intraoperatively, in the PACU, and\/or postoperatively. Four studies reported significantly lower pain levels in the PENG block group compared with the control groups, measured differently in each study: 24 hours postoperatively, initial pain score in the PACU, mean score in the PACU, and highest score in the PACU. None of the studies found significantly worse outcomes in the PENG block group compared to the comparison group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Systematic review of randomized controlled trials shows that patients undergoing hip arthroscopy who receive a PENG block do not consume fewer opioids for postoperative pain control than patients who do not receive the block.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, systematic review of Level I\u2010III studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.100894","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T21:07:50Z","timestamp":1707944870000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Addition of a Pericapsular Nerve Group Block for Postoperative Pain Control Does Not Result in Less Narcotic Use After Hip Arthroscopy: A Systematic Review"],"prefix":"10.1002","volume":"6","author":[{"given":"Grace","family":"Tanguilig","sequence":"first","affiliation":[{"name":"Tulane University School of Medicine New Orleans Louisiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaydeep","family":"Dhillon","sequence":"additional","affiliation":[{"name":"Rocky Vista University College of Osteopathic Medicine Parker Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony J.","family":"Scillia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery St. Joseph\u2019s University Medical Center Paterson New Jersey U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendell M.R.","family":"Heard","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tulane University School of Medicine New Orleans Louisiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Kraeutler","sequence":"additional","affiliation":[{"name":"Department of Orthopedics University of Colorado Anschutz Medical Campus Aurora Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,15]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.04.017"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2020-101522"},{"issue":"6","key":"e_1_2_3_4_2","article-title":"Outcomes after peripheral nerve block in hip arthroscopy","volume":"47","author":"Steinhaus M.E.","year":"2018","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546521996713"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.08.036"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2012.031"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2000.010001002.x"},{"key":"e_1_2_3_11_2","doi-asserted-by":"crossref","unstructured":"Amato PE Coleman JR Dobrzanski TP et\u00a0al. Pericapsular nerve group (PENG) block for hip arthroscopy: A randomized double\u2010blinded placebo\u2010controlled trial [published online August 23 2022].Reg Anesth Pain Med.https:\/\/doi.org\/10.1136\/rapm\u20102022\u2010103907.","DOI":"10.1136\/rapm-2022-103907"},{"key":"e_1_2_3_12_2","doi-asserted-by":"crossref","unstructured":"Eppel B Schneider MM Gebhardt S et\u00a0al. 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 [published online June 22 2023].Arthroscopy.https:\/\/doi.org\/10.1016\/j.arthro.2023.06.016.","DOI":"10.1016\/j.arthro.2023.06.016"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.06.004"},{"key":"e_1_2_3_14_2","doi-asserted-by":"crossref","DOI":"10.52965\/001c.74257","article-title":"A\u00a0novel approach to improving post\u2010operative pain and minimizing opioid consumption after a hip arthroscopy","volume":"15","author":"Widmeyer J.R.","year":"2023","journal-title":"Orthop Rev (Pavia)"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.03.040"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2021.11.001"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.10.005"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-14-00163"},{"key":"e_1_2_3_19_2","doi-asserted-by":"crossref","DOI":"10.1177\/2325967120960689","article-title":"Pain scores and activity tolerance in the early postoperative period after hip arthroscopy","volume":"8","author":"Ramos L.","year":"2020","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517734518"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.12.022"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520905884"},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.03.029"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000847"},{"key":"e_1_2_3_25_2","first-page":"186","article-title":"Anatomic study of innervation of the anterior hip capsule: Implication for image\u2010guided intervention","volume":"43","author":"Short A.J.","year":"2018","journal-title":"Reg Anesth Pain Med"},{"key":"e_1_2_3_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2020-102315"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X24000129?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X24000129?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.asmr.2024.100894","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2024.100894","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2024.100894","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:01:45Z","timestamp":1773565305000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2024.100894"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,15]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1016\/j.asmr.2024.100894"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2024.100894","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,15]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Addition of a Pericapsular Nerve Group Block for Postoperative Pain Control Does Not Result in Less Narcotic Use After Hip Arthroscopy: A Systematic Review","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2024.100894","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Authors. 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