@entity616 has been used to provide @entity158 relief for many procedures on the hand and wrist but its role in arthroscopy of the wrist remains unexplored. Chondrotoxicity has been a concern with the intra-articular infiltration of local anaesthetic. We aimed to evaluate and compare the analgesic effect of portal and wrist joint infiltration with a wrist block on the @entity158 experienced by @entity1 after arthroscopy of the wrist. A prospective, randomised, double-blind trial was designed and @entity1 undergoing arthroscopy of the wrist under general anaesthesia as a day case were recruited for the study. @entity1343 was used for both techniques. The effects were evaluated using a ten-point visual analogue scale, and the use of analgesic agents was also compared. The primary outcomes for statistical analyses were the mean @entity158 scores and the use of @entity1337 post-operatively. A total of 34 @entity1 (63% females) were recruited to the portal and joint infiltration group and 32 @entity1 (59% males) to the wrist block group. Mean age was 40.8 years in the first group and 39.7 years in the second group (p > 0.05). Both techniques provided effective @entity158 relief in the first hour and 24 hours post-operatively but wrist block gave better @entity158 scores at bedtime on the day of surgery (p = 0.007) and at 24 hours post-operatively (p  =  0.006). @entity616 provides better and more reliable @entity1337 in @entity1 undergoing arthroscopy of the wrist without exposing @entity1 to the risk of chondrotoxicity. Cite this article: Bone Joint J 2015;97-B:1250-6.

Intra-articular and portal infiltration versus wrist block for XXXX after arthroscopy of the wrist: a prospective RCT.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity1343 :: ('MESH:C476513', 'Chemical') :: ['Levo-bupivacaine'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity616 :: ('MESH:D006327', 'Disease') :: ['Wrist block']
@entity1337 :: (MESH:D000699,Disease) :: ['analgesia']
