The Role of Regional Anesthesia in Surgeries for Shoulder Fractures

Shoulder fractures are common orthopedic injuries that frequently require surgical management. The choice of anesthesia significantly influences intraoperative safety, postoperative analgesia, and rehabilitation outcomes. Regional anesthesia, particularly brachial plexus blocks, has gained increasing attention due to its targeted analgesia, reduced systemic effects, and improved patient satisfaction compared to general anesthesia.
To analyze the role, effectiveness, advantages, and limitations of regional anesthesia techniquesin shoulder fracture surgeries.
Methods: This review summarizes recent studies, clinical guidelines, and meta-analyses on interscalene, supraclavicular, and infraclavicular blocks. It evaluates their indications, perioperative benefits, complications, and influence on postoperative recovery and rehabilitation.
Regional anesthesia provides superior intraoperative pain control, reduces the need for general anesthesia, facilitates surgical procedures through muscle relaxation, and prolongs postoperative analgesia. Complication rates are minimal with ultrasound guidance. Additional benefits include reduced opioid consumption, faster mobilization, and increased overall patient satisfaction.
Regional anesthesia plays a pivotal role in shoulder fracture surgeries, especially in high-risk patients. Its advantages in pain control, surgical conditions, and postoperative recovery make it a preferred choice. Continued research and standardized protocols are recommended to maximize safety and efficacy.