What the study found
The pericapsular nerve group (PENG) block was associated with better postoperative pain control and lower opioid use in patients undergoing hip arthroscopy, especially when compared with no peripheral nerve block.
Why the authors say this matters
The authors conclude that the findings suggest the PENG block may be a useful option for improving postoperative pain control and reducing opioid consumption after hip arthroscopy. They particularly emphasize its benefit compared with not giving a peripheral nerve block.
What the researchers tested
The researchers conducted a systematic literature review in July 2025 following PRISMA guidelines, searching PubMed, Cochrane Central, and Scopus. They included primary studies on hip arthroscopy patients receiving PENG blocks and assessed study quality with the Cochrane Risk-of-Bias Tool 2 for randomized controlled trials and MINDR criteria for nonrandomized studies.
What worked and what didn't
Eleven studies including 386 patients were included. Five studies found significantly lower opioid consumption with PENG blocks, while three found no significant difference; postanesthesia care unit opioid reductions ranged from 0 to 2 mg morphine equivalents. Pain scores were significantly lower in 5 of 6 studies compared with no nerve block, and PENG blocks showed significant pain benefit versus fascia iliaca block but not versus other nerve blocks. PENG blocks also reduced postanesthesia care unit stay in 5 studies by an average of 28 to 60 minutes compared with no nerve block.
What to keep in mind
The review included a small total sample across 11 studies, and the abstract does not provide details on why some studies showed no significant opioid benefit. The summary also does not describe all study limitations beyond noting that the review combined Level I and Level III studies.
Key points
- The PENG block was linked to better postoperative pain control after hip arthroscopy.
- Five studies found significantly lower opioid consumption with PENG blocks, while three found no significant difference.
- Pain scores were lower in 5 of 6 studies when PENG blocks were compared with no nerve block.
- PENG blocks reduced postanesthesia care unit stay in 5 studies by 28 to 60 minutes on average.
- The review included 11 studies and 386 patients.
Disclosure
- Research title:
- PENG block improved pain control after hip arthroscopy
- Image credit:
- Photo by Alexas_Fotos on Pixabay
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