[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-448055-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-448055-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","comparison-of-the-effectiveness-of-fascia-iliaca-compartment-block-for-preoperative-pain-relief-in-patients-with-intracapsular-or-extracapsular-hip-fractures","Comparison of the Effectiveness of Fascia Iliaca Compartment Block for Preoperative Pain Relief in Patients With Intracapsular or Extracapsular Hip Fractures","","Hip fractures are categorized as intracapsular (ICF) or extracapsular (ECF), and preoperative pain control is complex and clinically important. This retrospective single-center cohort study evaluated preoperative analgesia using fascia iliaca compartment block (FICB) in ICF versus ECF patients. Numeric Rating Scale (NRS) scores were compared at two post-block time points while adjusting for baseline NRS, prehospital opioid use, and time interval. Opioid use during the first 24 hours after FICB was also assessed.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/comparison-of-the-effectiveness-of-fascia-iliaca-compartment-block-for-preoperative-pain-relief-in-patients-with-intracapsular-or-extracapsular-hip-fractures/448055/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/comparison-of-the-effectiveness-of-fascia-iliaca-compartment-block-for-preoperative-pain-relief-in-patients-with-intracapsular-or-extracapsular-hip-fractures/448055.png","ImageObject",300,407,{"name":42,"@type":43},"Hazel","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How were intracapsular (ICF) and extracapsular (ECF) hip fractures defined in this study?","Question",{"text":63,"@type":64},"ICF refers to femoral neck fractures, while ECF includes intertrochanteric, pertrochanteric, and subtrochanteric fractures. The study compared FICB outcomes across these two fracture types.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What outcomes were used to evaluate preoperative pain relief after FICB?",{"text":68,"@type":64},"Pain relief was assessed using Numeric Rating Scale (NRS) scores at two time points after FICB. The analysis adjusted for baseline NRS, prehospital opioid use, and the time interval between FICB and NRS measurement.",{"name":70,"@type":61,"acceptedAnswer":71},"Did FICB lead to different pain relief or opioid use between ICF and ECF patients?",{"text":72,"@type":64},"No statistically significant difference was found between groups for preoperative pain relief after FICB. Opioid use within the first 24 hours after FICB also showed no significant difference between ICF and ECF patients.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},448055,1790816949,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":116,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},137441390410,"https://ap-avatar.wpscdn.com/avatar/2000252f4ab5702993?_k=1776741390130283984","| Comparison of the Effectiveness of Fascia Iliaca Compartment Block for Preoperative Pain Relief in Patients With Intracapsular or Extracapsular Hip Fractures | Geriatric Orthopaedic Surgery & Rehabilitation\u003Cbr>Volume 17: 1-9 © The Author(s) 2026 Article reuse guidelines:\u003Cbr>[sagepub.com/journals-permissions](sagepub.com/journals-permissions)[ ](sagepub.com/journals-permissions)[DOI: 10.1177/21514593251413152](DOI: 10.1177/21514593251413152)\u003Cbr>[journals.sagepub.com/home/gos](journals.sagepub.com/home/gos)\u003Cbr>\u003Cbr>|\n| --- | --- |\n| Elke Stenvers, MD 1 􀀁, Layla Dijkerman, MD1, Bram P.A. Schop, MD2, Ingrid M. Nijholt, PhD3,4, Roelina Munnik-Hagewoud, PhD 1, and Rutger G. Zuurmond, MD, PhD 1\u003Cbr>Abstract\u003Cbr>Introduction: Hip fractures can be divided into intracapsular(ICF) and extracapsular(ECF) fractures. Preoperative pain management of hip fractures is important and complex. Fascia Iliaca Compartment Block(FICB) is proven effective in reducing pain. The effectiveness may vary depending on the location of the hip fracture, given the complex nerve innervation of the hip joint. To our knowledge, the difference in effect of pre-operative FICB across the various types of hip fractures has not yet been investigated. This study compared pre-operative pain management with FICB in ICF and ECF patients.\u003Cbr>Methods: This retrospective, single center cohort study included patients(>50 years) with ICF or ECF and preoperative FICB. Numeric Rating Scale(NRS) scores at 2 time points after FICB were compared, adjusting for baseline NRS, potential confounding by prehospital opioid use and time interval between FICB and NRS-score. Also preoperative opioids use 24 hours after FICB was compared.\u003Cbr>Results: 183 patients were included; 94 ICF and 89 ECF patients. Both groups had comparable demographics(age and gender) and baseline characteristics, except for pre-injury home opioid use, which was significantly higher in the ECF patient group. NRS score before FICB-administration was 4.610(SD1.634; ICF) and 4.870(SD1.746;ECF P = 0.302) and did not differ between groups. NRS scores decreased significantly after FICB, with no significant difference between the groups: ICF: 2.900(SD1.522) and 2.360(SD1.574) and ECF 2.920(SD1.817;P = 0.834) and 2.960(SD1.938;P = 0.093) for the first and second NRS scores after FICB respectively. There was no confounding or effect modification. Opioid use in the first 24hrs after FICB was not significantly different in both groups.\u003Cbr>Conclusion: There was no statistically significant difference in preoperative pain relief provided by FICB in patients with intracapsular or extracapsular hip fractures. The FICB had great value as a regional pain block at the emergency department for both types of frail hip fracture patients. |  |\n| 1 Department of Orthopedic Surgery, Isala Clinics, Zwolle, The Netherlands\u003Cbr>2Department of Orthopedic Surgery, University Medical Centre Groningen, Groningen, The Netherlands 3Department of Innovation and Science, Isala Clinics, Zwolle, The Netherlands\u003Cbr>4Department of Radiology and Nuclear Medicine, Isala Clinics, Zwolle, The Netherlands\u003Cbr>Corresponding Author:\u003Cbr>Elke Stenvers, Department of Orthopedic Surgery, Isala Clinics, Dokter van Heesweg 2, Zwolle 8025 AB, The Netherlands. Emails: [e.stenvers@isala.nl](e.stenvers@isala.nl); [onderzoek.orthopedie@isala.nl](onderzoek.orthopedie@isala.nl) |  |\n\nCreative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons  \nAttribution-NonCommercial 4.0 License ([https://creativecommons.org/licenses/by-nc/4.0/](https://creativecommons.org/licenses/by-nc/4.0/)) which permits non-commercial use,  \nreproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ([https://us.sagepub.com/en-us/nam/open-access-at-sage](https://us.sagepub.com/en-us/nam/open-access-at-sage)).  \nKeywords  \nFascia-Iliaca compartment block, intracapsul","cbCaioYk8Valtyjp","https://ap.wps.com/l/cbCaioYk8Valtyjp","pdf",846816,"English","# Abstract\n# Introduction\n## Hip Fractures\n## Pain Management\n# Methods\n# Results\n# Conclusion","[{\"question\":\"How were intracapsular (ICF) and extracapsular (ECF) hip fractures defined in this study?\",\"answer\":\"ICF refers to femoral neck fractures, while ECF includes intertrochanteric, pertrochanteric, and subtrochanteric fractures. The study compared FICB outcomes across these two fracture types.\"},{\"question\":\"What outcomes were used to evaluate preoperative pain relief after FICB?\",\"answer\":\"Pain relief was assessed using Numeric Rating Scale (NRS) scores at two time points after FICB. The analysis adjusted for baseline NRS, prehospital opioid use, and the time interval between FICB and NRS measurement.\"},{\"question\":\"Did FICB lead to different pain relief or opioid use between ICF and ECF patients?\",\"answer\":\"No statistically significant difference was found between groups for preoperative pain relief after FICB. Opioid use within the first 24 hours after FICB also showed no significant difference between ICF and ECF patients.\"}]","Comparison of the Effectiveness of Fascia Iliaca Compartment Block for Preoperative Pain Relief in Patients With Intracapsular or Extracapsular Hip Fractures | PDF",1790724939,23]