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Use of infiltrative anesthesia in acute anterior dislocation of shoulder
, 2, 3, 3
Affiliations- Antalya Bilim University, Antalya, Türkiye
- Van Akdamar Private Hospital, Van, Türkiye
- Department of Orthopaedics and Traumatology, Ufuk University Faculty of Medicine, Ankara, Türkiye
open access
Abstract
BACKGROUND: To evaluate the results of infiltrative anesthesia for manual closed reduction of acute primary anterior shoulder dislocation. MATERIAL AND METHODS: A total of 55 adults with acute anterior dislocation of shoulder who were treated with Hippocratic maneuver were evaluated. Infiltrative anesthesia was applied directly to the deltoid muscle from two anatomic locations in anterolateral and posterolateral of the shoulder with prilocaine hydrochloride and bupivacaine (Citanest® + Marcaine®) was applied to all patients. All patients’ reductions were made by the same orthopaedic surgeon. Visual Analog Scale (VAS) of pain was applied to all subjects for evaluating the pain in management after the treatment. Demographic and clinical data, time of duration for reduction, and duration of hospitalization were recorded. RESULTS: Mean age was 57.9 ± 4.5 years, 22% were women. The reduction was completed with the mean duration of 1.0 ± 0.3 minutes after applying infiltrative anesthesia. The mean VAS scores of the patients used infiltrative anesthesia were 4.6 which indicated moderate pain. The treatment was completed in the emergency room so that patients could be discharged after reduction in the emergency department. No recurrence and complications were observed in the one-year follow-up period. CONCLUSION: Our study showed that infiltrative anesthesia, in addition to its easy management by orthopaedic surgeons, allows successful and fast reduction by avoiding difficulties caused by the contraction of the deltoid muscle without necessitating sedoanalgesia or general anesthesia.
Abstract
BACKGROUND: To evaluate the results of infiltrative anesthesia for manual closed reduction of acute primary anterior shoulder dislocation. MATERIAL AND METHODS: A total of 55 adults with acute anterior dislocation of shoulder who were treated with Hippocratic maneuver were evaluated. Infiltrative anesthesia was applied directly to the deltoid muscle from two anatomic locations in anterolateral and posterolateral of the shoulder with prilocaine hydrochloride and bupivacaine (Citanest® + Marcaine®) was applied to all patients. All patients’ reductions were made by the same orthopaedic surgeon. Visual Analog Scale (VAS) of pain was applied to all subjects for evaluating the pain in management after the treatment. Demographic and clinical data, time of duration for reduction, and duration of hospitalization were recorded. RESULTS: Mean age was 57.9 ± 4.5 years, 22% were women. The reduction was completed with the mean duration of 1.0 ± 0.3 minutes after applying infiltrative anesthesia. The mean VAS scores of the patients used infiltrative anesthesia were 4.6 which indicated moderate pain. The treatment was completed in the emergency room so that patients could be discharged after reduction in the emergency department. No recurrence and complications were observed in the one-year follow-up period. CONCLUSION: Our study showed that infiltrative anesthesia, in addition to its easy management by orthopaedic surgeons, allows successful and fast reduction by avoiding difficulties caused by the contraction of the deltoid muscle without necessitating sedoanalgesia or general anesthesia.
Keywords
acute, shoulder dislocation, infiltrative anesthesia, emergency
About this articleTitle
Use of infiltrative anesthesia in acute anterior dislocation of shoulder
Journal
Disaster and Emergency Medicine Journal
Issue
Article type
Research paper
Pages
70-74
Published online
2021-05-31
Page views
490
Article views/downloads
458
DOI
Bibliographic record
Disaster Emerg Med J 2021;6(2):70-74.
Keywords
acute
shoulder dislocation
infiltrative anesthesia
emergency
Authors
Murat Koken
Ahmet Hakan Kara
Cem Guneri
Berk Guclu
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