Use of infiltrative anesthesia in acute anterior dislocation of shoulder
Tarih
2021Yazar
Köken, Murat
Kara, Ahmet Hakan
Güneri, Cem
Güçlü, Berk
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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.