Successful reductions of anterior shoulder dislocations using intra articular lidocaine injection
Abstract
Objective: To find out the frequency of successful reductions in acute anterior shoulder dislocations after the use of intra-articular lidocaine injection.
Methodology: This study (case series) was conducted in Emergency Department of Civil Hospital Karachi from July 2009 to January 2010. Patients with acute anterior shoulder dislocation (diagnosed with examination and X-Rays) were reduced in emergency department by Hippocratic method after infiltration of 1% Lidocaine in the affected shoulder joint. Reduction was confirmed by post reduction shoulder X-Rays. Frequency of successful reduction and complications were recorded.
Results: Majority of the patients (34.3%) were between 18-30 years of age group with mean age of 40.14 (±15.14) years. Males were affected more than females with male to female ratio being 2.9:1. They commonly had predominant right shoulder dislocation (71.4%). Successful reduction was achieved in 32 (91.4%) patients after infiltration of 1% lidocaine injection. No complication was recorded.
Conclusion: Use of intra-articular lidocaine for reduction of shoulder joint appears to be a safe and effective method and associated with successful reduction in majority of cases.
Methodology: This study (case series) was conducted in Emergency Department of Civil Hospital Karachi from July 2009 to January 2010. Patients with acute anterior shoulder dislocation (diagnosed with examination and X-Rays) were reduced in emergency department by Hippocratic method after infiltration of 1% Lidocaine in the affected shoulder joint. Reduction was confirmed by post reduction shoulder X-Rays. Frequency of successful reduction and complications were recorded.
Results: Majority of the patients (34.3%) were between 18-30 years of age group with mean age of 40.14 (±15.14) years. Males were affected more than females with male to female ratio being 2.9:1. They commonly had predominant right shoulder dislocation (71.4%). Successful reduction was achieved in 32 (91.4%) patients after infiltration of 1% lidocaine injection. No complication was recorded.
Conclusion: Use of intra-articular lidocaine for reduction of shoulder joint appears to be a safe and effective method and associated with successful reduction in majority of cases.
Refbacks
- There are currently no refbacks.
