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J Emerg Med ; 63(2): 265-271, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-36045024

RESUMEN

BACKGROUND: Anterior shoulder dislocation is a common presentation to the emergency department (ED). Dislocations are spontaneous or traumatic. Generally, a reduction is performed under procedural sedation and analgesia (PSA). Other approaches include the use of intra-articular lidocaine or, in rare instances, nerve blocks. Here we discuss the case of a 66-year-old female patient who presented with left shoulder pain and limited range of motion after a fall. After discussing potential treatment options to reduce the dislocation, the patient agreed to a nerve block. DISCUSSION: The dislocation was reduced successfully with a suprascapular nerve block (SSNB) without complications. The duration of the patient's ED stay was shorter than those who had received PSA. CONCLUSIONS: SSNB could be an alternative method for shoulder dislocation reduction, particularly for patients who are obese, older, or have cardiopulmonary comorbidities.


Asunto(s)
Bloqueo Nervioso , Luxación del Hombro , Anciano , Anestésicos Locales/uso terapéutico , Femenino , Humanos , Lidocaína/farmacología , Lidocaína/uso terapéutico , Bloqueo Nervioso/métodos , Hombro , Luxación del Hombro/complicaciones , Luxación del Hombro/terapia , Dolor de Hombro/etiología , Dolor de Hombro/terapia
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