Comparison of intra-articular lidocaine and intravenous sedation for reduction of shoulder dislocations: randomized, prospective study
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چکیده
Study population The study population comprised patients aged between 18 and 70 years with an acute anterior shoulder dislocation. The exclusion criteria were multiple trauma, an associated fracture (except a Hill-Sachs compression defect) of the glenoid or tuberosities, open growth plates, a history of allergic reactions to the medications used in the study, and the inability to be placed in the prone position.
منابع مشابه
Comparison of intra-articular lidocaine and intravenous sedation for reduction of shoulder dislocations: a randomized, prospective study.
BACKGROUND Acute anterior glenohumeral dislocations have been commonly treated with closed reduction and the use of intravenous sedation. Recently, the use of intra-articular lidocaine has been advocated as an alternative to sedation, since intravenous access and patient monitoring are not required. The purpose of this study was to evaluate the value of local anesthesia compared with that of th...
متن کاملIntra-articular Lidocaine Injection for Shoulder Reductions
CONTEXT The shoulder is the most commonly dislocated joint, and shoulder dislocations are very common in sports. Many of these dislocations present to the office or training room for evaluation. Usual practice is an attempt at manual reduction without analgesia and then transfer to the emergency department if unsuccessful. The clinical efficacy of intra-articular lidocaine for reduction of ante...
متن کاملChondrotoxic effects of intra-articular anesthetics in shoulders
With great interest we read the article of Kashani and colleagues “Intra-articular lidocaine versus intravenous sedative and analgesic for reduction of anterior shoulder dislocation”.1 This article that has been recently published in your journal describes the interesting results of a randomized controlled trial that compared intraarticular lidocaine with intravenous sedation for the treatment ...
متن کاملIntra-articular block compared with conscious sedation for closed reduction of ankle fracture-dislocations. A prospective randomized trial.
BACKGROUND Ankle fracture-dislocations require urgent reduction to protect the soft tissues, to minimize articular injury, and to allow swelling to decrease. Conscious sedation is commonly used to provide analgesia for closed reduction of this injury. We hypothesized that an intra-articular block of the ankle would provide similar analgesia and the ability to reduce the ankle with a lower risk ...
متن کاملEffectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial.
CONTEXT AND OBJECTIVE Shoulder dislocation is the most common dislocation among the large joints. The aim here was to compare the effectiveness of reduction of acute anterior shoulder dislocation with or without articular anesthesia. DESIGN AND SETTING Prospective randomized trial conducted in Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-Unifesp). METHODS From March 2...
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تاریخ انتشار 2017