Abstract
Abstract Background: To facilitate shoulder reduction and shorten time from shoulder dislocation to reduction, we started in 2014 a protocol for ultrasound-guided interscalene block (UGIB) in pure shoulder dislocation
Highlights
IntroductionPlenty of different reduction techniques and recommendations for muscle relaxation or procedural sedation in shoulder dislocation (SD) exist
Since antero-inferior shoulder dislocation is the most common joint dislocation, it is a common cause for presentation at the emergency department (ED)
In 2014 we introduced a protocol for ultrasound guided interscalene block (UGIB) in a SD, Posterior dislocation (pSD) and shoulder dislocation with greater tuberosity fracture (DF) at our ED
Summary
Plenty of different reduction techniques and recommendations for muscle relaxation or procedural sedation in shoulder dislocation (SD) exist. Most patients with aSD, especially combined with a greater tuberosity fracture, are in a very painful condition and hardly able to relax their contracted rotator cuff. To loosen this muscular tension and avoid further compromising of the glenohumeral joint, several possibilities exist. Intravenous procedural sedation (PS) is frequently used in the ED [6]. Since these patients often have a high sympathic strain; higher doses for sedation are required. To facilitate shoulder reduction and shorten time from shoulder dislocation to reduction, we started in 2014 a protocol for ultrasound-guided interscalene block (UGIB) in pure shoulder dislocation as well as dislocation with greater tuberosity fracture and dislocated shoulder arthroplasty
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