• J Emerg Med · Aug 2022

    Case Reports

    The Use of a Suprascapular Nerve Block to Facilitate the Reduction of an Anterior Shoulder Dislocation: An Alternative for Elderly and Patients With Cardiopulmonary Comorbidities?

    • Getaw Worku Hassen, Dahlia Bergmann-Dumont, Anisha Duvvi, Samantha Sudol, Danny Choy, Theresa Yeo, Avinash Viswanath, Estrella Roffe, Cei Lim Kim, Ali Elnatour, Mauricio Gonzalez Arias, and Hossein Kalantari.
    • Department of Emergency Medicine, New York Medical College (NYMC), Metropolitan Hospital Center, New York, New York.
    • J Emerg Med. 2022 Aug 1; 63 (2): 265271265-271.

    BackgroundAnterior 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.DiscussionThe 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.ConclusionsSSNB could be an alternative method for shoulder dislocation reduction, particularly for patients who are obese, older, or have cardiopulmonary comorbidities.Copyright © 2022. Published by Elsevier Inc.

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