JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Apr 2006
Comparative Study Clinical TrialReduction of acute anterior shoulder dislocations: comparing intraarticular lignocaine with intravenous anesthesia.
Anterior shoulder dislocation is the most common dislocation in the body. Various methods of anesthesia are available for reduction. The objective of this study was to compare the application of intra-articular anesthesia with intravenous anesthesia for reduction of acute anterior shoulder dislocation. ⋯ However, in the intra-articular group the average time taken from injection to reduction was significantly longer (<.001). The use of intra-articular lignocaine for reduction of shoulder dislocation is safe and effective especially when patients present early. In patients presenting late (more than 5 hours) intravenous anesthesia should be primarily considered as the method for shoulder reduction.