Abstract
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.
Keywords
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Article info
Publication history
Published online: May 13, 2022
Accepted:
April 23,
2022
Received in revised form:
April 4,
2022
Received:
November 11,
2021
Footnotes
Streaming video: Three brief real-time video clips that accompany this article are available in streaming video at www.journals.elsevierhealth.com/periodicals/jem. Click on Video Clips 1, 2, and 3.
Identification
Copyright
© 2022 Published by Elsevier Inc.
