Affiliation:
1. MS, Ortho, Assistant Professor, Hospital for Bone and Joint Surgery, GMC Srinagar, Jammu and Kashmir India
2. MS, Ortho, Registrar Orthopaedics, Hospital for Bone and Joint Surgery, GMC Srinagar, Jammu and Kashmir India
3. MS, Ortho, Registrar Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India.
Abstract
Background:Acute anterior shoulder dislocation needs prompt reduction to provide pain relief. The ideal reduction method should be simple, fast,
effective and non- traumatic, with minimal pain, and should not cause further injury to the affected shoulder. Intra-articular lignocaine has been
advocated as a means of providing analgesia and subsequent relaxation to the patient.Aim: To assess the efciency of intraarticular lignocaine for
reduction of anterior shoulder dislocations. Patients s & Methods: Thirty cases of acute anterior shoulder dislocation were reduced using intraarticular local lignocaine injection as a method of analgesia by Rockwood's traction and counter traction method. Ten to Fifteen ml of 1%
lignocaine was injected into the glenohumeral joint through a 20 gauge, 35-mm needle. Approximately ten to fteen minutes were allowed for the
local anaesthetic to take effect before any manipulation of the shoulder was attempted. Results: The mean age was 37.2years±18.23 SD with
majority of patients in age group of 20 to 40 years. 80% of patients were females. Among thirty patients studied 28 (93.3 %) had primary
dislocation and in 18 patients (60 %) dominant shoulder was dislocated. Majority of the dislocations were reduced within 6 hours of injury. Pain
assessed through application of a Visual Analog Scale during the maneuver revealed scores ranging from two to eight with mean score of 4.39 ±
1.46 SD (p value 0.049). Conclusion: We conclude method is not only safe and effective but also reduces hospital stay and has negligible adverse
effects making it a popular choice for most orthopedists.
Subject
General Economics, Econometrics and Finance,General Social Sciences,Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health,Multidisciplinary,General Chemical Engineering,Law,Surfaces, Coatings and Films,General Energy,Mechanical Engineering,Industrial and Manufacturing Engineering,Strategy and Management,Computer Science Applications,Industrial relations,Management Information Systems,Marketing,General Engineering,Developmental and Educational Psychology,Education,Engineering (miscellaneous),Instrumentation
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