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Effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial
CONTEXT AND OBJECTIVE: Shoulder dislocation is the most common dislocation among the large joints. The aim here was to compare the effectiveness of reduction of acute anterior shoulder dislocation with or without articular anesthesia. DESIGN AND SETTING: Prospective randomized trial conducted in Esc...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Paulista de Medicina - APM
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522322/ https://www.ncbi.nlm.nih.gov/pubmed/23338733 http://dx.doi.org/10.1590/S1516-31802012000600003 |
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author | Tamaoki, Marcel Jun Sugawara Faloppa, Flavio Wajnsztejn, André Archetti, Nicola Matsumoto, Marcelo Hide Belloti, João Carlos |
author_facet | Tamaoki, Marcel Jun Sugawara Faloppa, Flavio Wajnsztejn, André Archetti, Nicola Matsumoto, Marcelo Hide Belloti, João Carlos |
author_sort | Tamaoki, Marcel Jun Sugawara |
collection | PubMed |
description | CONTEXT AND OBJECTIVE: Shoulder dislocation is the most common dislocation among the large joints. The aim here was to compare the effectiveness of reduction of acute anterior shoulder dislocation with or without articular anesthesia. DESIGN AND SETTING: Prospective randomized trial conducted in Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-Unifesp). METHODS: From March 2008 to December 2009, 42 patients with shoulder dislocation were recruited. Reductions using traction-countertraction for acute anterior shoulder dislocation with and without lidocaine articular anesthesia were compared. As the primary outcome, pain was assessed through application of a visual analogue scale before reduction, and one and five minutes after the reduction maneuver was performed. Complications were also assessed. RESULTS: Forty-two patients were included: 20 in the group without analgesia (control group) and 22 in the group that received intra-articular lidocaine injection. The group that received intra-articular lidocaine had a statistically greater decrease in pain over time than shown by the control group, both in the first minute (respectively: mean 2.1 (0 to 5.0), standard deviation, SD 1.3, versus mean 4.9 (2.0 to 7.0, SD 1.5; P < 0.001) and the fifth minute (respectively: mean 1.0; 0 to 3.0; SD = 1.0 versus mean 4.0; 1.0 to 6.0; SD = 1.4; P < 0.001). There was one failure in the control group. There were no other complications in either group. CONCLUSION: Reduction of anterior shoulder dislocation using intra-articular lidocaine injection is effective, since it is safe and diminishes the pain. CLINICAL TRIAL REGISTRATION: ISRCTN27127703. |
format | Online Article Text |
id | pubmed-10522322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Associação Paulista de Medicina - APM |
record_format | MEDLINE/PubMed |
spelling | pubmed-105223222023-09-27 Effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial Tamaoki, Marcel Jun Sugawara Faloppa, Flavio Wajnsztejn, André Archetti, Nicola Matsumoto, Marcelo Hide Belloti, João Carlos Sao Paulo Med J Original Article CONTEXT AND OBJECTIVE: Shoulder dislocation is the most common dislocation among the large joints. The aim here was to compare the effectiveness of reduction of acute anterior shoulder dislocation with or without articular anesthesia. DESIGN AND SETTING: Prospective randomized trial conducted in Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-Unifesp). METHODS: From March 2008 to December 2009, 42 patients with shoulder dislocation were recruited. Reductions using traction-countertraction for acute anterior shoulder dislocation with and without lidocaine articular anesthesia were compared. As the primary outcome, pain was assessed through application of a visual analogue scale before reduction, and one and five minutes after the reduction maneuver was performed. Complications were also assessed. RESULTS: Forty-two patients were included: 20 in the group without analgesia (control group) and 22 in the group that received intra-articular lidocaine injection. The group that received intra-articular lidocaine had a statistically greater decrease in pain over time than shown by the control group, both in the first minute (respectively: mean 2.1 (0 to 5.0), standard deviation, SD 1.3, versus mean 4.9 (2.0 to 7.0, SD 1.5; P < 0.001) and the fifth minute (respectively: mean 1.0; 0 to 3.0; SD = 1.0 versus mean 4.0; 1.0 to 6.0; SD = 1.4; P < 0.001). There was one failure in the control group. There were no other complications in either group. CONCLUSION: Reduction of anterior shoulder dislocation using intra-articular lidocaine injection is effective, since it is safe and diminishes the pain. CLINICAL TRIAL REGISTRATION: ISRCTN27127703. Associação Paulista de Medicina - APM 2013-01-18 /pmc/articles/PMC10522322/ /pubmed/23338733 http://dx.doi.org/10.1590/S1516-31802012000600003 Text en https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons license. |
spellingShingle | Original Article Tamaoki, Marcel Jun Sugawara Faloppa, Flavio Wajnsztejn, André Archetti, Nicola Matsumoto, Marcelo Hide Belloti, João Carlos Effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial |
title | Effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial |
title_full | Effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial |
title_fullStr | Effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial |
title_full_unstemmed | Effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial |
title_short | Effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial |
title_sort | effectiveness of intra-articular lidocaine injection for reduction of anterior shoulder dislocation: randomized clinical trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522322/ https://www.ncbi.nlm.nih.gov/pubmed/23338733 http://dx.doi.org/10.1590/S1516-31802012000600003 |
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