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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...

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Autores principales: Tamaoki, Marcel Jun Sugawara, Faloppa, Flavio, Wajnsztejn, André, Archetti, Nicola, Matsumoto, Marcelo Hide, Belloti, João Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Paulista de Medicina - APM 2013
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.
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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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