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Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis

Prosthetic hip dislocation is a common but unfortunate complication in patients who have undergone total hip arthroplasty. Successful closed reduction in the emergency department leads to a reduced length of stay and rate of hospitalization.1,2 The use of regional anesthesia by femoral nerve block r...

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Autores principales: Carlin, Edward, Stankard, Brendon, Voroba, Ashley, Nelson, Mathew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965208/
https://www.ncbi.nlm.nih.gov/pubmed/29849332
http://dx.doi.org/10.5811/cpcem.2017.7.34328
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author Carlin, Edward
Stankard, Brendon
Voroba, Ashley
Nelson, Mathew
author_facet Carlin, Edward
Stankard, Brendon
Voroba, Ashley
Nelson, Mathew
author_sort Carlin, Edward
collection PubMed
description Prosthetic hip dislocation is a common but unfortunate complication in patients who have undergone total hip arthroplasty. Successful closed reduction in the emergency department leads to a reduced length of stay and rate of hospitalization.1,2 The use of regional anesthesia by femoral nerve block represents a novel approach for controlling pain in patients with hip pathologies.3 Ultrasound-guided approaches have been used with great success for controlling pain in patients with hip fractures.4,5 Here we report the case of a 90-year-old male who presented with a dislocated hip prosthesis, which was subsequently corrected with closed reduction following delivery of regional anesthesia to the femoral nerve under ultrasound guidance. To our knowledge, this represents the first reported use of an ultrasound-guided femoral nerve block to facilitate closed reduction of a dislocated prosthetic hip, and highlights a novel approach that avoids the use of procedural sedation in an elderly patient.
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spelling pubmed-59652082018-05-30 Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis Carlin, Edward Stankard, Brendon Voroba, Ashley Nelson, Mathew Clin Pract Cases Emerg Med Case Report Prosthetic hip dislocation is a common but unfortunate complication in patients who have undergone total hip arthroplasty. Successful closed reduction in the emergency department leads to a reduced length of stay and rate of hospitalization.1,2 The use of regional anesthesia by femoral nerve block represents a novel approach for controlling pain in patients with hip pathologies.3 Ultrasound-guided approaches have been used with great success for controlling pain in patients with hip fractures.4,5 Here we report the case of a 90-year-old male who presented with a dislocated hip prosthesis, which was subsequently corrected with closed reduction following delivery of regional anesthesia to the femoral nerve under ultrasound guidance. To our knowledge, this represents the first reported use of an ultrasound-guided femoral nerve block to facilitate closed reduction of a dislocated prosthetic hip, and highlights a novel approach that avoids the use of procedural sedation in an elderly patient. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017-10-06 /pmc/articles/PMC5965208/ /pubmed/29849332 http://dx.doi.org/10.5811/cpcem.2017.7.34328 Text en © 2017 Nelson et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Carlin, Edward
Stankard, Brendon
Voroba, Ashley
Nelson, Mathew
Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis
title Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis
title_full Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis
title_fullStr Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis
title_full_unstemmed Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis
title_short Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis
title_sort ultrasound-guided femoral nerve block to facilitate the closed reduction of a dislocated hip prosthesis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965208/
https://www.ncbi.nlm.nih.gov/pubmed/29849332
http://dx.doi.org/10.5811/cpcem.2017.7.34328
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