Ultrasound-guided low-volume anterior suprascapular nerve block for reduction of anterior shoulder dislocation in the emergency department: A case series
Chitta Ranjan Mohanty1
, Anju Gupta2, Rakesh Vadakkethil Radhakrishnan3, Neha Singh4, Saroj Kumar Patra1
1Department of Trauma and Emergency, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
2Department of Anaesthesia, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India
3Department of College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
4Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
Keywords: Anterior shoulder dislocation, emergency department, pain, suprascapular nerve
Abstract
Anterior shoulder dislocation (ASD) is the most common type of dislocation presented to the emergency department (ED) with severe pain and limitation of range of movement. Procedural sedation and analgesia are commonly used for ASD, but regional techniques are gaining popularity. Interscalene brachial plexus block is effective but has several limitations. Suprascapular nerve block (SSNB) has been explored for this indication. The SSNB is commonly performed using the posterior approach in a sitting position and can be technically difficult in dislocated patients. Recently, anterior subomohyoid approach performed in the lower neck has been described but has not yet been reported in the ED. We, hereby, report our experience of using low volume ultrasound guided anterior SSNB for procedural analgesia in 10 patients with ASD.
How to cite this article: Mohanty CR, Gupta A, Radhakrishnan RV, Singh N, Patra SK. Ultrasoundguided low-volume anterior suprascapular nerve block for reduction of anterior shoulder dislocation in the emergency department: A case series. Turk J Emerg Med 2023;23:254-7.
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patients have given their consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
CRM: Conceptualization (lead); Methodology (lead); Software and investigation (lead); Formal analysis; Writing – original draft (lead); Supervision, Project administration. AG: Methodology (support); Data curation; Writing – original draft (lead); Writing – review and editing; Visualization. RVR: Methodology (support); Software and investigation (support); Writing – original draft (lead); Visualization. NS: Methodology (support); Investigation (Support); Resources; Writing – original draft (support); Writing – review and editing. SKP: Software and investigation (support); Writing – review, and editing; Visualization. CRM did the overall supervision of the whole study and all authors made a substantial contribution. All authors have read and agree to the content of the final manuscript.
Not declared.
None declared.