Ultrasound-guided low-volume anterior suprascapular nerve block for reduction of anterior shoulder dislocation in the emergency department: A case series.

超声引导下小容量肩胛上前神经阻滞在急诊肩关节前脱位复位中的应用 ： 病例系列。

• 发表时间: 2023 Oct-Dec
• 来源期刊: Turk J Emerg Med
• DOI: 10.4103/tjem.tjem_319_22
• PMID: 38024194
• 文章类型: Case Reports
• 作者列表: Mohanty CR,Gupta A,Radhakrishnan RV,Singh N,Patra SK

关键词: 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.

摘要

肩关节前脱位（ASD）是急诊科（ED）最常见的脱位类型，疼痛严重，活动范围有限。程序镇静和镇痛通常用于ASD，但是区域技术越来越受欢迎。肌间沟臂丛神经阻滞是有效的，但有一些局限性。已经探索了肩胛骨上神经阻滞（SSNB）的适应症。SSNB通常使用坐姿的后部入路进行，并且在脱臼患者中在技术上可能很困难。最近,已经描述了在下颈部进行的前舌骨下入路，但在ED中尚未报道。我们,特此,报告我们在10例ASD患者中使用小容量超声引导的前SSNB进行手术镇痛的经验。