How is intra-articular anesthetic injection performed in the reduction of shoulder dislocations?

Updated: Aug 17, 2018
  • Author: Anantha K Mallia, DO, FACEP; Chief Editor: Erik D Schraga, MD  more...
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Answer

Intra-articular anesthetic injection is performed as follows. Under sterile conditions, insert a 35-mm needle (18-20 gauge) or spinal needle 2 cm inferior to the lateral edge of the acromion into the glenohumeral joint. After aspirating blood, inject 10-20 mL of 1% lidocaine, with or without epinephrine, over 30 seconds. Then, wait 15-20 minutes before performing the procedure. [7] The injection can also be performed under ultrasonographic guidance.

Reduction of shoulder dislocation: Stimson maneuve Reduction of shoulder dislocation: Stimson maneuver.

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