Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations

Introduction: To determine the accuracy of landmark-guided shoulder joint injections (LGI) with point-of-care ultrasound for patients with anterior shoulder dislocations. Methods: Patients with anterior shoulder dislocations who underwent LGI were enrolled at our tertiary-care and trauma center. LGI...

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Autores principales:	Talib Omer, Michael Perez, Kristen Berona, Chun Nok Lam, Dana Sajed, Caroline Brandon, Jeffrey Falkenstein, Tarina Kang, Thomas Mailhot
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/42e95aa3f0914a24ad3622ba1d1bfd1c
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spelling	oai:doaj.org-article:42e95aa3f0914a24ad3622ba1d1bfd1c2021-11-17T15:19:27ZAccuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations1936-901810.5811/westjem.2021.3.50266https://doaj.org/article/42e95aa3f0914a24ad3622ba1d1bfd1c2021-09-01T00:00:00Zhttps://escholarship.org/uc/item/68710340https://doaj.org/toc/1936-9018Introduction: To determine the accuracy of landmark-guided shoulder joint injections (LGI) with point-of-care ultrasound for patients with anterior shoulder dislocations. Methods: Patients with anterior shoulder dislocations who underwent LGI were enrolled at our tertiary-care and trauma center. LGI attempts were recorded by an ultrasound fellowship-trained ED physician who determined if they were placed successfully. Pain and satisfaction scores were recorded. Results: A total of 34 patients with anterior shoulder dislocation and their treating ED physicians were enrolled. 41.1% of all LGI were determined to be misplaced (n=14). Patients with successful LGI had a greater decrease in mean pain scores post-LGI. Conclusions: LGI had a substantial failure rate in our study. Using ultrasound-guidance to assist intra-articular injections may increase its accuracy and thus reduce pain and the need for subsequent procedural sedation.Talib OmerMichael PerezKristen BeronaChun Nok LamDana SajedCaroline BrandonJeffrey FalkensteinTarina KangThomas MailhoteScholarship Publishing, University of CaliforniaarticleMedicineRMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENWestern Journal of Emergency Medicine, Vol 22, Iss 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Talib Omer Michael Perez Kristen Berona Chun Nok Lam Dana Sajed Caroline Brandon Jeffrey Falkenstein Tarina Kang Thomas Mailhot Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations
description	Introduction: To determine the accuracy of landmark-guided shoulder joint injections (LGI) with point-of-care ultrasound for patients with anterior shoulder dislocations. Methods: Patients with anterior shoulder dislocations who underwent LGI were enrolled at our tertiary-care and trauma center. LGI attempts were recorded by an ultrasound fellowship-trained ED physician who determined if they were placed successfully. Pain and satisfaction scores were recorded. Results: A total of 34 patients with anterior shoulder dislocation and their treating ED physicians were enrolled. 41.1% of all LGI were determined to be misplaced (n=14). Patients with successful LGI had a greater decrease in mean pain scores post-LGI. Conclusions: LGI had a substantial failure rate in our study. Using ultrasound-guidance to assist intra-articular injections may increase its accuracy and thus reduce pain and the need for subsequent procedural sedation.
format	article
author	Talib Omer Michael Perez Kristen Berona Chun Nok Lam Dana Sajed Caroline Brandon Jeffrey Falkenstein Tarina Kang Thomas Mailhot
author_facet	Talib Omer Michael Perez Kristen Berona Chun Nok Lam Dana Sajed Caroline Brandon Jeffrey Falkenstein Tarina Kang Thomas Mailhot
author_sort	Talib Omer
title	Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations
title_short	Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations
title_full	Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations
title_fullStr	Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations
title_full_unstemmed	Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations
title_sort	accuracy of landmark-guided glenohumeral joint injections as assessed by ultrasound in anterior shoulder dislocations
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/42e95aa3f0914a24ad3622ba1d1bfd1c
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Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations

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