Nerve Block Gallery - Interscalene Nerve Block for Shoulder Dislocation
Caption
20s M with history of recurrent shoulder dislocations presented with shoulder pain and deformity after being transferred from an urgent care after multiple unsuccessful attempts at reduction using intra-articular lidocaine alone. He was neurovascularly intact and clinically dislocated, which was confirmed on US. To facilitate reduction, an interscalene brachial plexus block was performed using US guidance. Shown here, the needle enters from the posterior aspect, approaching the brachial plexus (*) and depositing anesthetic adjacent to it. The patient had relief of his pain, and closed reduction was accomplished at the bedside without need for any additional analgesia or sedation. Dr. Cheyenne Smith, PGY3 Denver Health Residency in Emergency Medicine