Nerve Block Gallery - Interscalene Brachial Plexus Block for Recurrent Shoulder Dislocation
Caption
30s M with PMH of many previous shoulder dislocations presented to the ED with pain and reduced ROM of shoulder after lifting his arm slightly. Radiographs confirmed an anterior shoulder dislocation, so an interscalene brachial plexus nerve block was performed to facilitate closed reduction without the need for procedural sedation. The block is shown here, with the needle entering from the posterior/lateral aspect with the tip adjacent to the brachial plexus (*), just posterior to the anterior scalene muscle which is seen at the left of the image. The block was effective, and the shoulder was reduced without need for additional medications. Dr. Fred Milgrim, PGY3 Mount Sinai Emergency Medicine Residency