{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T03:30:23Z","timestamp":1792899023873,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[1995,1,1]],"date-time":"1995-01-01T00:00:00Z","timestamp":788918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[1995,1]]},"abstract":"<jats:p>We performed a prospective, randomized study to evaluate the use of injected lidocaine as an anesthetic for closed reduction of acute anterior shoulder disloca tions. Thirty consecutive patients who presented at the emergency department with acute anterior shoulder dislocations were randomly placed in one of two groups. One group received an intraarticular injection of 20 ml of 1 % lidocaine and the other group, intravenous injec tions of morphine sulfate and midazolam. The groups were compared regarding time of reduction maneuver, difficulty of reduction, subjective pain, complications, and total time spent in the emergency department. The lidocaine provided adequate anesthesia and secondary relief of muscle spasm in 15 of 15 (100%) patients. When compared with the intravenous sedation group, the lidocaine group showed no statistically significant difference in time for reduction maneuver, difficulty of reduction, or subjective pain. The lidocaine group had no complications and had a statistically significant shorter emergency department visit when compared with the intravenous sedation group (mean, 78 minutes versus 186 minutes; P = 0.004). Lidocaine provides excellent anesthesia for patients with uncomplicated anterior shoulder dislocations and can be very benefi cial when sedation is contraindicated. Lidocaine injec tions also proved to be cost effective in our institution, reducing total costs by as much as 62%.<\/jats:p>","DOI":"10.1177\/036354659502300109","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"54-58","source":"Crossref","is-referenced-by-count":58,"title":["Intraarticular Lidocaine Versus Intravenous Analgesic for Reduction of Acute Anterior Shoulder Dislocations"],"prefix":"10.1177","volume":"23","author":[{"given":"Daniel E.","family":"Matthews","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1995,1,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","unstructured":"Anderson D., Zvirbulis R., Ciullo J.: Scapular manipulation for reduction of anterior shoulder dislocations . Clin Orthop 164: 181-183, 1982","DOI":"10.1097\/00003086-198204000-00031"},{"key":"atypb2","unstructured":"Bateman JE: Athletic injuries about the shoulder in throwing and body-contact sports. Clin Orthop 23: 75-83, 1962"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(86)90161-0"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1007\/BF00268508"},{"key":"atypb5","unstructured":"Danzl DF, Vicario SJ, Gleis GL, et al: Closed reduction of anterior sub-coracoid shoulder dislocation . Evaluation of an external rotation method. Orthop Rev 15: 311-315, 1986"},{"key":"atypb6","unstructured":"DePalma AF: Surgery of the Shoulder. Second edition. Philadelphia , JB Lippincott, 1973, pp 358-359"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1177\/036354657300100201"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000301"},{"key":"atypb9","doi-asserted-by":"crossref","unstructured":"Janecki CJ, Shahcheragh GH: The forward elevation maneuver for reduction of anterior dislocations of the shoulder. Clin Orthop 164:177-180, 1982","DOI":"10.1097\/00003086-198204000-00030"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.3109\/17453676908989501"},{"key":"atypb11","unstructured":"KocherT.: Eine Neue Reductions Methode Fur Schulter-Verrenkung. Berlin Klin 7:101, 1870"},{"key":"atypb12","doi-asserted-by":"crossref","unstructured":"Lippert FG III: A modification of the gravity method of reducing anterior shoulder dislocations . Clin Orthop 165: 259-260, 1982","DOI":"10.1097\/00003086-198205000-00039"},{"key":"atypb13","unstructured":"Lippit SB, Kennedy JP, Thompson TR: Intra-articular lidocaine versus intravenous analgesia in the reduction of dislocated shoulders. Orthop Trans 15: 804, 1991"},{"key":"atypb14","doi-asserted-by":"crossref","unstructured":"Manes HR: A new method of shoulder reduction in the elderly. Clin Orthop 147: 200-202, 1980","DOI":"10.1097\/00003086-198003000-00035"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(50)90581-2"},{"key":"atypb16","unstructured":"Milch H.: Treatment of dislocations of the shoulder. Surgery 3: 732, 1938"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198809000-00013"},{"key":"atypb18","unstructured":"Rockwood CA Jr, Thomas SC, Matsen FA III: Subluxations and dislocations about the glenohumeral joint, in Rockwood CA Jr, Green DP, Bucholz RW (eds): Rockwood and Green's Fractures in Adults. Vol. 2. Philadelphia, JB Lippincott, 1991"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198109000-00009"},{"key":"atypb20","unstructured":"Stimson LA: An easy method of reduction dislocation of the shoulder and hip. Med Record 57: 356, 1900"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354659502300109","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354659502300109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:37:24Z","timestamp":1777369044000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/036354659502300109"}},"subtitle":["A Prospective Randomized Study"],"short-title":[],"issued":{"date-parts":[[1995,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1995,1]]}},"alternative-id":["10.1177\/036354659502300109"],"URL":"https:\/\/doi.org\/10.1177\/036354659502300109","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,1]]}}}