Adjunctive analgesia with acupuncture for reduction of anterior shoulder dislocation: a pilot study

• Published in: The American journal of emergency medicine Vol. 33; no. 2; pp. 294 - 297
• Main Authors: Tür, Feriyde Çalışkan, MD, Atilla, Özge Duman, MD, Temizyürek, Zeynep, MD, Yeşilaras, Murat, MD, Aksay, Ersin, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2015; Elsevier Limited
• Subjects: Acupuncture; Acupuncture Analgesia - methods; Acupuncture Points; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics; Emergency; Emergency medical care; Emergency Service, Hospital; Female; Humans; Male; Middle Aged; Patients; Pilot Projects; Shoulder; Shoulder Dislocation - therapy; Trauma; Young Adult
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2014.10.047

In this study, we used the acupuncture points traditionally related to structures which stabilize the shoulder joint (subscapularis, supraspinatus, and deltoid tendons), as well as the biceps muscle, in order to test whether stimulation at these points would help with reduction of the anteriorly dislocated shoulder. Patient Age(y) Sex First/Repeat Etiology Time until reduction (min) Shoulder pain after reduction Sound heard (clunk) during reduction Propofol dose (IV) Analgesic and dose (IV) Reduction maneuver(s) 1 28 M First Simple trauma 1-2 None Yes 70 mg (1 mg/kg) Morphine (10 mg) Adduction only 2 19 M Repeat Simple trauma 1-2 None Yes 100 mg (1.5 mg/kg) None Adduction only 3 57 F First Simple trauma 4-5 Mild Yes 170 mg (1.5 mg/kg) Morphine (10 mg) Adduction + slight external rotation 4 38 M First Simple trauma 10-11 None Yes 200 mg (1.5 mg/kg) Morphine (10 mg) Adduction + slight external rotation 5 17 M Repeat Seizure 1-2 None Yes 100 mg (1.5 mg/kg) Tramadol (50 mg) Adduction only 6 26 M Repeat Simple trauma 9-10 None No 160 mg (1.5 mg/kg) Dexk (50 mg) Adduction + slight external rotation 7 21 M Repeat Seizure 1-2 None Yes 90 mg (1.5 mg/kg) Dexk (50 mg) Adduction only 8 67 F First Simple trauma 1-2 Mild No 90 mg (1 mg/kg) Dexk (50 mg) Adduction + slight external rotation 9 68 F First Fall Unsuccessful N/A 120 mg (1.5 mg/kg) Morphine (3 mg) Adduction + slight external rotation 10 14 F First Fall 4-5 None No 60 mg (1 mg/kg) Dexk (50 mg) Adduction + slight external rotation 11 16 M First Fall 3-4 None Yes 60 mg (1 mg/kg) Morphine (3 mg) Adduction only 12 56 M First Fall 9-10 None No 140 mg (1.5 mg/kg) Morphine (5 mg) Adduction + slight external rotation 13 85 F First Fall 4-5 None No 50 mg (1 mg/kg) Tramadol (50 mg) Adduction + slight external rotation 14 47 M First Fall 1-2 Mild No 150 mg (1.5 mg/kg) Morphine (3 mg) Adduction + slight external rotation Table Demographic characteristics and details of anterior glenohumeral shoulder reduction in 14 patients Time until reduction is calculated from the time of first sedative/analgesic given.