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 FIGURE 1
Pain Relief for Reduction of Acute
Anterior Shoulder Dislocations: A
Prospective Randomized Study
Comparing Intravenous Sedation With
Intra-articular Lidocaine.
Cheok, Chee; Mohamad, Jamal; Ahmad, Tunku

Journal of Orthopaedic Trauma. 25(1):5-10,

January 2011.
DOI: 10.1097/BOT.0b013e3181d3d338

FIGURE 1 . Algorithm for randomized protocol

in this study.

2011 Lippincott Williams & Wilkins, Inc. Published by Lippincott Williams & Wilkins, Inc. 2
 TABLE 1
Pain Relief for Reduction of Acute
Anterior Shoulder Dislocations: A
Prospective Randomized Study
Comparing Intravenous Sedation With
Intra-articular Lidocaine.
Cheok, Chee; Mohamad, Jamal; Ahmad, Tunku

Journal of Orthopaedic Trauma. 25(1):5-10,

January 2011.
DOI: 10.1097/BOT.0b013e3181d3d338

TABLE 1 . Comparison of Patients Who

Received IVS Versus IAL

2011 Lippincott Williams & Wilkins, Inc. Published by Lippincott Williams & Wilkins, Inc. 3
 FIGURE 2
Pain Relief for Reduction of Acute
Anterior Shoulder Dislocations: A
Prospective Randomized Study
Comparing Intravenous Sedation With
Intra-articular Lidocaine.
Cheok, Chee; Mohamad, Jamal; Ahmad, Tunku

Journal of Orthopaedic Trauma. 25(1):5-10,

January 2011.
DOI: 10.1097/BOT.0b013e3181d3d338

FIGURE 2 . Intra-articular injection of

lidocaine. Diagram showing the site (sulcus
line) of intra-articular injection of lidocaine.

2011 Lippincott Williams & Wilkins, Inc. Published by Lippincott Williams & Wilkins, Inc. 4
 FIGURE 3
Pain Relief for Reduction of Acute
Anterior Shoulder Dislocations: A
Prospective Randomized Study
Comparing Intravenous Sedation With
Intra-articular Lidocaine.
Cheok, Chee; Mohamad, Jamal; Ahmad, Tunku

Journal of Orthopaedic Trauma. 25(1):5-10,

January 2011.
DOI: 10.1097/BOT.0b013e3181d3d338

FIGURE 3 . Postreduction radiographs. (A)

Anteroposterior view. (B) Lateral view. The
radio-opaque Ultravist outlining the shoulder
(arrow). This confirmed the intra-articular
placement of lidocaine.

2011 Lippincott Williams & Wilkins, Inc. Published by Lippincott Williams & Wilkins, Inc. 5
 TABLE 2
Pain Relief for Reduction of Acute
Anterior Shoulder Dislocations: A
Prospective Randomized Study
Comparing Intravenous Sedation With
Intra-articular Lidocaine.
Cheok, Chee; Mohamad, Jamal; Ahmad, Tunku

Journal of Orthopaedic Trauma. 25(1):5-10,

January 2011.
DOI: 10.1097/BOT.0b013e3181d3d338

TABLE 2 . Successful Reduction, Complication,

Patients' Satisfaction, and Duration of
Hospitalization Between the IVS and IAL
Groups

2011 Lippincott Williams & Wilkins, Inc. Published by Lippincott Williams & Wilkins, Inc. 6
 TABLE 3
Pain Relief for Reduction of Acute
Anterior Shoulder Dislocations: A
Prospective Randomized Study
Comparing Intravenous Sedation With
Intra-articular Lidocaine.
Cheok, Chee; Mohamad, Jamal; Ahmad, Tunku

Journal of Orthopaedic Trauma. 25(1):5-10,

January 2011.
DOI: 10.1097/BOT.0b013e3181d3d338

TABLE 3 . Visual Analog Pain (VAS) Score

Before and During Reduction in First Time and
Recurrent Dislocators Using Different
Anesthetic Methods (IVS or IAL)

2011 Lippincott Williams & Wilkins, Inc. Published by Lippincott Williams & Wilkins, Inc. 7
 FIGURE 4
Pain Relief for Reduction of Acute
Anterior Shoulder Dislocations: A
Prospective Randomized Study
Comparing Intravenous Sedation With
Intra-articular Lidocaine.
Cheok, Chee; Mohamad, Jamal; Ahmad, Tunku

Journal of Orthopaedic Trauma. 25(1):5-10,

January 2011.
DOI: 10.1097/BOT.0b013e3181d3d338

FIGURE 4 . Comparison of reported

complications between intravenous Demerol
and Diazepam (IVS) and intra-articular
lidocaine (IAL) groups.

2011 Lippincott Williams & Wilkins, Inc. Published by Lippincott Williams & Wilkins, Inc. 8
 FIGURE 5
Pain Relief for Reduction of Acute
Anterior Shoulder Dislocations: A
Prospective Randomized Study
Comparing Intravenous Sedation With
Intra-articular Lidocaine.
Cheok, Chee; Mohamad, Jamal; Ahmad, Tunku

Journal of Orthopaedic Trauma. 25(1):5-10,

January 2011.
DOI: 10.1097/BOT.0b013e3181d3d338

FIGURE 5 . The breakdown (percentage) of the

ease of reduction between intravenous
Demerol and Diazepam (IVS) and intra-
articular lidocaine (IAL) groups.

2011 Lippincott Williams & Wilkins, Inc. Published by Lippincott Williams & Wilkins, Inc. 9