Korean J Sports Med.  2025 Mar;43(1):46-49. 10.5763/kjsm.2025.43.1.46.

Successful Reduction of Anterior Shoulder Dislocation in a Muscular Patient Using Brachial Plexus Block: A Case Report

• Kang SW
• Lim D
• Cho H
• Lee KW
• Lee I

• KMID: 2565717
• DOI: http://doi.org/10.5763/kjsm.2025.43.1.46

Abstract

Anterior shoulder dislocation is a common injury among athletes, particularly during resistance training, where muscle resistance can complicate reduction procedures. In muscular patients, traditional reduction techniques may be challenging due to increased muscle tone and resistance. This case report describes a 29-year-old male patient who suffered an anterior shoulder dislocation while performing bench press exercises. Ultrasound-guided brachial plexus block (BPB) was used, resulting in effective pain relief and muscle relaxation, enabling successful reduction without sedation or general anesthesia. This report highlights the utility of BPB in managing difficult reductions, particularly in patients with significant muscle mass.

Keyword

Anterior shoulder dislocation; Brachial plexus block; Muscular patient; Ultrasound-guided anesthesia; Shoulder reduction