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The external rotation method for reduction of acute anterior shoulder dislocations

BACKGROUND: Shoulder dislocations account for almost 50% of all joint dislocations, and are most commonly anterior (90–98%) and occur due to trauma. This prospective study was conducted to report our experiences of using the external rotation method (ERM) in the reduction of acute anterior shoulder...

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Detalles Bibliográficos
Autores principales: Marinelli, Mario, de Palma, Luigi
Formato: Texto
Lenguaje:English
Publicado: Springer Milan 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657355/
https://www.ncbi.nlm.nih.gov/pubmed/19384630
http://dx.doi.org/10.1007/s10195-008-0040-4
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author Marinelli, Mario
de Palma, Luigi
author_facet Marinelli, Mario
de Palma, Luigi
author_sort Marinelli, Mario
collection PubMed
description BACKGROUND: Shoulder dislocations account for almost 50% of all joint dislocations, and are most commonly anterior (90–98%) and occur due to trauma. This prospective study was conducted to report our experiences of using the external rotation method (ERM) in the reduction of acute anterior shoulder dislocation. MATERIALS AND METHODS: Between August 2006 and April 2007, ERM was applied to 31 patients who presented with traumatic anterior shoulder dislocation to the Emergency Department of our Hospital which is a level 2 trauma centre. We evaluated the type of dislocation, the effectiveness of the procedure in achieving reduction, the need for premedication, the ease of performing the reduction, and complications, if any. RESULTS: Of the 31 patients, 29 had a successful reduction. No premedication was required in 25 patients who had a successful reduction, and the average time required for reduction in 25 was less than 2 min. Only five patients reported severe pain during the process of reduction. The method was not successful in two patients in whom the reduction was achieved under narcosis. We experienced a success rate of 89% at the first attempt. None of the patients encountered any complication. CONCLUSIONS: ERM for the reduction of acute anterior dislocation of the shoulder is a safe and reliable method, mainly without requirement for any sedatives or opiate analgesics, that can be performed relatively painlessly for anterior shoulder dislocations. As no single method has a 100% success rate, ERM is a useful one to know.
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spelling pubmed-26573552009-03-25 The external rotation method for reduction of acute anterior shoulder dislocations Marinelli, Mario de Palma, Luigi J Orthop Traumatol Original Article BACKGROUND: Shoulder dislocations account for almost 50% of all joint dislocations, and are most commonly anterior (90–98%) and occur due to trauma. This prospective study was conducted to report our experiences of using the external rotation method (ERM) in the reduction of acute anterior shoulder dislocation. MATERIALS AND METHODS: Between August 2006 and April 2007, ERM was applied to 31 patients who presented with traumatic anterior shoulder dislocation to the Emergency Department of our Hospital which is a level 2 trauma centre. We evaluated the type of dislocation, the effectiveness of the procedure in achieving reduction, the need for premedication, the ease of performing the reduction, and complications, if any. RESULTS: Of the 31 patients, 29 had a successful reduction. No premedication was required in 25 patients who had a successful reduction, and the average time required for reduction in 25 was less than 2 min. Only five patients reported severe pain during the process of reduction. The method was not successful in two patients in whom the reduction was achieved under narcosis. We experienced a success rate of 89% at the first attempt. None of the patients encountered any complication. CONCLUSIONS: ERM for the reduction of acute anterior dislocation of the shoulder is a safe and reliable method, mainly without requirement for any sedatives or opiate analgesics, that can be performed relatively painlessly for anterior shoulder dislocations. As no single method has a 100% success rate, ERM is a useful one to know. Springer Milan 2009-01-08 2009-03 /pmc/articles/PMC2657355/ /pubmed/19384630 http://dx.doi.org/10.1007/s10195-008-0040-4 Text en © Springer-Verlag 2008
spellingShingle Original Article
Marinelli, Mario
de Palma, Luigi
The external rotation method for reduction of acute anterior shoulder dislocations
title The external rotation method for reduction of acute anterior shoulder dislocations
title_full The external rotation method for reduction of acute anterior shoulder dislocations
title_fullStr The external rotation method for reduction of acute anterior shoulder dislocations
title_full_unstemmed The external rotation method for reduction of acute anterior shoulder dislocations
title_short The external rotation method for reduction of acute anterior shoulder dislocations
title_sort external rotation method for reduction of acute anterior shoulder dislocations
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657355/
https://www.ncbi.nlm.nih.gov/pubmed/19384630
http://dx.doi.org/10.1007/s10195-008-0040-4
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