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Comparison of four different reduction methods for anterior dislocation of the shoulder

BACKGROUND: Shoulder dislocations account for almost 50 % of all major joint dislocations and are mainly anterior. OBJECTIVE: The aim is a comparative retrospective study of different reduction maneuvers without anesthesia to reduce the dislocated shoulder. METHODS: Patients were treated with differ...

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Autores principales: Guler, Olcay, Ekinci, Safak, Akyildiz, Faruk, Tirmik, Uzeyir, Cakmak, Selami, Ugras, Akin, Piskin, Ahmet, Mahirogullari, Mahir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4448546/
https://www.ncbi.nlm.nih.gov/pubmed/26016671
http://dx.doi.org/10.1186/s13018-015-0226-4
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author Guler, Olcay
Ekinci, Safak
Akyildiz, Faruk
Tirmik, Uzeyir
Cakmak, Selami
Ugras, Akin
Piskin, Ahmet
Mahirogullari, Mahir
author_facet Guler, Olcay
Ekinci, Safak
Akyildiz, Faruk
Tirmik, Uzeyir
Cakmak, Selami
Ugras, Akin
Piskin, Ahmet
Mahirogullari, Mahir
author_sort Guler, Olcay
collection PubMed
description BACKGROUND: Shoulder dislocations account for almost 50 % of all major joint dislocations and are mainly anterior. OBJECTIVE: The aim is a comparative retrospective study of different reduction maneuvers without anesthesia to reduce the dislocated shoulder. METHODS: Patients were treated with different reduction maneuvers, including various forms of traction and external rotation, in the emergency departments of four training hospitals between 2009 and 2012. Each of the four hospitals had different treatment protocols for reduction and applying one of four maneuvers: Spaso, Chair, Kocher, and Matsen methods. Thirty-nine patients were treated by the Spaso method, 47 by the Chair reduction method, 40 by the Kocher method, and 27 patients by Matsen’s traction-countertraction method. All patients’ demographic data were recorded. Dislocation number, reduction time, time interval between dislocation and reduction, and associated complications, pre- and post-reduction period, were recorded prospectively. No anesthetic method was used for the reduction. RESULTS: All of the methods used included traction and some external rotation. The Chair method had the shortest reduction time. All surgeons involved in the study agreed that the Kocher and Matsen methods needed more force for the reduction. Patients could contract their muscles because of the pain in these two methods. The Spaso method includes flexion of the shoulder and blocks muscle contraction somewhat. The Chair method was found to be the easiest because the patients could not contract their muscles while sitting on a chair with the affected arm at their side. CONCLUSIONS: We suggest that the Chair method is an effective and fast reduction maneuver that may be an alternative for the treatment of anterior shoulder dislocations. Further prospective studies with larger sample size are needed to compare safety of different reduction techniques.
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spelling pubmed-44485462015-05-30 Comparison of four different reduction methods for anterior dislocation of the shoulder Guler, Olcay Ekinci, Safak Akyildiz, Faruk Tirmik, Uzeyir Cakmak, Selami Ugras, Akin Piskin, Ahmet Mahirogullari, Mahir J Orthop Surg Res Research Article BACKGROUND: Shoulder dislocations account for almost 50 % of all major joint dislocations and are mainly anterior. OBJECTIVE: The aim is a comparative retrospective study of different reduction maneuvers without anesthesia to reduce the dislocated shoulder. METHODS: Patients were treated with different reduction maneuvers, including various forms of traction and external rotation, in the emergency departments of four training hospitals between 2009 and 2012. Each of the four hospitals had different treatment protocols for reduction and applying one of four maneuvers: Spaso, Chair, Kocher, and Matsen methods. Thirty-nine patients were treated by the Spaso method, 47 by the Chair reduction method, 40 by the Kocher method, and 27 patients by Matsen’s traction-countertraction method. All patients’ demographic data were recorded. Dislocation number, reduction time, time interval between dislocation and reduction, and associated complications, pre- and post-reduction period, were recorded prospectively. No anesthetic method was used for the reduction. RESULTS: All of the methods used included traction and some external rotation. The Chair method had the shortest reduction time. All surgeons involved in the study agreed that the Kocher and Matsen methods needed more force for the reduction. Patients could contract their muscles because of the pain in these two methods. The Spaso method includes flexion of the shoulder and blocks muscle contraction somewhat. The Chair method was found to be the easiest because the patients could not contract their muscles while sitting on a chair with the affected arm at their side. CONCLUSIONS: We suggest that the Chair method is an effective and fast reduction maneuver that may be an alternative for the treatment of anterior shoulder dislocations. Further prospective studies with larger sample size are needed to compare safety of different reduction techniques. BioMed Central 2015-05-28 /pmc/articles/PMC4448546/ /pubmed/26016671 http://dx.doi.org/10.1186/s13018-015-0226-4 Text en © Guler et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Guler, Olcay
Ekinci, Safak
Akyildiz, Faruk
Tirmik, Uzeyir
Cakmak, Selami
Ugras, Akin
Piskin, Ahmet
Mahirogullari, Mahir
Comparison of four different reduction methods for anterior dislocation of the shoulder
title Comparison of four different reduction methods for anterior dislocation of the shoulder
title_full Comparison of four different reduction methods for anterior dislocation of the shoulder
title_fullStr Comparison of four different reduction methods for anterior dislocation of the shoulder
title_full_unstemmed Comparison of four different reduction methods for anterior dislocation of the shoulder
title_short Comparison of four different reduction methods for anterior dislocation of the shoulder
title_sort comparison of four different reduction methods for anterior dislocation of the shoulder
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4448546/
https://www.ncbi.nlm.nih.gov/pubmed/26016671
http://dx.doi.org/10.1186/s13018-015-0226-4
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