Results of applying author’s manual method for repositioning shoulder dislocation

Abstract

BACKGROUND: Shoulder joint dislocation is the most frequent among all types of dislocations. There are many ways to correct a dislocation of the shoulder. There are many ways to reduce a dislocated shoulder in both outpatient and inpatient settings. The results of conservative treatment of patients with shoulder dislocation are not always positive.

AIM: To analyze the results of the author’s manual technique for repositioning shoulder dislocation.

MATERIALS AND METHODS: The study was conducted from 2013 to 2020 inclusive with unselected sampling; the study base is the trauma center of the City Hospital No. 1 by N.I. Pirogov. Criteria for including the patients in the study — primary dislocation of the shoulder. Diagnosis: “Closed traumatic dislocation of the shoulder” in total — 1968 people. Non-inclusion criteria — secondary dislocation. In the outpatient setting, successful reduction of the shoulder was carried out in 1159 (58.9%) patients; after unsuccessful reduction, 809 (41.1%) patients were hospitalized with shoulder dislocation. The outpatient patients were randomly divided into two groups: in group 1 (n = 1552) the shoulders were adjusted using traditional methods with local anesthesia, the patients in group 2 (n = 416) received treatment according to the author’s manual technique without local anesthesia. There were no statistically significant differences in gender, age, and type of dislocation in both groups.

RESULTS: The use of manual techniques was effective in 85% of the cases (352 people), 64 people were hospitalized (15%). The effectiveness of using traditional methods with the use of local anesthesia was 52% (dislocation was repositioned in 807 patients), the rest of the patients were treated in the inpatient setting.

CONCLUSIONS: The use of the author’s manual technique in patients with shoulder dislocation in the outpatient setting has higher efficiency compared to traditional methods due to the fact that more patients receive assistance in the outpatient setting. In addition, this type of treatment is carried out without anesthesia, which also reduces the cost of treatment.

Keywords

shoulder dislocation / dislocation reduction / anesthesiological aid / manual techniques

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Slabospitskii M.A., Mokhov D.Y., Tkachenko A.N.