Journal article
Anteroinferior shoulder dislocation: an auto-reduction method without analgesia.
- Ceroni D Department of Orthopaedics, University Hospital of Geneva, Switzerland.
- Sadri H
- Leuenberger A
- 1997-08-01
Published in:
- Journal of orthopaedic trauma. - 1997
Adolescent
Adult
Aged
Analgesia
Child
Female
Humans
Male
Manipulation, Orthopedic
Middle Aged
Prospective Studies
Radiography
Range of Motion, Articular
Retrospective Studies
Shoulder Dislocation
Treatment Outcome
English
OBJECTIVES
To describe a new reduction method for anteroinferior shoulder dislocations.
DESIGN
Retrospective for the first thirty patients; prospective for the remaining seventy patients.
SETTING
University hospital.
PATIENTS
One hundred patients with anteroinferior shoulder dislocations.
INTERVENTIONS
X-rays in two different projections were taken. The patient then was asked to sit on a relatively hard surface. The wrists were protected. The patients's forearms were placed around the homolateral knee, which is flexed at 90 degrees. The head of the examination table was lowered, and the patient was asked to lean backward with his or her neck in hyperextension. The patient had to push his or her shoulders (shrug) anteriorly, thus creating a rational movement of the scapula around a vertical axis.
MAIN OUTCOME MEASURES
The authors analyzed initial prereduction x-rays and established a classification system based on the position of the humeral head, then assessed the success rate of the new technique with respect to the radiologic study.
RESULTS
When using the reduction method described by Boss-Holzach-Matter, the authors attained an overall success rate of 60 percent, with a mean reduction time of three minutes and a time interval varying from fifteen seconds to nine minutes.
CONCLUSION
The Boss-Holzach-Matter method is a reduction technique for anteroinferior shoulder dislocations that can be used without premedication or anesthesia. The authors recommend it for those patients who are not going to be sedated and for whom "quick" reduction and early discharge is desirable.
To describe a new reduction method for anteroinferior shoulder dislocations.
DESIGN
Retrospective for the first thirty patients; prospective for the remaining seventy patients.
SETTING
University hospital.
PATIENTS
One hundred patients with anteroinferior shoulder dislocations.
INTERVENTIONS
X-rays in two different projections were taken. The patient then was asked to sit on a relatively hard surface. The wrists were protected. The patients's forearms were placed around the homolateral knee, which is flexed at 90 degrees. The head of the examination table was lowered, and the patient was asked to lean backward with his or her neck in hyperextension. The patient had to push his or her shoulders (shrug) anteriorly, thus creating a rational movement of the scapula around a vertical axis.
MAIN OUTCOME MEASURES
The authors analyzed initial prereduction x-rays and established a classification system based on the position of the humeral head, then assessed the success rate of the new technique with respect to the radiologic study.
RESULTS
When using the reduction method described by Boss-Holzach-Matter, the authors attained an overall success rate of 60 percent, with a mean reduction time of three minutes and a time interval varying from fifteen seconds to nine minutes.
CONCLUSION
The Boss-Holzach-Matter method is a reduction technique for anteroinferior shoulder dislocations that can be used without premedication or anesthesia. The authors recommend it for those patients who are not going to be sedated and for whom "quick" reduction and early discharge is desirable.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1097/00005131-199708000-00003
- PMID 9314145
- Persistent URL
- https://sonar.ch/global/documents/236813
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