A simple and gentle technique for reduction after anterior shoulder dislocation

Dreu, Manuel; Aufmesser, Werner; Aufmesser, Harald; Dolcet, Claudia; Feigl, Georg; Sadoghi, Patrick

doi:10.1007/s00402-015-2279-6

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…The demographics of our patient cohort appeared to be consistent with the ASD literature, although our age range was slightly lower than most. 14,16,[18][19][20][21][22] Our median age (25 y) corresponded with data indicating that younger males (20-30 y) appear to be most likely to experience ASD injuries. 21,23,24 The ratio of skiers and snowboarders in our study, as well as the observation that snowboarders are more likely to injure their upper extremities compared to skiers, is also consistent with other reports.…”

Section: Discussionsupporting

confidence: 82%

“…In addition to these newer biomechanical techniques being safe, they have also proven to have great first-time-attempt success, even without analgesia or sedation. 12,16,19…”

Section: Discussionmentioning

confidence: 99%

“…12,16,31,32 These techniques have become popular because they are less painful for patients, require fewer personnel, and decrease the risks associated with conscious sedation. 10,12,16,19,29,33 This makes biomechanical reduction techniques ideal for use by nonmedical personnel, or in a low-resource environment.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to these newer biomechanical techniques being safe, they have also proven to have great first-time-attempt success, even without analgesia or sedation. 12,16,19 The ASD protocol attempted to ensure patient safety by screening, and subsequently excluding, any patients at high risk of clinically significant fractures. These injuries, which include humeral neck, clavicle, and scapula fractures, significantly increase the difficulty of performing closed reductions without conscious sedation.…”

Section: Discussionmentioning

confidence: 99%

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Closed Reduction of Anterior Shoulder Dislocations Performed by Ski Patrollers in the Alpine Prehospital Environment: A Retrospective Review Demonstrating Efficacy in a Canadian Ski Resort

Mulvey

Carson

Palmer

2021

Wilderness & Environmental Medicine

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Introduction-Shoulder dislocations are common ski hill injuries. Rapid reduction is known to improve outcomes; however, advanced providers are not always available to provide care to these patients. In 2017, nonmedical ski patrollers at Sunshine Village ski resort in Alberta, Canada, were trained to perform anterior shoulder dislocation (ASD) reductions. Program success was determined by a chart review after the 2020 ski season.Methods-This study retrospectively reviewed data on patients who presented to Sunshine Village ski patrol with a suspected ASD and who met the study inclusion criteria from November 2017 through March 2020. Data were collected from ski patrol electronic patient care records regarding general demographics, reduction technique used, analgesia administration, and reduction success rates.Results-Ninety-six cases were available for review after exclusions. Trained nonmedical ski patrollers successfully reduced 82 of these cases, resulting in an overall reduction success rate of 89%. Sixty-three (66%) of these patients had experienced first-time dislocations. Eighty-two (87%) patients were male, with a median age of 25 y. The most used technique was the Cunningham method (75%), and analgesia was administered to 70% of patients.Conclusions-This retrospective study documents the results of a quality assurance review of the treatment of ASD at Sunshine Village ski resort. With a success rate of 89%, the evidence supports the conclusion that nonmedical ski patrollers can successfully perform ASD reductions. We believe training ski patrollers to reduce ASD improved patient care in our austere environment by providing early definitive treatment with a high success rate.

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Section: Discussionsupporting

confidence: 82%

“…In addition to these newer biomechanical techniques being safe, they have also proven to have great first-time-attempt success, even without analgesia or sedation. 12,16,19…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Closed Reduction of Anterior Shoulder Dislocations Performed by Ski Patrollers in the Alpine Prehospital Environment: A Retrospective Review Demonstrating Efficacy in a Canadian Ski Resort

Mulvey

Carson

Palmer

2021

Wilderness & Environmental Medicine

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“…The patient lies in supine position 51 . The practitioner holds the hand of the patient in one hand and fixates the acromion of the patient with the other hand.…”

Section: Techniquesmentioning

confidence: 99%

A systematic and technical guide on how to reduce a shoulder dislocation

Alkaduhimi

Linde

Flipsen

et al. 2016

Turkish Journal of Emergency Medicine

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ObjectivesOur objective is to provide a systematic and technical guide on how to reduce a shoulder dislocation, based on techniques that have been described in literature for patients with anterior and posterior shoulder instability.Materials and methodsA PubMed and EMBASE query was performed, screening all relevant literature on the closed reduction techniques. Studies regarding open reduction techniques and studies with fracture dislocations were excluded.ResultsIn this study we give an overview of 23 different techniques for closed reduction and 17 modifications of these techniques.DiscussionIn this review article we present a complete overview of the techniques, that have been described in the literature for closed reduction for shoulder dislocations. This manuscript can be regarded as a clinical guide how to perform a closed reduction maneuver, including several technical tips and tricks to optimize the success rate and to avoid complications.ConclusionThere are 23 different reduction techniques with 17 modifications of these techniques. Knowledge of the different techniques is highly important for a good reduction.

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Shoulder Dislocations in the Emergency Department: A Comprehensive Review of Reduction Techniques

Gottlieb

2020

The Journal of Emergency Medicine

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A simple and gentle technique for reduction after anterior shoulder dislocation

Abstract: The new method is a promising option to popular techniques for reduction of anterior shoulder dislocations. The benefits of this protocol are a gentle and simple application of the procedure as well as an easy acquisition.

Cited by 3 publications

References 22 publications

Closed Reduction of Anterior Shoulder Dislocations Performed by Ski Patrollers in the Alpine Prehospital Environment: A Retrospective Review Demonstrating Efficacy in a Canadian Ski Resort

Closed Reduction of Anterior Shoulder Dislocations Performed by Ski Patrollers in the Alpine Prehospital Environment: A Retrospective Review Demonstrating Efficacy in a Canadian Ski Resort

A systematic and technical guide on how to reduce a shoulder dislocation

Shoulder Dislocations in the Emergency Department: A Comprehensive Review of Reduction Techniques

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