Chair method: a simple and effective method for reduction of anterior shoulder dislocation

Mahiroğulları, Mahir; Akyıldız, Faruk; Koksal, Ismet; Çakmak, Selami; Kürklü, Mustafa; Kuskucu, Mesih

doi:10.3944/aott.2012.2676

Cited by 9 publications

(9 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Today, many departments reduce shoulder dislocations either under general anesthetic or with the aid of parenteral analgesia or sedation [ 11 , 14 , 15 ]. However, this requires the use of further staff during the procedure and afterwards to observe the recovery period.…”

Section: Discussionmentioning

confidence: 99%

“…In the Kocher technique modified by Watson-Jones, in spite of need for a relaxed patient and increased risk of proximal humerus fractures, there is no need for countertraction and the success rate reaches to 68–93 % [ 21 , 25 , 29 , 30 ]. The Chair technique has the disadvantage of need for a chair but reported a success rate over 90 % [ 11 , 31 ]. The success rate in our study was 97.8, 97.5, 94.8, and 92.5 % for Chair, Matsen, Spaso, and Kocher techniques, respectively, without significant difference between techniques.…”

Section: Discussionmentioning

confidence: 99%

“…The patient is asked and encouraged to relax and be calm; traction is applied slowly by the left hand of the physician, and reduction occurs at this stage. If the humeral head is stacked at the inferior margin of the glenoid, a slight amount of external rotation can be applied by the right hand of the physician [ 10 , 11 ].…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

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

Güler

Ekinci²,

Akyıldız

et al. 2015

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundShoulder dislocations account for almost 50 % of all major joint dislocations and are mainly anterior.ObjectiveThe aim is a comparative retrospective study of different reduction maneuvers without anesthesia to reduce the dislocated shoulder.MethodsPatients 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.ResultsAll 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.ConclusionsWe 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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Güler

Ekinci²,

Akyıldız

et al. 2015

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…10). 45 If the humeral head is stacked at the inferior margin of the glenoid, a slight amount of external rotation in combination with gentle forward flexion can be applied by the right hand of the physician 46, 47. The same technique can be performed using an Oxford Chair, from which the front rest could be positioned in a 45° angle, permitting the patient to lean to the back rest 48 …”

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

View full text Add to dashboard Cite

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.

show abstract

“…This could partly explain the significantly lower VAS score and higher satisfaction level rate in the MOC group. In Mahiroğulları [ 12 ] ‘s study, all the patients undergoing the chair method answered the question, “Would you like your shoulder to be relocated using this method if it dislocates again? “as “Yes.” Those answers and the differences in satisfaction rate in our study revealed the potential comfort in the chair method.…”

Section: Discussionmentioning

confidence: 99%

Modified chair method: an easy and efficient reduction method without medication for anterior shoulder dislocation

Yang

Feng

et al. 2022

BMC Emerg Med

View full text Add to dashboard Cite

Background Various maneuvers have been introduced to address anterior shoulder dislocations. Chair method allows the patient to sit comfortably and feel less pain during the reduction procedure. However, the rarity of comparative studies led to a lack of evidence to popularize. The present study aimed to introduce a modified chair (MOC) reduction method for anterior shoulder dislocation and explore its effectiveness compared with the traditional Hippocratic approach. Methods This is a single-center retrospective study of 257 patients with anterior shoulder dislocation from September 2020 and July 2021. Patients were divided into two groups according to the reduction method they received (either the Hippocratic method or the MOC method). Success rate, reduction time, visual analog scale (VAS) pain score, satisfaction level, and a new indicator, pain index (reduction time (s)* VAS/ 10), were compared. Results One hundred sixteen patients (43 females, 73 males) underwent the Hippocratic method, and 141 (65 females, 76 males) MOC method. A significantly higher success rate was seen in the MOC group (96.5%(136/141) vs. 84.5%(98/116) in the Hippocratic group; OR 5, 95%CI 1.79 ~ 13.91; p = 0.002). Pain index of the patients in the MOC group was much lower than that in the Hippocratic group (3.20 (2.10, 4.53) vs. 36.70 (22.40, 47.25), p < 0.001). The reduction time, VAS pain score, and satisfaction level also favored the MOC method. Conclusions The MOC method is an easy and efficient reduction method with minimum assistance for anterior shoulder dislocations. Physicians can skillfully perform this procedure with the help of their body weight. The MOC method could be attempted for shoulder dislocations in the emergency department.

show abstract

Chair method: a simple and effective method for reduction of anterior shoulder dislocation

Abstract: The chair method is an effective and successful reduction method for shoulder dislocation. We believe that orthopedists and emergency department physicians should be familiar with this simple technique which does not have to be performed under general anesthesia.

Cited by 9 publications

References 8 publications

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

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

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

Modified chair method: an easy and efficient reduction method without medication for anterior shoulder dislocation

Contact Info

Product

Resources

About