Efficacy of the assisted self-reduction technique for acute anterior shoulder dislocation

Turturro, Francesco; Montanaro, Antonello; Calderaro, Cosma; Labianca, Luca; Sanzo, Vincenzo Di; Carducci, Alessandro; Ferretti, Andrea

doi:10.1007/s00402-014-2109-2

Cited by 12 publications

(11 citation statements)

References 16 publications

(35 reference statements)

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“…After reviewing the full text of the records, we eliminated 12 studies. Four studies that met the criteria were included in the meta-analysis (2,12,17,18). Figure 1 shows the PRISMA ow diagram, which provides a detailed summary of the search results.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies report no acute complication following shoulder reduction in either intervention group (12,17,18).…”

Section: Complicationsmentioning

confidence: 99%

“…These techniques, however, may result in complications such as humeral fracture or nerve injury (11). However, some authors speculated that if self-reduction techniques were performed by patients under the supervision of a physician, it could be considered a "assisted self-reduction" technique that is both effective and simple to implement (12).…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Supervised Self-Reduction vs Physician-Assisted Techniques for Anterior Shoulder Dislocations: A Systematic Review and Meta-Analysis

Hoveidaei,

Dankoub,

Nasab

et al. 2023

Preprint

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background: The purpose of this study is to compare the efficacy of supervised self-reduction procedures versus physician-assisted techniques for treating anterior shoulder dislocations. Method: We conducted a comprehensive search on PubMed, Scopus, Web of Science, and Cochrane up to March 22, 2023, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Relevant articles were reviewed, with a focus on studies comparing supervised self-reduction techniques to physician-assisted techniques in cases of anterior shoulder dislocation. Results: The meta-analysis included four studies, with 283 patients in the physician-assisted group and 180 patients in the supervised self-reduction group participating. The success rate of supervised self-reduction techniques was significantly higher, with an odds ratio of 2.71 (95% CI 1.25-5.58, p-value = 0.01). Based on the Visual Analog Scale (VAS) score, the physician-assisted group reported significantly higher maximum pain, with a mean difference of 1.98 (95% CI 1.24-2.72, p-value < 0.01). Conclusion: Supervised self-assisted techniques outperform in terms of success rate and reduction-related maximum pain. These techniques could be used as an effective first-line treatment for anterior shoulder dislocation, potentially reducing the need for analgesics and emergency room visits.

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Section: Resultsmentioning

confidence: 99%

“…Three studies report no acute complication following shoulder reduction in either intervention group (12,17,18).…”

Section: Complicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of Supervised Self-Reduction vs Physician-Assisted Techniques for Anterior Shoulder Dislocations: A Systematic Review and Meta-Analysis

Hoveidaei,

Dankoub,

Nasab

et al. 2023

Preprint

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“…After selection through the abstracts, we selected 32 studies that were read in full by the two independent reviewers. The complete reading of studies resulted in the exclusion of 7 articles in the German language [14]- [20], 2 studies that did not involve surgical procedures [21] [22], 9 studies without surgical complications [23]- [31], 3 studies comparing the types of sutures [32] [33] [34], 1 study published before 2000 [35] and 1 study with impossibility of access [36]. Through the inclusion and exclusion criteria and after consensus among reviewers, 9 studies were selected to compose the systematic review [37]- [45] (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Complications of Surgical Treatment of Anterior Shoulder Dislocation: A Systematic Review

Nascimento¹,

Castro²,

Pereira³

et al. 2017

OJO

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Introduction: shoulder joint has the greatest range of motion in the human body. The shoulder anatomy promotes high mobility and favors relative sacrifice of articular stability, making it susceptible and more prone to events of instability and dislocation. This review aimed at identifying main complications of surgical treatment of anterior shoulder dislocation. Methodology: This systematic review was conducted according to the International Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines. Studies which were eligible for this systematic review included: English or Spanish language, studies published from 2000, which mentioned surgical complications of anterior shoulder dislocation in their results, both in open and arthroscopic surgery. Included studies which were required to have at least 1 complication following surgical repair. Only studies from original data were included. Results: We found 228 potentially eligible studies for the survey. Through the inclusion and exclusion criteria and after consensus among reviewers, we chose 9 studies to compose the systematic review. Conclusion: Important information emerges: recurring instability, recurring dislocation, external rotation limitation and arthritis are main surgical complications of anterior shoulder dislocation.

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“…Moreover, its efficacy has been proved, and it has been used as a comparative/control group in studies evaluating the efficacy of other reduction techniques. 11 , 12 , 26 , 28 The Davos technique is described as a safe, atraumatic, and patient-controlled self-reduction maneuver for glenohumeral dislocations. Its reported effectiveness ranges between 60% and 86%.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Davos self-assisted technique for reduction of anterior glenohumeral dislocations: a comparative study with the traction/countertraction technique

Silva¹,

Vieira²,

Santos³

et al. 2022

JSES International

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Efficacy of the assisted self-reduction technique for acute anterior shoulder dislocation

Abstract: The assisted self-reduction technique is simple, effective and gentle. Physicians on duty in the Emergency Departments should therefore be encouraged to use it.

Cited by 12 publications

References 16 publications

Efficacy of Supervised Self-Reduction vs Physician-Assisted Techniques for Anterior Shoulder Dislocations: A Systematic Review and Meta-Analysis

Efficacy of Supervised Self-Reduction vs Physician-Assisted Techniques for Anterior Shoulder Dislocations: A Systematic Review and Meta-Analysis

Complications of Surgical Treatment of Anterior Shoulder Dislocation: A Systematic Review

Evaluation of the Davos self-assisted technique for reduction of anterior glenohumeral dislocations: a comparative study with the traction/countertraction technique

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