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

Silva, Miguel Relvas; Vieira, Luís; Santos, Sara; Raposo, Frederico; Valente, Luís; Nunes, Bernardo; Nevès, Nuno; Silva, Manuel Ribeiro

doi:10.1016/j.jseint.2021.11.020

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Maniobra autoasistida de Boss-Holzach-Matter (BHM): Menos dolorosa según múltiples estudios. Se observó una tasa de éxito similar entre la técnica Davos y la técnica de tracción/contratracción, con tasas de éxito del 87.5% y 85% respectivamente (9). Los pacientes sometidos a la técnica Davos reportaron niveles significativamente más bajos de dolor durante la reducción en comparación con la técnica de tracción/contratracción.…”

Section: Resultsunclassified

“…Consiste en el paciente, con el hombro dislocado, coloque la mano del brazo afectado hacia el hombro contrario y luego intente rotar internamente el brazo mientras lleva el codo hacia adelante. Este movimiento busca proporcionar una tracción y rotación que, en teoría, ayuda a que la cabeza humeral regrese a la cavidad glenoidea (9). Numerosos ensayos controlados han evaluado distintas técnicas de reducción para abordar la luxación anterior del hombro.…”

Section: Introductionunclassified

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Effectiveness of the Boss-Holzach-Matter selfassisted technique for the reduction of anterior glenohumeral dislocations: systematic review

Piropo Net,

Perugino

2024

SCT Proceedings in Interdisciplinary Insights and Innovations

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Background: Anterior shoulder dislocation represents a common reason for emergency room visits. Despite the wide range of motion provided by this joint in three-dimensional space, it is prone to dislocation, with a significant incidence rate. The choice of reduction technique lacks consensus, with over 25 possible maneuvers, largely dependent on the physician's preference and experience. Additionally, potential neurovascular injuries resulting from the maneuver or its poor execution add complexity to this issue, challenging emergency physicians and orthopedic surgeons. The self-assisted technique Boss-Holzach-Matter (BHM) shows promising benefits in reducing patient anxiety and medical costs. Materials and Methods: A manual bibliographic search was conducted in PubMed, Scielo, and Central databases for studies from the last 10 years analyzing reduction techniques using the keywords "techniques for shoulder dislocation". Titles, abstracts, and full articles were reviewed, extracting pertinent data. Out of the 17 articles found, including systematic reviews, clinical trials, and other publications, 10 were selected without language restrictions. Results: Reduction methods varied significantly among studies. Comparison between self-assisted techniques like BHM and Spaso revealed differences in success rate and pain tolerance. The Davos technique demonstrated high effectiveness, although it was associated with potential complications. Comparative studies supported the efficacy of BHM and Milch in unassisted reduction. Conclusions: The need for further research to validate these findings, identify limitations, and evaluate clinical applicability is acknowledged. Additional studies are required to confirm the effectiveness of self-assisted techniques such as BHM, Milch, and Davos, as well as to address the potential limitations and considerations associated with each technique

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Section: Resultsunclassified

Section: Introductionunclassified

Effectiveness of the Boss-Holzach-Matter selfassisted technique for the reduction of anterior glenohumeral dislocations: systematic review

Piropo Net,

Perugino

2024

SCT Proceedings in Interdisciplinary Insights and Innovations

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Adherence of Patients to Methods of Self-Reduction of Shoulder Dislocation Taught via Smartphones: A Medium-Term Follow-up Survey

Rabin,

Chechik,

Maman

et al. 2024

Wilderness & Environmental Medicine

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Introduction Self-reduction of a shoulder dislocation may reduce the time from injury to reduction and to the relief of patient discomfort. The purpose of this study was to assess adherence to earlier acquired self-reduction techniques during real-time recurrent shoulder dislocation. Methods A telephone survey was conducted among 58 patients previously taught shoulder self-reduction via an instructional video sent to their smartphones during a visit to the emergency department (ED) for the treatment of anterior shoulder dislocation. Participants were queried on recurrent dislocations, use of self-reduction methods, success rate, the effect that instruction in self-reduction had on their willingness to participate in recreational sports activities, on the decision to avoid surgery, and on the overall level of satisfaction with self-reduction methods. Results Forty-five patients (77.6%; average age 31.4±11.7 y, 10 females) were available for follow-up at an average 60.8±11.0 mo after the index visit to the ED. Eighteen of 23 patients (78.2%) who experienced a recurrent dislocation during the follow-up period attempted self-reduction, and 12 of them successfully achieved self-reduction. Sixteen patients (35.6%) reported that the knowledge in self-reduction increased their willingness to participate in recreational sports activities, whereas 4 (8.9%) patients reported that knowledge in self-reduction affected their decision not to undergo surgical stabilization. Conclusions Individuals who sustain recurrent shoulder dislocations should be educated on shoulder self-reduction with the aims of minimizing discomfort, obviating referral to the ED, and motivating participation in recreational activities.

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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,

Mousavi Nasab

et al. 2024

BMC Musculoskelet Disord

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Background and objective Reduction manipulation using self-reduction procedures such as Stimson, Milch, and Boss-Holtzach should be easy and effective and also require less force, pain medication, and outside assistance. This technique should not cause damage to arteries, nerves, or shoulder joint components. Self-reduction is straightforward and can be done in clinics, making it ideal for people who suffer from shoulder joint dislocation frequently. The goal of this study is to compare the effectiveness of supervised self-reduction procedures vs. physician-assisted treatments in the treatment of 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 Four papers in all were included in the meta-analysis. One prospective trial, one case-control study, one randomized clinical trial, and one retrospective trial made up these studies. The studies involved 283 patients in the physician-assisted group and 180 patients in the supervised self-reduction group. They were carried out in four European countries: Italy, Germany, Portugal, and Spain. 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). The self-reduction approaches exhibit shorter reduction time in comparison to physician-assisted groups. In addition, the self-reduction groups do not document any complications. Based on the GRADE system, the level of assurance in the evidence was high. Conclusion Supervised self-reduction 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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Evaluation of the Davos self-assisted technique for reduction of anterior glenohumeral dislocations: a comparative study with the traction/countertraction technique

Cited by 3 publications

References 28 publications

Effectiveness of the Boss-Holzach-Matter selfassisted technique for the reduction of anterior glenohumeral dislocations: systematic review

Effectiveness of the Boss-Holzach-Matter selfassisted technique for the reduction of anterior glenohumeral dislocations: systematic review

Adherence of Patients to Methods of Self-Reduction of Shoulder Dislocation Taught via Smartphones: A Medium-Term Follow-up Survey

Efficacy of supervised self-reduction vs. physician-assisted techniques for anterior shoulder dislocations: a systematic review and meta-analysis

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