Shoulder Dislocations

Bondarev, V. B.; Vaza, A. Yu.; Fain, A.; Титов, Р. С.

doi:10.23934/2223-9022-2020-9-1-68-84

Cited by 6 publications

(1 citation statement)

References 98 publications

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“…Частота рецидива ВП составляет около 50 % случаев [8,9]. И в России, и в других странах частота ВП продолжает оставаться на высоком уровне без устойчивой тенденции к снижению [10,11]. Врачи описывают и применяют десятки способов вправления вывиха плеча.…”

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Results of applying author’s manual method for repositioning shoulder dislocation

Slabospitskii¹,

Мохов

Ткаченко

2022

HERALD of North-Western State Medical University named after I.

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BACKGROUND: Shoulder joint dislocation is the most frequent among all types of dislocations. There are many ways to correct a dislocation of the shoulder. There are many ways to reduce a dislocated shoulder in both outpatient and inpatient settings. The results of conservative treatment of patients with shoulder dislocation are not always positive. AIM: To analyze the results of the authors manual technique for repositioning shoulder dislocation. MATERIALS AND METHODS: The study was conducted from 2013 to 2020 inclusive with unselected sampling; the study base is the trauma center of the City Hospital No. 1 by N.I. Pirogov. Criteria for including the patients in the study primary dislocation of the shoulder. Diagnosis: Closed traumatic dislocation of the shoulder in total 1968 people. Non-inclusion criteria secondary dislocation. In the outpatient setting, successful reduction of the shoulder was carried out in 1159 (58.9%) patients; after unsuccessful reduction, 809 (41.1%) patients were hospitalized with shoulder dislocation. The outpatient patients were randomly divided into two groups: in group 1 (n = 1552) the shoulders were adjusted using traditional methods with local anesthesia, the patients in group 2 (n = 416) received treatment according to the authors manual technique without local anesthesia. There were no statistically significant differences in gender, age, and type of dislocation in both groups. RESULTS: The use of manual techniques was effective in 85% of the cases (352 people), 64 people were hospitalized (15%). The effectiveness of using traditional methods with the use of local anesthesia was 52% (dislocation was repositioned in 807 patients), the rest of the patients were treated in the inpatient setting. CONCLUSIONS: The use of the authors manual technique in patients with shoulder dislocation in the outpatient setting has higher efficiency compared to traditional methods due to the fact that more patients receive assistance in the outpatient setting. In addition, this type of treatment is carried out without anesthesia, which also reduces the cost of treatment.

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Results of applying author’s manual method for repositioning shoulder dislocation

Slabospitskii¹,

Мохов

Ткаченко

2022

HERALD of North-Western State Medical University named after I.

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Problems of expert application of «Medical criteria to determine the severity of harm caused to human health» in closed injury of the shoulder joint

Lyadova,

Tuchik

2023

Sud.-med. ekspert.

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Organizational and Technological Features in the Treatment of Patients With Shoulder Dislocation: A Scientific Review

A.V.¹,

Slabospitskii²,

Ткаченко

et al. 2022

Mediko-farmacevtičeskij žurnal "Pulʹs"

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Introduction. Shoulder dislocation currently continues to be the most common among dislocations of all localizations - about 45%. Over the years of observation, this indicator has been decreasing in different countries. More than 50 methods of correcting shoulder dislocation have been described. Methods of correction and organizational features of the treatment of injured are the subject of discussions on scientific forums and on the pages of specialized magazines. The review is dedicated to the analysis of organizational and technological features shoulder dislocation. Results. The existing methods of correcting shoulder dislocation can be divided into three groups: lever; physiological methods based on muscle stretching (traction); methods involving pushing the head of the humerus into the joint cavity (push methods). Despite the many ways, the recurrence shoulder dislocation is noted in almost every second victim. Most often, relapse is stated by young patients. Many specialists note the shortcomings of the methods of correcting the primary traumatic shoulder dislocation as in terms of the choice of the method of correction, and in terms of the organization of the therapeutic and diagnostic process. Among the complications of shoulder dislocation reduction, instability of the shoulder joint, habitual dislocation, restriction of shoulder movement are most often verified. The review analyzes the main methods of conservative correction of shoulder dislocation, provides data on the frequency and structure of complications. Separately, information about anesthesia for the reduction of shoulder dislocation is noted. The features of treatment of injured with shoulder dislocation in outpatient conditions and during hospitalization are shown. Presented overview the literature allows you to orientate yourself in the state of the issue of conservative correction of shoulder dislocation today.

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Shoulder Dislocations

Cited by 6 publications

References 98 publications

Results of applying author’s manual method for repositioning shoulder dislocation

Results of applying author’s manual method for repositioning shoulder dislocation

Problems of expert application of «Medical criteria to determine the severity of harm caused to human health» in closed injury of the shoulder joint

Organizational and Technological Features in the Treatment of Patients With Shoulder Dislocation: A Scientific Review

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