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Omuz çıkığında fleksiyon-addüksiyon-dış rotasyon yöntemi

Year 2014, Volume: 48 Issue: 2, 164 - 168, 21.04.2014
https://doi.org/10.3944/AOTT.2014.13.0028

Abstract

Amaç: Bu prospektif çalışmanın amacı, akut öne omuz çıkığının redüksiyonunda fleksiyon-addüksiyon-dış rotasyon yönteminin etkinliğini değerlendirmekti.

Çalışma planı: Akut öne omuz çıkığı tanısı sonrası fleksiyon-addüksiyon-dış rotasyon yöntemi ile tedavi edilen 128 hasta (98 erkek, 30 kadın; ortalama yaş: 33, dağılım: 19-81) çalışmaya alındı. Redüksiyon öncesi ve sonrası nörovasküler muayene yapıldı. Redüksiyon süresi ile hastaların redüksiyon yönteminin kalitesi ile verdikleri cevaplar kayıt altına alındı.

Bulgular: Doksan iki hastada ilk çıkık, 36 hastada ise tekrarlayan çıkık öyküsü vardı. Yüz on bir hastada subkorakoid ve 17 hastada subglenoid çıkık mevcuttu. On üç hastada ise tuberkulum majus kırığı saptandı. Yüz dört hasta ilk denemede, 12 hasta ikinci denemede redükte edilebildi. Hastalarda ortalama redüksiyon süresi ortalama 1.5 (dağılım: 0-5) dakika idi. Başarı sağlanamayan 12 hastaya genel anestezi altında redüksiyon yapıldı. Redüksiyon sonrası nörovasküler yaralanma gözlenmedi.

Çıkarımlar: Öne fleksiyon-addüksiyon-dış rotasyon yöntemi öne omuz çıkığı veya kırıklı çıkıkta etkili ve konforlu bir redüksiyon yöntemidir.

References

  • Hussein MK. Kocher’s method is 3,000 years old. J Bone Joint Surg Br 1968;50:669-71.
  • Matsen FA, Thomas SC, Rockwood CA, Wirth MA. Glenohumeral instability In: Rockwood CA, Matsen FA, editors. The shoulder. 2nd ed., Vol 2. Philadelphia, PA: WB Saunders; 1998. p. 611-54.
  • Beattie TF, Steedman DJ, McGowan A, Robertson CE. A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury 1986;17:349-52. Manes HR. A new method of shoulder reduction in the elderly. Clin Orthop Relat Res. 1980;147:200-2.
  • Robinson CM, Kelly M, Wakefield AE. Redislocation of the shoulder during the first six weeks after a primary anterior dislocation: risk factors and results of treatment. J Bone Joint Surg Am 2002;84-A:1552-9.
  • Plummer D, Clinton J. The external rotation method for reduction of acute anterior shoulder dislocation. Emerg Med Clin North Am 1989;7:165-75.
  • Mirick MJ, Clinton JE, Ruiz E. External rotation method of shoulder dislocation reduction. JACEP 1979;8:528
  • Eachempati KK, Dua A, Malhotra R, Bhan S, Bera JR. The external rotation method for reduction of acute anterior dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am 2004;86-A:2431-4.
  • Chung CH. Closed reduction techniques for acute anterior shoulder dislocation: from Egyptians to Australians. Hong Kong J Emerg Med 2004;11:178-88.
  • Janecki CJ, Shahcheragh GH. The forward elevation maneuver for reduction of anterior dislocations of the shoulder. Clin Orthop Relat Res 1982;164:177-80.
  • Kocher T. A new reduction method for shoulder dislocation. [Article in German] Berlin Klin Wehnschr 1870;7:101-5.
  • Riebel GD, McCabe JB. Anterior shoulder dislocation: a review of reduction techniques. Am J Emerg Med 1991;9:180-8.
  • Milch H. Treatment of dislocation of the shoulder. Surgery 1938;3:732-8.
  • Ufberg JW, Vilke GM, Chan TC, Harrigan RA. Anterior shoulder dislocations: beyond traction-countertraction. J Emerg Med 2004;27:301-6.
  • Stimson LA. An easy method of reduction dislocation of the shoulder and hip. Med Record 1900;57:356.
  • Pishbin E, Bolvardi E, Ahmadi K. Scapular manipulation for reduction of anterior shoulder dislocation without analgesia: results of a prospective study. Emerg Med Australas 2011;23:54-8.
  • Yuen MC, Yap PG, Chan YT, Tung WK. An easy method to reduce anterior shoulder dislocation: the Spaso technique. Emerg Med J 2001;18:370-2.
  • Ugras AA, Mahirogullari M, Kural C, Erturk AH, Cakmak S. Reduction of anterior shoulder dislocations by Spaso technique: clinical results. J Emerg Med 2008;34:383-7.
  • Mahiroğulları M, Akyıldız F, Köksal I, Cakmak S, Kürklü M, Kuşkucu M. Chair method: a simple and effective method for reduction of anterior shoulder dislocation. Acta Orthop Traumatol Turc 2012;46:102-6.
  • Leidelmeyer R. Reduced! A shoulder, subtly and painlessly. Emerg Med 1977;9:233-4.
  • Garnavos C. Technical note: modifications and improvements of the Milch technique for the reduction of anterior dislocation of the shoulder without premedication. J Trauma 1992;32:801-3.

Flexion-adduction-external rotation method for shoulder dislocations

Year 2014, Volume: 48 Issue: 2, 164 - 168, 21.04.2014
https://doi.org/10.3944/AOTT.2014.13.0028

Abstract

Objective: The aim of this prospective study was to assess the effectiveness of the flexion-adduction-external rotation method in the reduction of acute anterior shoulder dislocations.

Methods: The study included 128 patients (98 male, 30 female; mean age: 33, range: 19 to 81) with a history of acute anterior shoulder dislocation treated with the flexion-adduction-external rotation method. Neurovascular examination was performed before and after reduction. Reduction duration and patient responses regarding the reduction method were recorded.

Results: First-time dislocation occurred in 92 patients and recurrent dislocation in 36. 111 patients had subcoracoid dislocations and 17 subglenoid dislocations. Fracture of the greater tubercle was present in 13 patients. Reduction was achieved in the first attempt in 104 patients and in the second in 12 patients. Mean reduction time was under 1.5 (range: 0 to 5) minutes. Reduction was unsuccessful in 12 patients and reduction under general anesthesia was performed. No patients experienced neurovascular injury after reduction.

Conclusion: The forward flexion-adduction-external rotation method is an effective and comfortable reduction method for the treatment of shoulder dislocation or fracture-dislocation.

References

  • Hussein MK. Kocher’s method is 3,000 years old. J Bone Joint Surg Br 1968;50:669-71.
  • Matsen FA, Thomas SC, Rockwood CA, Wirth MA. Glenohumeral instability In: Rockwood CA, Matsen FA, editors. The shoulder. 2nd ed., Vol 2. Philadelphia, PA: WB Saunders; 1998. p. 611-54.
  • Beattie TF, Steedman DJ, McGowan A, Robertson CE. A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury 1986;17:349-52. Manes HR. A new method of shoulder reduction in the elderly. Clin Orthop Relat Res. 1980;147:200-2.
  • Robinson CM, Kelly M, Wakefield AE. Redislocation of the shoulder during the first six weeks after a primary anterior dislocation: risk factors and results of treatment. J Bone Joint Surg Am 2002;84-A:1552-9.
  • Plummer D, Clinton J. The external rotation method for reduction of acute anterior shoulder dislocation. Emerg Med Clin North Am 1989;7:165-75.
  • Mirick MJ, Clinton JE, Ruiz E. External rotation method of shoulder dislocation reduction. JACEP 1979;8:528
  • Eachempati KK, Dua A, Malhotra R, Bhan S, Bera JR. The external rotation method for reduction of acute anterior dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am 2004;86-A:2431-4.
  • Chung CH. Closed reduction techniques for acute anterior shoulder dislocation: from Egyptians to Australians. Hong Kong J Emerg Med 2004;11:178-88.
  • Janecki CJ, Shahcheragh GH. The forward elevation maneuver for reduction of anterior dislocations of the shoulder. Clin Orthop Relat Res 1982;164:177-80.
  • Kocher T. A new reduction method for shoulder dislocation. [Article in German] Berlin Klin Wehnschr 1870;7:101-5.
  • Riebel GD, McCabe JB. Anterior shoulder dislocation: a review of reduction techniques. Am J Emerg Med 1991;9:180-8.
  • Milch H. Treatment of dislocation of the shoulder. Surgery 1938;3:732-8.
  • Ufberg JW, Vilke GM, Chan TC, Harrigan RA. Anterior shoulder dislocations: beyond traction-countertraction. J Emerg Med 2004;27:301-6.
  • Stimson LA. An easy method of reduction dislocation of the shoulder and hip. Med Record 1900;57:356.
  • Pishbin E, Bolvardi E, Ahmadi K. Scapular manipulation for reduction of anterior shoulder dislocation without analgesia: results of a prospective study. Emerg Med Australas 2011;23:54-8.
  • Yuen MC, Yap PG, Chan YT, Tung WK. An easy method to reduce anterior shoulder dislocation: the Spaso technique. Emerg Med J 2001;18:370-2.
  • Ugras AA, Mahirogullari M, Kural C, Erturk AH, Cakmak S. Reduction of anterior shoulder dislocations by Spaso technique: clinical results. J Emerg Med 2008;34:383-7.
  • Mahiroğulları M, Akyıldız F, Köksal I, Cakmak S, Kürklü M, Kuşkucu M. Chair method: a simple and effective method for reduction of anterior shoulder dislocation. Acta Orthop Traumatol Turc 2012;46:102-6.
  • Leidelmeyer R. Reduced! A shoulder, subtly and painlessly. Emerg Med 1977;9:233-4.
  • Garnavos C. Technical note: modifications and improvements of the Milch technique for the reduction of anterior dislocation of the shoulder without premedication. J Trauma 1992;32:801-3.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Murat Gul This is me

Umut Yavuz This is me

Sami Sokucu This is me

Engin Cetinkaya This is me

Yavuz Arikan This is me

Yavuz Selim Kabukcuoglu This is me

Publication Date April 21, 2014
Published in Issue Year 2014 Volume: 48 Issue: 2

Cite

APA Gul, M., Yavuz, U., Sokucu, S., Cetinkaya, E., et al. (2014). Flexion-adduction-external rotation method for shoulder dislocations. Acta Orthopaedica Et Traumatologica Turcica, 48(2), 164-168. https://doi.org/10.3944/AOTT.2014.13.0028
AMA Gul M, Yavuz U, Sokucu S, Cetinkaya E, Arikan Y, Kabukcuoglu YS. Flexion-adduction-external rotation method for shoulder dislocations. Acta Orthopaedica et Traumatologica Turcica. April 2014;48(2):164-168. doi:10.3944/AOTT.2014.13.0028
Chicago Gul, Murat, Umut Yavuz, Sami Sokucu, Engin Cetinkaya, Yavuz Arikan, and Yavuz Selim Kabukcuoglu. “Flexion-Adduction-External Rotation Method for Shoulder Dislocations”. Acta Orthopaedica Et Traumatologica Turcica 48, no. 2 (April 2014): 164-68. https://doi.org/10.3944/AOTT.2014.13.0028.
EndNote Gul M, Yavuz U, Sokucu S, Cetinkaya E, Arikan Y, Kabukcuoglu YS (April 1, 2014) Flexion-adduction-external rotation method for shoulder dislocations. Acta Orthopaedica et Traumatologica Turcica 48 2 164–168.
IEEE M. Gul, U. Yavuz, S. Sokucu, E. Cetinkaya, Y. Arikan, and Y. S. Kabukcuoglu, “Flexion-adduction-external rotation method for shoulder dislocations”, Acta Orthopaedica et Traumatologica Turcica, vol. 48, no. 2, pp. 164–168, 2014, doi: 10.3944/AOTT.2014.13.0028.
ISNAD Gul, Murat et al. “Flexion-Adduction-External Rotation Method for Shoulder Dislocations”. Acta Orthopaedica et Traumatologica Turcica 48/2 (April 2014), 164-168. https://doi.org/10.3944/AOTT.2014.13.0028.
JAMA Gul M, Yavuz U, Sokucu S, Cetinkaya E, Arikan Y, Kabukcuoglu YS. Flexion-adduction-external rotation method for shoulder dislocations. Acta Orthopaedica et Traumatologica Turcica. 2014;48:164–168.
MLA Gul, Murat et al. “Flexion-Adduction-External Rotation Method for Shoulder Dislocations”. Acta Orthopaedica Et Traumatologica Turcica, vol. 48, no. 2, 2014, pp. 164-8, doi:10.3944/AOTT.2014.13.0028.
Vancouver Gul M, Yavuz U, Sokucu S, Cetinkaya E, Arikan Y, Kabukcuoglu YS. Flexion-adduction-external rotation method for shoulder dislocations. Acta Orthopaedica et Traumatologica Turcica. 2014;48(2):164-8.