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Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience

Year 2022, , 380 - 385, 29.06.2022
https://doi.org/10.18521/ktd.1105501

Abstract

Objective: This study evaluated the general epidemiological and clinical characteristics of patients admitted to the emergency department with shoulder dislocations.
Methods: This is a retrospective cross-sectional study, conducted as a chart review at the Emergency Department of the *** State Hospital between 01 January 2018 to 31 December 2019.
Results: A total of 165 patients (median age 50 years and 60% of males) with anterior shoulder dislocations were included. The most common mechanism was traumatic dislocation (65.5%), the primary maneuver of treatment was traction/countertraction (80.6%), and 22.4% were recurrent dislocations. Males were younger and had more spontaneous dislocations. Also, patients with spontaneous dislocations were younger and predominantly males, and tended to be recurrent dislocations than traumatic ones.
Conclusions: Epidemiological characteristics of our patients were similar to a previous study conducted in Turkey, but slightly different from the studies in other populations. Further studies evaluating the incidence and long-term follow-up data are also needed to better elucidate the epidemiological features of shoulder dislocations.

References

  • Hendey GW. Managing Anterior Shoulder Dislocation. Ann Emerg Med. 2016;67(1):76–80.
  • Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Jt Surg - Ser A. 2010;92(3):542–9.
  • Liavaag S, Svenningsen S, Reikerås O, Enger M, Fjalestad T, Pripp AH, et al. The epidemiology of shoulder dislocations in Oslo. Scand J Med Sci Sport. 2011;21(6).
  • Taş M, Canbora MK, Köse Ö, Eĝerci ÖF, Gem M. demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: A retrospective analysis of 208 cases. Acta Orthop Traumatol Turc. 2013;47(3):147–52. Boffano M, Mortera S, Piana R. Management of the first episode of traumatic shoulder dislocation. EFORT Open Rev. 2017;2(2):35–40.
  • Pope EJ, Ward JP RA. Anterior shoulder instability - a history of arthroscopic treatment. Bull NYU Hosp Jt Dis. 2011;69(1):44–9.
  • Kanatlı U, Özer M. Omuzun travmatik çıkıkları. TOTBID Derg. 2019;18(January).
  • Nordqvist A, Petersson CJ. Incidence and causes of shoulder girdle injuries in an urban population. J Shoulder Elb Surg. 1995;4(2):107–12.
  • Cutts S, Prempeh M, Drew S. Anterior shoulder dislocation. Vol. 91, Annals of the Royal College of Surgeons of England. 2009. p. 2–7.
  • Provencher MT, Frank RM, LeClere LE, Metzger PD, Ryu JJ, Bernhardson A, et al. The Hill-Sachs Lesion: Diagnosis, Classification, and Management. J Am Acad Orthop Surg. 2012 Apr;20(4):242–52.
  • Bushnell BD, Creighton RA, Herring MM. The Bony Apprehension Test for Instability of the Shoulder: A Prospective Pilot Analysis. Arthrosc - J Arthrosc Relat Surg. 2008 Sep 1;24(9):974–82.
  • Alkaduhimi H, van der Linde JA, Flipsen M, van Deurzen DFP, van den Bekerom MPJ. A systematic and technical guide on how to reduce a shoulder dislocation. Vol. 16, Turkish Journal of Emergency Medicine. 2016. p. 155–68.
  • Handoll HHG, Hanchard NCA, Goodchild LM, Feary J. Conservative management following closed reduction of traumatic anterior dislocation of the shoulder ( Review ) Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Sci York. 2009;10(1):1–3.
  • Hanchard NC, Goodchild LM, Kottam L. Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Cochrane Database Syst Rev. 2014 Apr 30;477(9):1984–90.
  • Itoi E, Hatakeyama Y, Sato T, Kido T, Minagawa H, Yamamoto N, et al. Immobilization in external rotation after shoulder dislocation reduces the risk of recurrence: A randomized controlled trial. J Bone Jt Surg - Ser A. 2007;89(10):2124–31.
  • Taylor DMD, O’Brien D, Ritchie P, Pasco J, Cameron PA. Propofol versus midazolam/fentanyl for reduction of anterior shoulder dislocation. Acad Emerg Med. 2005;12(1):13–9.
  • Kosnik J, Shamsa F, Raphael E, Huang R, Malachias Z, Georgiadis GM. Anesthetic methods for reduction of acute shoulder dislocations: A prospective randomized study comparing intraarticular lidocaine with intravenous analgesia and sedation. Am J Emerg Med. 1999;17(6):566–70.
  • Miller SL, Cleeman E, AUERBACH J, FLATOW EL. Comparison of intra-articular lidocaine and intravenous sedation for reduction of shoulder dislocations. J Bone Jt Surgery-American Vol. 2002 Dec;84(12):2135–9.
  • Gleeson AP, Graham CA, Jones I, Beggs I, Nutton RW. Comparison of intra-articular lignocaine and a suprascapular nerve block for acute anterior shoulder dislocation. Injury. 1997;28(2):141–2.
  • Kuhn JE. Treating the initial anterior shoulder dislocation - An evidence-based medicine approach. Sports Med Arthrosc. 2006;14(4):192–8.

Türkiye'de Acil Servislerde Ön Omuz Çıkığı Hastalarının Epidemiyolojik ve Klinik Özellikleri: Tek Merkez Deneyimi

Year 2022, , 380 - 385, 29.06.2022
https://doi.org/10.18521/ktd.1105501

Abstract

Amaç: Bu çalışmada acil servise omuz çıkığı ile başvuran hastaların genel epidemiyolojik ve
klinik özellikleri değerlendirildi.
Gereç ve Yöntem: Tek merkezli, retrospektif kesitsel çalışmamızda 01 Ocak 2018 - 31 Aralık
2019 tarihleri arasında Tekirdağ Devlet Hastanesi acil servisinde ön omuz çıkığı olan hastaları
incelemesi üzerine yapılmıştır.
Bulgular: Ön omuz çıkığı olan toplam 165 hasta (ortanca yaş 50 ve %60'ı erkekti) dahil edildi.
En sık mekanizma travmatik çıkık (%65.5), birincil redüksiyon tekniği traksiyon/ters traksiyon
(%80.6) idi. Hastaların üçte ikisinde sağ omuz çıkığı vardı. Ayrıca travmatik çıkıkta vardı ve
bunlara sedoanaljezi gerekmedi. Erkeklerde yaş daha gençti ancak spontan çıkık daha yaygındı.
Tanı %99 oranında röntgen ile konuldu. Acil servis hekimleri %96 başarılıydı.
Sonuç: Direkt grafi ön omuz çıkığının tanısını başarıyla koyar. Acil hekimleri tarafından
anterior çıkık tedavisi oldukça başarılıdır. Atravmatik çıkıkların genç erkek hastalarda daha sık
görüldüğü akılda tutulmalıdır.

References

  • Hendey GW. Managing Anterior Shoulder Dislocation. Ann Emerg Med. 2016;67(1):76–80.
  • Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Jt Surg - Ser A. 2010;92(3):542–9.
  • Liavaag S, Svenningsen S, Reikerås O, Enger M, Fjalestad T, Pripp AH, et al. The epidemiology of shoulder dislocations in Oslo. Scand J Med Sci Sport. 2011;21(6).
  • Taş M, Canbora MK, Köse Ö, Eĝerci ÖF, Gem M. demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: A retrospective analysis of 208 cases. Acta Orthop Traumatol Turc. 2013;47(3):147–52. Boffano M, Mortera S, Piana R. Management of the first episode of traumatic shoulder dislocation. EFORT Open Rev. 2017;2(2):35–40.
  • Pope EJ, Ward JP RA. Anterior shoulder instability - a history of arthroscopic treatment. Bull NYU Hosp Jt Dis. 2011;69(1):44–9.
  • Kanatlı U, Özer M. Omuzun travmatik çıkıkları. TOTBID Derg. 2019;18(January).
  • Nordqvist A, Petersson CJ. Incidence and causes of shoulder girdle injuries in an urban population. J Shoulder Elb Surg. 1995;4(2):107–12.
  • Cutts S, Prempeh M, Drew S. Anterior shoulder dislocation. Vol. 91, Annals of the Royal College of Surgeons of England. 2009. p. 2–7.
  • Provencher MT, Frank RM, LeClere LE, Metzger PD, Ryu JJ, Bernhardson A, et al. The Hill-Sachs Lesion: Diagnosis, Classification, and Management. J Am Acad Orthop Surg. 2012 Apr;20(4):242–52.
  • Bushnell BD, Creighton RA, Herring MM. The Bony Apprehension Test for Instability of the Shoulder: A Prospective Pilot Analysis. Arthrosc - J Arthrosc Relat Surg. 2008 Sep 1;24(9):974–82.
  • Alkaduhimi H, van der Linde JA, Flipsen M, van Deurzen DFP, van den Bekerom MPJ. A systematic and technical guide on how to reduce a shoulder dislocation. Vol. 16, Turkish Journal of Emergency Medicine. 2016. p. 155–68.
  • Handoll HHG, Hanchard NCA, Goodchild LM, Feary J. Conservative management following closed reduction of traumatic anterior dislocation of the shoulder ( Review ) Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Sci York. 2009;10(1):1–3.
  • Hanchard NC, Goodchild LM, Kottam L. Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Cochrane Database Syst Rev. 2014 Apr 30;477(9):1984–90.
  • Itoi E, Hatakeyama Y, Sato T, Kido T, Minagawa H, Yamamoto N, et al. Immobilization in external rotation after shoulder dislocation reduces the risk of recurrence: A randomized controlled trial. J Bone Jt Surg - Ser A. 2007;89(10):2124–31.
  • Taylor DMD, O’Brien D, Ritchie P, Pasco J, Cameron PA. Propofol versus midazolam/fentanyl for reduction of anterior shoulder dislocation. Acad Emerg Med. 2005;12(1):13–9.
  • Kosnik J, Shamsa F, Raphael E, Huang R, Malachias Z, Georgiadis GM. Anesthetic methods for reduction of acute shoulder dislocations: A prospective randomized study comparing intraarticular lidocaine with intravenous analgesia and sedation. Am J Emerg Med. 1999;17(6):566–70.
  • Miller SL, Cleeman E, AUERBACH J, FLATOW EL. Comparison of intra-articular lidocaine and intravenous sedation for reduction of shoulder dislocations. J Bone Jt Surgery-American Vol. 2002 Dec;84(12):2135–9.
  • Gleeson AP, Graham CA, Jones I, Beggs I, Nutton RW. Comparison of intra-articular lignocaine and a suprascapular nerve block for acute anterior shoulder dislocation. Injury. 1997;28(2):141–2.
  • Kuhn JE. Treating the initial anterior shoulder dislocation - An evidence-based medicine approach. Sports Med Arthrosc. 2006;14(4):192–8.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Murat Çetin 0000-0002-0667-7966

Nurcan Bıçakçı 0000-0003-1358-9224

Sercan Bıçakçı 0000-0002-3268-0499

Neil J Cunnıngham 0000-0002-1259-5641

Publication Date June 29, 2022
Acceptance Date June 16, 2022
Published in Issue Year 2022

Cite

APA Çetin, M., Bıçakçı, N., Bıçakçı, S., Cunnıngham, N. J. (2022). Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience. Konuralp Medical Journal, 14(2), 380-385. https://doi.org/10.18521/ktd.1105501
AMA Çetin M, Bıçakçı N, Bıçakçı S, Cunnıngham NJ. Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience. Konuralp Medical Journal. June 2022;14(2):380-385. doi:10.18521/ktd.1105501
Chicago Çetin, Murat, Nurcan Bıçakçı, Sercan Bıçakçı, and Neil J Cunnıngham. “Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience”. Konuralp Medical Journal 14, no. 2 (June 2022): 380-85. https://doi.org/10.18521/ktd.1105501.
EndNote Çetin M, Bıçakçı N, Bıçakçı S, Cunnıngham NJ (June 1, 2022) Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience. Konuralp Medical Journal 14 2 380–385.
IEEE M. Çetin, N. Bıçakçı, S. Bıçakçı, and N. J. Cunnıngham, “Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience”, Konuralp Medical Journal, vol. 14, no. 2, pp. 380–385, 2022, doi: 10.18521/ktd.1105501.
ISNAD Çetin, Murat et al. “Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience”. Konuralp Medical Journal 14/2 (June 2022), 380-385. https://doi.org/10.18521/ktd.1105501.
JAMA Çetin M, Bıçakçı N, Bıçakçı S, Cunnıngham NJ. Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience. Konuralp Medical Journal. 2022;14:380–385.
MLA Çetin, Murat et al. “Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience”. Konuralp Medical Journal, vol. 14, no. 2, 2022, pp. 380-5, doi:10.18521/ktd.1105501.
Vancouver Çetin M, Bıçakçı N, Bıçakçı S, Cunnıngham NJ. Epidemiological and Clinical Characteristics of Shoulder Dislocations in Emergency Care Settings in Turkey: A Single-Center Experience. Konuralp Medical Journal. 2022;14(2):380-5.