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

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.

Keywords

• Shoulder dislocation
• anterior dislocation
• traction
• emergency department

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

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.

Keywords

• Omuz çıkığı
• Anterior çıkık
• Traksiyon
• Acil servis
• Türkiye

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