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Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.917151

Surgery

Cerrahi

AKUT TRAVMATİK İLK KEZ ÖNE OMUZ ÇIKIĞININ GÜNCEL TEDAVİ UYGULAMALARINDA ORTOPEDİ VE ACİL TIP UZMANLARININ YAKLAŞIM FARKLILIKLARI

APPROACH DIFFERENCES OF ORTHOPEDICS AND EMERGENCY MEDICINE PHYSICIANS IN CURRENT TREATMENT PRACTICES OF ACUTE TRAUMATIC FIRST TIME ANTERIOR SHOULDER DISLOCATION

https://orcid.org/0000-0003-0515-4001

Özmanevra

Ramadan

GİRNE ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI

https://orcid.org/0000-0002-0724-9672

Demirkıran

Nihat Demirhan

KÜTAHYA SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ

https://orcid.org/0000-0001-6957-5927

Çapkın

Sercan

AKSARAY ÜNİVERSİTESİ, TIP FAKÜLTESİ

https://orcid.org/0000-0002-1448-0784

Ozkula

Ugur

GİRNE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, ACİL TIP ANABİLİM DALI

https://orcid.org/0000-0002-6047-8597

Işın

Yağmur

Siirt Kurtalan Devlet Hastanesi

https://orcid.org/0000-0001-7491-6044

Kılıç

Ali İhsan

Siirt Devlet Hastanesi

12 30 2021

28 4 599 606 04 16 2021 08 17 2021

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

AmaçAnterior glenohumeral eklem çıkıklarının yerine oturtulmasına(redüksiyonuna) yönelik çok sayıda tekniktarif edilmiştir. Bununla birlikte, glenohumeral eklemçıkığı redüksiyonu için en iyi teknik konusunda fikirbirliği yoktur. Bu çalışma, akut travmatik ilk kez öne(anterior) omuz çıkığının tedavisinde acil uzmanlarıve ortopedi cerrahlarının yaklaşımlarını değerlendirmeyiamaçlamaktadır.Gereç ve YöntemBu kesitsel çalışmada kullanılan veriler, Türkiye Ortopedive Travmatoloji Derneği posta grubu ve TürkiyeAcil Tıp Hekimleri Derneği posta grubundan webtabanlı bir anket yoluyla elde edilmiştir. Veritabanınakayıtlı tüm ortopedi cerrahları ve acil tıp doktorları anketinamacına ilişkin bir bilgilendirme postası ve çevrimiçianket formuna (Google Forms, Alphabet Inc.,Mountain View, CA) bir bağlantı aldı. Anket, karşılıkgelen cevap seçenekleriyle gösterilen 13 sorudanoluşuyordu. Türkiye'deki ortopedi cerrahları ve aciltıp hekimleri arasında akut travmatik ilk kez anterioromuz çıkığının tedavisine yönelik güncel uygulamalardeğerlendirildi.BulgularBu ankete toplam 152 ortopedi cerrahı ve 151 aciluzmanı katılmıştır. Acil uzmanlarının omuz çıkığınıredükte etmek için en sık kullandıkları manevralarHipokrat tekniği (% 19,2) ve Cunningham tekniği (%19,2) iken, ortopedi cerrahları Hipokrat tekniğini (%23,7) ve Kocher tekniğini (% 29,6) tercih etti. Ortopedicerrahlarının omuz eklemi çıkığını azaltmak için aciluzmanlarına göre daha çok Kocher ve Milch manev-ralarını tercih ettikleri bulundu (sırasıyla p

ObjectiveNumerous techniques for the reduction of anteriorglenohumeral joint dislocations have been described.However, there is no consensus on the best techniquefor reducing a dislocated glenohumeral joint. Thisstudy aimed to evaluate the approach of emergencyspecialists and orthopedic surgeons in the treatmentof acute traumatic first-time anterior shoulderdislocation.Material and MethodsData used in this cross-sectional study were obtainedthrough a web-based survey from the TurkishOrthopedics and Traumatology Association mail groupand Emergency Medicine Physicians Associationof Turkey mail group. All orthopedic surgeonsand emergency medicine physicians who wereregistered in the database received an informationmail regarding the aim of the questionnaire and a linkto the online survey form (Google Forms, AlphabetInc., Mountain View, CA). The survey consisted of 13questions, which are shown with their correspondinganswer options. The current practices regarding themanagement of acute traumatic first-time anteriorshoulder dislocation among orthopedic surgeonsand emergency medicine physicians in Turkey wereevaluated.ResultsA total of 152 orthopedic surgeons and 151 emergencyphysicians participated in this survey. The mostcommon maneuvers used by emergency physiciansto reduce shoulder dislocations were the Hippocratestechnique (19.2%) and Cunningham technique(19.2%), while orthopedic surgeons preferred theHippocrates technique (23.7%) and Kocher technique(29.6%). It was found that orthopedic surgeonspreferred Kocher and Milch maneuvers more forshoulder joint dislocation reduction compared toemergency physicians (p < 0.001 and p = 0.005,respectively). Both the pre- reduction and postreductionprocedures showed variability betweenorthopedic surgeons and emergency physicians.ConclusionIt would be more appropriate for the emergencyphysician and orthopedic surgeons to treat apatient with shoulder dislocation together as a teamand beneficial to establish a national guideline forconsensus.

glenohumeral dislocation orthopedic surgeon emergency department maneuver survey

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