anterior shoulder dislocation. dislocation of shoulder joint
Conditions
Interventions
Intervention 1: Control group: reduction of dislocation by the Milch method: The patient lies supine or with 30 degrees of head and chest elevation
in the right sided dislocation, for example, the physician places his/her right hand on the patient’s right shoulder, with his/her thumb under the dislocated humeral head. The patient’s arm then is ge
the arm is then externally rotated gently, with or without some traction. At the same time, the physician’s right hand gently pushes the humeral head into the glenoid space. Intervention 2: Interventi
the second one applies a lateral traction to the affected arm using a towel wrapped around its proximal part. At the same time, the third operator on the opposite side applies counter-traction to the
Sponsors
Kerman University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Adult patients admitted to the emergency department with the diagnosis of isolated anterior shoulder dislocation
Exclusion criteria
Exclusion criteria: concomitant fractures of the humerus severe co-morbidities affecting the choice of drugs and discharge decisions morbid obesity previous shoulder surgery changing the sedation and analgesia drugs from propofol and fentanyl to any other drugs for any reason patient refusal to partcipate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First attempt success. Timepoint: one time after reduction. Method of measurement: observing by the researcher.;Pain score during reduction. Timepoint: one time after reduction. Method of measurement: asking the patient by the researcher.;Total dose of propofol administered. Timepoint: once after the end of the procedure. Method of measurement: observation by the researcher.;Total dose of fentanyl administered. Timepoint: once after the end of the procedure. Method of measurement: observation by the researcher. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to discharge. Timepoint: one time after discharge. Method of measurement: measured by the researcher.;Patient satisfaction score. Timepoint: one time after reduction. Method of measurement: asking the patient by the researcher. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAmirhossein Mirafzal
Kerman University of Medical Sciences
Outcome results
None listed