Anterior shoulder dislocation Injury, Occupational Diseases, Poisoning Anterior shoulder dislocation
Conditions
Interventions
After fulfilling the study inclusion and exclusion criteria, each patient received a sequential registration number and a sealed, opaque envelope marked with the number corresponding to their registra
Sponsors
Federal University of Sao Paulo (Universidade Federal de São Paulo) (Brazil)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All patients with acute anterior shoulder dislocation who were treated at the Emergency Room of Hospital Sao Paulo were included in the study. The diagnostic criteria used were clinical findings: 1. Shoulder deformity 2. Acute pain and disability for active and passive mobility of the shoulder 3. Radiographic findings showing total loss of articular congruity between the humeral head and glenoid cavity, as evidenced by frontal, profile and axillary shoulder radiographs
Exclusion criteria
Exclusion criteria: 1. Patients who were diagnosed with fracture-dislocation of the shoulder joint, except those with Hill-Sachs lesions, were disqualified 2. Patients with immature skeletons (open physis), who underwent surgery, or had previous fractures in the affected shoulder 3. Patients in whom the use of lidocaine is contraindicated 4. Those who refused to sign the consent form
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain was assessed through the application of a visual analogue scale at the time of pre reduction, and 1 and 5 minutes after the reduction maneuver was performed | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The time span to achieve shoulder joint reduction in minutes 2. Neurological, vascular and infectious complications 3. Occurrence of failures were also assessed (defined as unsuccessful reduction after a 10-minute attempt). After 5 minutes, two other physicians were called to perform the reduction maneuver. Both were blinded to which treatment the patient had received. | — |
Countries
Brazil
Outcome results
None listed