Anterior Shoulder Dislocation
Conditions
Brief summary
Anterior shoulder dislocation is the most common type of joint dislocation and requires timely and effective closed reduction. The traction-counter traction technique is widely used in Thailand, although it may require patient transfer and sedation, which can increase the risk of adverse events. The modified chair technique has been introduced as a simpler, potentially more convenient method that may allow reduction to be performed in a single location
Interventions
PROCEDUREModified chair technique
Modified Chair Technique is a closed reduction method for acute anterior shoulder dislocation that adapts the traditional chair technique to improve convenience and safety in the emergency setting. Instead of using a standard chair backrest, this modified approach utilizes the side rail of a patient transport stretcher, which serves as a stable fulcrum beneath the patient's axilla.
PROCEDURETraction-counter traction technique
Traction-Counter Traction Technique is applying longitudinal traction to the affected arm while simultaneously providing counter traction across the patient's torso, allowing controlled separation of the humeral head from surrounding soft tissues to facilitate reduction.
Sponsors
Khon Kaen Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients diagnosed with anterior shoulder dislocation based on physical examination and radiographic findings, including both first-episode (primary) and recurrent cases. * Patients aged 18 years or older. * Patients who are fully conscious and able to provide informed consent. * Patients with a Glasgow Coma Score (GCS) of 15.
Exclusion criteria
* Patients with a history of seizure prior to the current injury. * Patients with vascular or neurological deficits detected on physical examination. * Patients with associated humeral fractures identified on radiographic imaging. * Patients with multiple traumatic injuries involving.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the success rate of shoulder reduction between the modified chair technique and the traction-counter traction technique in patients with acute anterior shoulder dislocation. | immediate after procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To compare the level of pain during the shoulder reduction procedure between the modified chair technique and the traction-counter traction technique. | immediate after procedure | we record pain with visual analog scale range from 0 to 10 |
| Evaluate the complications associated with shoulder reduction from using the modified chair technique and the traction-counter traction technique. | 30 minute after procedure | Complication such as brachial plexus injury, proximal humerus fracture, muscle spasm |
Countries
Thailand
Outcome results
None listed