Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Anterior shoulder dislocation (ASD) is a common sports injury. The goal of this study was to evaluate a new procedure for reduction after ASD with respect to success rate, the need for medication for muscle relaxation, sedation, and application of pain medication and put it into context to a systematic literature review.
Patients And Methods: We retrospectively evaluated the new method in 263 patients in an Austrian skiing area from December 2005 till April 2009. We included patients with unilateral ASD and excluded those with a combined trauma and consecutive admission to hospital.
Results: The new procedure is performed in a supine position, the therapist takes the patients hand of the injured limb with his one hand and with his other hand counter holds against the acromion. Then he enhances the traction on the upper limp by using his trunk as a kind of fulcrum. With eye contact and instructions to relax, the therapist is able to detect the muscular tension, so that he can adjust the amount of traction accordingly. The presented procedure was successful in all reported cases. For 196 patients (74.5 %) no medication for muscle relaxation, sedation, or pain medication were needed.
Conclusion: The new method is a promising option to popular techniques for reduction of anterior shoulder dislocations. The benefits of this protocol are a gentle and simple application of the procedure as well as an easy acquisition.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00402-015-2279-6 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Open versus arthroscopic anterior latissimus dorsi transfer for irreparable subscapularis tear: a multicentre cohort study.
Knee Surg Sports Traumatol Arthrosc
September 2025
Department of Orthopaedic Surgery, Yeosu Baek Hospital, Jeollanam-do, Republic of Korea.
Purpose: This study aimed to compare clinical outcomes between open and arthroscopic anterior latissimus dorsi (LD) transfer techniques for treating irreparable subscapularis (SSC) tears.
Methods: We retrospectively reviewed patients who underwent open or arthroscopic anterior LD transfer for irreparable SSC tears between February 2014 and August 2020. Patients were included if they had irreparable SSC tears with Lafosse Grade 4 or higher and Goutallier Grade 3 or higher, but without advanced arthritis (Hamada Grade < 3).
Surgical Reconstruction Techniques for Irreparable Subscapularis Tears Provide Functional Improvement but Variable Failure Rates: A Systematic Review.
J ISAKOS
September 2025
McMaster University Division of Orthopaedic Surgery, Hamilton, ON, Canada; Oakville Trafalgar Memorial Hospital, Division of Orthopaedic Surgery, Oakville, ON, Canada.
Introduction/objectives: Irreparable subscapularis tears can cause severe functional impairment and present significant clinical challenges. Current treatment options include tendon transfers (TTs), anterior capsular reconstruction, and reverse shoulder arthroplasty. Each approach has distinct biomechanical advantages and limitations, but there remains no consensus regarding the optimal treatment.
View Article and Find Full Text PDFPost-reduction reclassification dilemma in proximal humeral fracture-dislocation: A case report and practical considerations.
Int J Surg Case Rep
September 2025
Institute of Orthopedics and Traumatology, Military Hospital 175, Ho Chi Minh City, 70000, Viet Nam. Electronic address:
Introduction: Proximal humeral fracture-dislocations (PHF-D) are complex injuries, often requiring urgent intervention. However, management protocols remain unclear when anatomical reduction of the glenohumeral joint is achieved, but significant displacement of the greater tuberosity persists. The lack of consensus on whether to reclassify such injuries after reduction creates uncertainty in rehabilitation strategies.
View Article and Find Full Text PDFManagement of a first time anterior shoulder dislocation: the decision-making process of a surgeon.
J Shoulder Elbow Surg
September 2025
Department of Orthopedic Surgery, University Hospital Leuven, Leuven, Belgium; Department of Development and Regeneration, KU Leuven - University of Leuven, Leuven, Belgium. Electronic address:
Background: Management of a first-time anterior shoulder dislocation in young and active patients remains a topic of ongoing debate. This study aims to use choice-based conjoint analysis to identify the factors influencing a surgeon's decision-making process and explore potential heterogeneity in the identified decision patterns.
Methods: A discrete choice experiment was conducted among all 94 members of the Belgian Elbow and Shoulder Society.
Return to Duty After Arthroscopic Bankart Repair in the South Korean Military Population.
Mil Med
September 2025
Department of Orthopedic Surgery, Armed Forces Daejeon Hospital, Daejeon, Korea.
Background: Shoulder instability is a frequent concern in active duty military personnel because of the high physical demands of service. Arthroscopic Bankart repair is commonly employed to address anterior shoulder instability, but there is limited data on return-to-duty outcomes in military cohorts, particularly in the South Korean population.
Methods: This retrospective study included 30 active duty male soldiers who underwent isolated arthroscopic Bankart repair at a single military hospital.