The effectiveness of a newly developed reduction method of anterior shoulder dislocations; Sool's method

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• 作者：Moon Seok Park ; MD ; PhD^a ; Jin Hee Lee ; MD^b ; Hyuksool Kwon ; MD^c ; ^{jinuking3g@naver.com" class="auth_mail" title="E-mail the corresponding author} ; Yu Jin Kim ; M.D. ; PhD^c ; Jae Yun Jung ; MD^c
• 刊名：The American Journal of Emergency Medicine
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：34
• 期：8
• 页码：1406-1410
• 全文大小：521 K

文摘

Nearly a dozen reduction methods for the treatment of anterior shoulder dislocation have been reported, but the majority are painful and require patients to be in the supine or prone position.

Methods

This retrospective cohort study was conducted in a university-affiliated emergency department (ED). Sool's method and traditional shoulder reduction methods (TSRMs) were performed for the patient with anterior shoulder dislocation. Fifty-nine eligible patients were recruited; 35 were treated with TSRMs, wherease 24 were treated with Sool's method.

Results

The rate of successful reduction was 80% (26/35) in the TSRM group and 75% (18/24) in the Sool's method group (P = .75). The length of stay in the ED was 72.3 minutes in the Sool's method group and 98.4 minutes in the TSRM group (P = .037). No significant difference was observed between the neurovascular deficit before and after reduction in either group. The procedural time of successfully reduced cases in patients treated by Sool's method was shorter than that of the failed cases (P = .015).

Conclusions

Sool's method was as successful as other methods at reducing shoulder dislocation and has demonstrated encouraging results, including significant reduction in length of stay in the ED and unnecessary use of sedation. Sool's method is technically easy and requires only a place to sit and a single operator.