Abstract
Objective—To introduce the Spaso technique for reducing anterior shoulder dislocation by reporting the success rate of the Spaso technique performed by junior emergency medicine residents.
Design—Retrospective case series.
Setting—Urban accident and emergency department.
Participants—Patients with anterior shoulder dislocations.
Interventions—The Spaso technique was applied by the emergency medicine residents to reduce anterior shoulder dislocation.
Results—The emergency medicine residents applied the Spaso technique to reduce 16 cases of anterior dislocated shoulder during the study period. The Spaso technique was successful in 14 of 16 cases. The overall success rate was 87.5% (95% CI 60.4, 97.8%). No complications were noted.
Conclusion—A new method has been introduced for reduction of anterior shoulder dislocation by reporting the experience of junior residents. The Spaso technique is simple, effective and able to be performed by single operator. Although the sample size was small, the result of the study could provide background information for planning a properly designed randomised controlled trial to evaluate the Spaso technique.
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Selected References
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- Beattie T. F., Steedman D. J., McGowan A., Robertson C. E. A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury. 1986 Sep;17(5):349–352. doi: 10.1016/0020-1383(86)90161-0. [DOI] [PubMed] [Google Scholar]
- Beeson M. S. Complications of shoulder dislocation. Am J Emerg Med. 1999 May;17(3):288–295. doi: 10.1016/s0735-6757(99)90127-4. [DOI] [PubMed] [Google Scholar]
- Doyle W. L., Ragar T. Use of the scapular manipulation method to reduce an anterior shoulder dislocation in the supine position. Ann Emerg Med. 1996 Jan;27(1):92–94. doi: 10.1016/s0196-0644(96)70303-7. [DOI] [PubMed] [Google Scholar]
- Gleeson A. P. Anterior glenohumeral dislocations: what to do and how to do it. J Accid Emerg Med. 1998 Jan;15(1):7–12. doi: 10.1136/emj.15.1.7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kothari R. U., Dronen S. C. Prospective evaluation of the scapular manipulation technique in reducing anterior shoulder dislocations. Ann Emerg Med. 1992 Nov;21(11):1349–1352. doi: 10.1016/s0196-0644(05)81900-6. [DOI] [PubMed] [Google Scholar]
- McNamara R. M. Reduction of anterior shoulder dislocations by scapular manipulation. Ann Emerg Med. 1993 Jul;22(7):1140–1144. doi: 10.1016/s0196-0644(05)80979-5. [DOI] [PubMed] [Google Scholar]
- Mirick M. J., Clinton J. E., Ruiz E. External rotation method of shoulder dislocation reduction. JACEP. 1979 Dec;8(12):528–531. doi: 10.1016/s0361-1124(79)80302-0. [DOI] [PubMed] [Google Scholar]
- Plummer D., Clinton J. The external rotation method for reduction of acute anterior shoulder dislocation. Emerg Med Clin North Am. 1989 Feb;7(1):165–175. [PubMed] [Google Scholar]
- Riebel G. D., McCabe J. B. Anterior shoulder dislocation: a review of reduction techniques. Am J Emerg Med. 1991 Mar;9(2):180–188. doi: 10.1016/0735-6757(91)90187-o. [DOI] [PubMed] [Google Scholar]
- Thakur A. J., Narayan R. Painless reduction of shoulder dislocation by Kocher's method. J Bone Joint Surg Br. 1990 May;72(3):524–524. doi: 10.1302/0301-620X.72B3.2341466. [DOI] [PubMed] [Google Scholar]
- Wen D. Y. Current concepts in the treatment of anterior shoulder dislocations. Am J Emerg Med. 1999 Jul;17(4):401–407. doi: 10.1016/s0735-6757(99)90097-9. [DOI] [PubMed] [Google Scholar]