scholarly journals Simultaneous Reduction of Bilateral Anterior Shoulder Dislocation Following Nocturnal Hypoglycemia-Induced Convulsion Using the Boss-Holzach-Matter Technique

2021 ◽  
pp. 180-184
Author(s):  
Steven Johannes Georg Leeuwerke ◽  
Martine Christine Keuning ◽  
Jan Willem Ek ◽  
Jan van Beveren
Keyword(s):  
Shoulder Dislocation ◽  
Reduction Method ◽  
Anterior Shoulder Dislocation ◽  
Simultaneous Reduction ◽  
Nocturnal Hypoglycemia

Bilateral anterior shoulder dislocation is rare. We describe the case of a 21-year-old male with bilateral anterior shoulder dislocation following a nocturnal, hypoglycemia-induced convulsion. The relatively uncommon Boss-Holzach-Matter technique provides an easy, atraumatic, and time-efficient self-reduction method to achieve simultaneous reduction of bilateral anterior shoulder dislocation, without the need for anesthesia or analgesia.

scholarly journals Simple self-reduction method for anterior shoulder dislocation

2014 ◽  
Vol 3 (3) ◽  
pp. 207-210
Author(s):  
Reiner Wirbel ◽  
Martin Ruppert ◽  
Elmar Schwarz ◽  
Bernhard Zapp
Keyword(s):  
Shoulder Dislocation ◽  
Reduction Method ◽  
Anterior Shoulder Dislocation

scholarly journals Intra-articular lignocaine as a means of analgesia during manual reduction of acute anterior shoulder dislocation

2016 ◽  
Vol 12 (3) ◽  
pp. 108-110
Author(s):  
Manoj Kadel ◽  
Shrawan Kumar Thapa ◽  
Rudra Marasini ◽  
Sushil Thapa ◽  
Shankar Dhakal ◽  
...  
Keyword(s):  
Visual Analogue Scale ◽  
Adverse Effects ◽  
Hospital Stay ◽  
Shoulder Dislocation ◽  
Analogue Scale ◽  
Reduction Method ◽  
Patient Discharge ◽  
Anterior Shoulder Dislocation ◽  
The Mean ◽  
The Ideal

Background & Objectives: Acute anterior shoulder dislocation needs prompt reduction of the dislocation. The ideal reduction method should be simple, fast, effective and non- traumatic, with minimal pain, and should not cause further injury to the affected shoulder. Intra-articular local lignocaine injection is a means of achieving analgesia with less complication, and allowing prompt patient discharge of patient after reduction. The study was conducted with objective to evaluate the effectiveness of intra-articular lignocaine for reduction of acute anterior shoulder dislocation.Materials & Methods: Twenty- one cases of acute anterior shoulder dislocation were reduced using intra-articular local lignocaine injection as a method of analgesia by modified Hippocrates method.Results: The mean age was 44.71 years ± SD 20.14 while 11 cases were reduced with one to six hours of injury. Pain assessed through application of a visual analogue scale during the maneuver revealed scores ranging from two to eight with mean score of 4.29 ± SD 1.55.Conclusion: This method is not only safe and effective but also reduces hospital stay and has negligible adverse effects making it a popular choice for most orthopedists.

scholarly journals P007: Cunningham reduction of anterior shoulder dislocation facilitated by inhaled low-dose methoxyflurane – a pilot study

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S66-S67
Author(s):  
H. Wiemer ◽  
S. Campbell ◽  
R. Fitzpatrick ◽  
C. Carriere ◽  
S. Teed ◽  
...  
Keyword(s):  
Pilot Study ◽  
Shoulder Dislocation ◽  
Reduction Method ◽  
Muscle Relaxation ◽  
Randomized Study ◽  
Patient Characteristics ◽  
Anterior Shoulder Dislocation ◽  
Success Rates ◽  
Convenience Sample ◽  
Reduction Techniques

Introduction: The Cunningham reduction method for anterior shoulder dislocation offers an atraumatic alternative to traditional reduction techniques without the inconvenience and risk of procedural sedation and analgesia (PSA). Unfortunately, success rates as low as 27% have limited widespread use of this method. Inhaled methoxyflurane (I-MEOF) offers a rapidly administered, minimally invasive option for short-term analgesia. We conducted a pilot study to evaluate the feasibility of studying whether I-MEOF increased success rates for atraumatic reduction of anterior shoulder dislocation. Methods: A convenience sample of 20 patients with uncomplicated anterior shoulder dislocations were offered the Cunningham reduction method supported by methoxyflurane analgesia under the guidance of an advanced care paramedic. Operators were instructed to limit their attempt to the Cunningham method. Outcomes included success rate without the requirement for PSA, time to discharge, and operator and patient satisfaction with the procedure. Results: 20 patients received I-MEOF and an attempt at Cunningham reduction. 80% of patients were male, median age was 38.6 (range 18-71), and 55% were first dislocations of that joint. 35% (8/20 patients) had reduction successfully achieved by the Cunningham method under I-MEOF analgesia. The remainder proceeded to closed reduction under PSA. All patients had eventual successful reduction in the ED. 60% of operators reported good to excellent satisfaction with the process, with inadequate muscle relaxation being identified as the primary cause of failed initial attempts. 80% of patients reported good to excellent satisfaction. Conclusion: Success with the Cunningham technique was marginally increased with the use of I-MEOF, although 65% of patients still required PSA to facilitate reduction. The process was generally met with satisfaction by both providers and patients, suggesting that early administration of analgesia is appreciated. Moreover, one-third of patients had reduction achieved atraumatically without need for further intervention. A larger, randomized study may identify patient characteristics which make this reduction method more likely to be successful.

Management of Primary Acute Anterior Shoulder Dislocation: Systematic Review and Quantitative Synthesis of the Literature

2014 ◽  
Vol 30 (4) ◽  
pp. 506-522 ◽  
Author(s):  
Umile Giuseppe Longo ◽  
Mattia Loppini ◽  
Giacomo Rizzello ◽  
Mauro Ciuffreda ◽  
Nicola Maffulli ◽  
...  
Keyword(s):  
Systematic Review ◽  
Shoulder Dislocation ◽  
Anterior Shoulder Dislocation ◽  
Quantitative Synthesis
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