A stepped care approach to reduction of anterior shoulder dislocation in the prone position. |
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Authors: | S M Y Ahmed J Singh M Nicol |
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Institution: | Emergency Department, Macclesfield District General Hospital, Macclesfield, UK. shahbazmy@gmail.com |
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Abstract: | There are various methods of reducing anterior shoulder dislocations. The traditionally used methods like Kocher's and Hippocratic are associated with procedural complications and frequently require sedation/muscle relaxants which have their own complications and are associated with longer stay and monitoring requirement in the emergency department. We describe a stepped care approach to shoulder dislocation reduction in the prone position involving four steps and two new manipulation methods taking into consideration the pathological deforming forces in a dislocated shoulder and addressing them in a stepwise fashion. This method does not require sedation/muscle relaxants in the majority of cases, is easy to learn, relatively painless, associated with shorter stay in the emergency department and has fewer complications. |
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