Reduction of Anterior Glenohumeral Dislocation in Ventral Decubitus Versus Dorsal Decubitus Under Procedural Sedation

Reduction of Anterior Glenohumeral Dislocation in Ventral Decubitus Versus Dorsal Decubitus Under Procedural Sedation : a Prospective Randomized Trial

The anterior glenohumeral dislocation is frequently encountered in emergency medicine. It represents about 50% of the total dislocation and affects 1 resident for 10 000 in France.

In Nord Franche-Comte Hospital, 1 to 2 patients per day present this diagnosis in the emergency department, which requires reduction by external manoeuvres.

A retrospective study shows the interest of the ventral decubitus compared to dorsal decubitus reduction in the care of patients with anterior glenohumeral dislocation. None prospective study has already demonstrate the interest of the ventral decubitus compared to the dorsal decubitus in the reduction of anterior glenohumeral dislocation.

The main objective is to evaluate the speed of the reduction of the anterior dislocation of the shoulder by the ventral decubitus technique compared to the conventional technique in dorsal decubitus.

Inclusion Criteria:

• Patients with radiological confirmed anterior glenohumeral dislocation
• Patient affiliated or entitled to a social security scheme
• Oral informed consent form

Exclusion Criteria:

• Glenohumeral fracture or vasculoneural lesion associated
• Dislocation for more than 12 hours
• Homolateral shoulder surgery antecedent
• Contraindication to other analgesics (morphine, sedation)
• BMI > 40
• Patient < 18 year
• Pregnancy or nursing woment
• Person under guardianship or curatorship