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Anterior shoulder dislocation is the most common type of joint dislocation and requires timely and effective closed reduction. The traction-counter traction technique is widely used in Thailand, although it may require patient transfer and sedation, which can increase the risk of adverse events. The modified chair technique has been introduced as a simpler, potentially more convenient method that may allow reduction to be performed in a single location
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Modified chair technique | Active Comparator |
| |
| traction-counter traction teahnique | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Modified chair technique | Procedure | Modified Chair Technique is a closed reduction method for acute anterior shoulder dislocation that adapts the traditional chair technique to improve convenience and safety in the emergency setting. Instead of using a standard chair backrest, this modified approach utilizes the side rail of a patient transport stretcher, which serves as a stable fulcrum beneath the patient's axilla. |
| Measure | Description | Time Frame |
|---|---|---|
| To compare the success rate of shoulder reduction between the modified chair technique and the traction-counter traction technique in patients with acute anterior shoulder dislocation. | immediate after procedure |
| Measure | Description | Time Frame |
|---|---|---|
| To compare the level of pain during the shoulder reduction procedure between the modified chair technique and the traction-counter traction technique. | we record pain with visual analog scale range from 0 to 10 | immediate after procedure |
| Evaluate the complications associated with shoulder reduction from using the modified chair technique and the traction-counter traction technique. |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Khon Kaen Hospital | Khon Kaen | Changwat Khon Kaen | 40000 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26193846 | Result | Dreu M, Aufmesser W, Aufmesser H, Dolcet C, Feigl G, Sadoghi P. A simple and gentle technique for reduction after anterior shoulder dislocation. Arch Orthop Trauma Surg. 2015 Oct;135(10):1379-84. doi: 10.1007/s00402-015-2279-6. Epub 2015 Jul 21. | |
| 19135014 | Result | Smith SL. An investigation comparing the Oxford Chair Technique with the traditional methods of glenohumeral dislocation reduction currently implemented. Int Emerg Nurs. 2009 Jan;17(1):38-46. doi: 10.1016/j.ienj.2008.09.004. Epub 2008 Nov 25. |
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| Traction-counter traction technique | Procedure | Traction-Counter Traction Technique is applying longitudinal traction to the affected arm while simultaneously providing counter traction across the patient's torso, allowing controlled separation of the humeral head from surrounding soft tissues to facilitate reduction. |
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Complication such as brachial plexus injury, proximal humerus fracture, muscle spasm |
| 30 minute after procedure |
| 19952238 | Result | Sayegh FE, Kenanidis EI, Papavasiliou KA, Potoupnis ME, Kirkos JM, Kapetanos GA. Reduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the Hippocratic and Kocher methods. J Bone Joint Surg Am. 2009 Dec;91(12):2775-82. doi: 10.2106/JBJS.H.01434. |
| 22491434 | Result | Mahirogullari M, Akyildiz F, Koksal I, Cakmak S, Kurklu M, Kuskucu M. Chair method: a simple and effective method for reduction of anterior shoulder dislocation. Acta Orthop Traumatol Turc. 2012;46(2):102-6. doi: 10.3944/AOTT.2012.2676. |
| 24698578 | Result | Ghane MR, Hoseini SH, Javadzadeh HR, Mahmoudi S, Saburi A. Comparison between traction-countertraction and modified scapular manipulation for reduction of shoulder dislocation. Chin J Traumatol. 2014 Apr 1;17(2):93-8. |
| 26016671 | Result | Guler O, Ekinci S, Akyildiz F, Tirmik U, Cakmak S, Ugras A, Piskin A, Mahirogullari M. Comparison of four different reduction methods for anterior dislocation of the shoulder. J Orthop Surg Res. 2015 May 28;10:80. doi: 10.1186/s13018-015-0226-4. |
| 32893114 | Result | Fennelly JT, Gourbault L, Neal-Smith G, Pradhan A, Gade V, Baxter JA. A systematic review of pre-hospital shoulder reduction techniques for anterior shoulder dislocation and the effect on patient return to function. Chin J Traumatol. 2020 Oct;23(5):295-301. doi: 10.1016/j.cjtee.2020.08.003. Epub 2020 Aug 12. |
| 16302939 | Result | Cunningham NJ. Techniques for reduction of anteroinferior shoulder dislocation. Emerg Med Australas. 2005 Oct-Dec;17(5-6):463-71. doi: 10.1111/j.1742-6723.2005.00778.x. |
| 28251280 | Result | Alkaduhimi H, van der Linde JA, Willigenburg NW, van Deurzen DFP, van den Bekerom MPJ. A systematic comparison of the closed shoulder reduction techniques. Arch Orthop Trauma Surg. 2017 May;137(5):589-599. doi: 10.1007/s00402-017-2648-4. Epub 2017 Mar 1. |