New shoulder reduction technique

Short Attention Span Summary

A new shoulder reduction technique was highly successful, allowed patients to sit up, and required no sedation.  It is called the Sool's method. See the video on You Tube.


FOAM Report


Abstract

Am J Emerg Med. 2016 Apr 9. pii: S0735-6757(16)30036-5. doi: 10.1016/j.ajem.2016.04.012. [Epub ahead of print]

The effectiveness of a newly developed reduction method of anterior shoulder dislocations; Sool's method.

Park MS1, Lee JH2, Kwon H3, Kim YJ4, Jung JY4.

Author information:

1Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.

2Department of Emergency Medicine, Seoul National Hospital, Seoul, Republic of Korea.

3Department of Emergency Medicine, Seoul National University Bundang Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea. Electronic address: jinuking3g@naver.com.

4Department of Emergency Medicine, Seoul National University Bundang Hospital, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.

 

Abstract

OBJECTIVE:

Nearly a dozen reduction methods for the treatment of anterior shoulder dislocation have been reported, but the majority are painful and require patients to be in the supine or prone position.

METHODS:

This retrospective cohort study was conducted in a university-affiliated emergency department (ED). Sool's method and traditional shoulder reduction methods (TSRMs) were performed for the patient with anterior shoulder dislocation. Fifty-nine eligible patients were recruited; 35 were treated with TSRMs, wherease 24 were treated with Sool's method.

RESULTS:

The rate of successful reduction was 80% (26/35) in the TSRM group and 75% (18/24) in the Sool's method group (P=.75). The length of stay in the ED was 72.3 minutes in the Sool's method group and 98.4minutes in the TSRM group (P=.037). No significant difference was observed between the neurovascular deficit before and after reduction in either group. The procedural time of successfully reduced cases in patients treated by Sool's method was shorter than that of the failed cases (P=.015).

CONCLUSIONS:

Sool's method was as successful as other methods at reducing shoulder dislocation and has demonstrated encouraging results, including significant reduction in length of stay in the ED and unnecessary use of sedation. Sool's method is technically easy and requires only a place to sit and a single operator.

Copyright © 2016 Elsevier Inc. All rights reserved.

PMID: 27117465 [PubMed - as supplied by publisher]