2004, Number 1
<< Back Next >>
Acta Ortop Mex 2004; 18 (1)
Flexion and external rotation to reduce the anterior shoulder dislocations. Spaso technique
Trueba DC, Pozzo BA, Gil OF, Navarrete ÁJM
Language: Spanish
References: 13
Page: 18-20
PDF size: 44.94 Kb.
ABSTRACT
We introduce a new technique to reduce the anterior shoulder dislocations that
employs flexion and external rotation of the arm over the shoulder girdle. The
objective is to show an easy, effective and safe technique. Thirty eight patients
with confirmed diagnosis of anterior shoulder dislocation without complications
were included in the study, the ages ranged from 18 to 85 years. We designed a
prospective, clinical no controlled trial. The Spaso technique was applied in
all 38 patients, the reduction was success in 35 and 3 had to receive different
techniques to be reduced, in two cases more than one and the other had a
dislocation for more than 48 hours evolution. No complications were noted.
We consider a physiologic, useful, safe and effective new technique to reduce
anterior shoulder dislocations, only one operator is required to perform the
procedure and able to be perform in simple way by young physicians.
REFERENCES
Anderson D, Zvirbulis R, Ciullo J: Scapular manipulation for reduction of anterior shoulder dislocations. Clin Orthop and Related Research 1982; (164): 181-183.
Bhan S, Mehara K: A simple and universal method for reduction of dislocation of the shoulder. Int Orthop 1994; 18(1): 14-15.
Canales Cortes V, Garcia-Dihinx Checa L, Rodríguez Vela J: Reduction of acute anterior dislocations of the shoulder without anaesthesia in the position of maximum muscular relaxation. In Orthop 1989; 13(4): 259-262.
Ceroni D, Sadri H, Leuenberger A: Anteroinferior shoulder dislocation: An auto-reduction meted without analgesia. J Orthop Trauma 1997; 11(6): 399-404.
Gil F, Rojas A, Pozzo A, Trueba C, Pino J: Complicaciones de la luxación anterior traumática de hombro. Ruptura parcial de la arteria axilar y lesión del plexo braquial. Reporte de un caso. Trauma 2003; 6(2): 55-58.
Janecki CJ, Shahcheragh GH: The forward elevation maneuver for reduction of anterior dislocations of the shoulder. Clin Orthop 1982; (164): 177-180.
Miljesic S, Kelly AM: Reduction of anterior dislocation of the shoulder: The Spaso Technique. Emergency Medicine 1998; 10: 173-175.
Rockwood CA, Matsen FA, Wirth MA, et al: The Shoulder. 2nd ed. Philadelphia, WB Saunders Co; 1998.
Stimson LA: An easy method of reducing dislocations of the shoulder and hip. Med Record 1900; 57: 356.
Thakur AJ, Narayan R: Painless reduction of shoulder dislocation by Kocher’s method. J Bone Joint Surg [Br] 1990; 72(3): 524.
Welsh S, Veenstra M: Shoulder Dislocation. E Medicine Continuing Education. Michigan 2002.
Yuen MC, Tung WK: The use of the Spaso Technique in a patient with bilateral dislocations of shoulder. Am J Emerg Med 2001; 19(1): 64-66.
Yuen MC, Yap PG, Chan YT, Tung WK: An easy method to reduce anterior shoulder dislocation: the Spaso technique. Emerg Med J 2001; 18(5): 370-372.