Aspects of Nonoperative Management of Shoulder Dislocation (Review)
Ehsan Ul Haq1*, Maryam Jamil2, Shafqat Waseem Ch1, Tauseef Ali Memon3 and Noor Afsheen3
1Department of Orthopedics Services Hospital Lahore, Services Institute of Medical Sciences Lahore (SIMS), Pakistan
2Department of General Surgery Ghurki Trust Hospital, Lahore Medical and Dental College Lahore (LMDC), Pakistan
3Department of Emergency Medicine Ziauddin University Hospital, Karachi), Pakistan
*Corresponding Author: Ehsan Ul Haq, Department of Orthopedics Services Hospital Lahore, Services Institute of Medical Sciences Lahore (SIMS), Pakistan.
Received:
May 20, 2022; Published: July 26, 2022
Abstract
Background: Shoulder dislocation (SD) is the most common dislocation represent 45% of all major joint dislocations. Worldwide, the number of patients with SD not decreased. There are many non-operative methods of reduction of SD. The ways of treatment are widely discussed in scientific forums and in publications. The aim of this review is the analysis of literature data concerning the methods of reduction of SD.
Results: Methods of non-operative techniques of SD have a long history, but today they have not lost their relevance. The widespread occurrence of SD is the reason of great number of reduction techniques available for SD. At the same time, recurrence of dislocation of the shoulder joint is observed in 50% of clinical cases, and often occurs in young patients. The disadvantages of methods for reduction the primary traumatic SD marked by many authors. The frequency of complications (habitual dislocation of the shoulder, instability of the shoulder joint, shoulder contractures), according to many authors, varies widely: from 15 to 95%. The review includes the main methods of non-operative reduction of dislocation of the shoulder joint, the frequency and structure of complications. Special focus have made to anesthesia during the reduction of the SD. In contrast to previously opinion, that it is necessary to use anesthesia during the reposition procedure, current data have demonstrated good results of SD without the use of intra-articular and other forms of anesthesia. The presented review allows to understand and to analyze current situation with treatment of SD.
Keywords: Shoulder Joint Dislocation; Shoulder Joint Dislocation Reduction; Anesthesia Support
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