Slabospitsky MA¹, Tkach AV², Tkachenko AN³, Maryam Jamil⁴ and Ehsan Ulhaq⁵*

¹State Budgetary Health Institution of Sevastopol "City Hospital No. 1 Named After N.I. Pirogova." St. Admiral Oktyabrsky, Sevastopol, Russia
²Crimean Federal University Named After V.I. Vernadsky, Simferopol, Lenin Boulevard, Russia
³North-Western State Medical University named after I.I. Mechnikov Ministry of Health of the Russian Federation, Saint-Petersburg, Russia
⁴Department of General Surgery Ghurki Trust Hospital, Lahore Medical and Dental College (LMDC) Lahore, Pakistan
⁵Department of Orthopedics Services Hospital Lahore, Services Institute of Medical Sciences (SIMS) Lahore, Pakistan

*Corresponding Author: Ehsan Ulhaq, Department of Orthopedics Services Hospital Lahore, Services Institute of Medical Sciences (SIMS) Lahore, Pakistan.

Received: December 26, 2022; Published: January 05, 2023

Abstract

Introduction: Among all joint dislocations, shoulder dislocation is most common. There are many ways to reduce a dislocated shoulder. Assistance to such victims is provided in ER, outpatient and inpatient. The results of conservative treatment of patients with shoulder dislocation are not always positive.

Purpose of the Study: To analyze the results of the author's manual procedure for reduction of shoulder dislocation.

Materials and Methods: The study was conducted from 2013 till end of 2020, the location of the study was the trauma center of the "City Hospital No. 1 named after N.I. Pirogov." The inclusion criteria of patients was the primary dislocation of the shoulder, the diagnosis: "Closed traumatic dislocation of the shoulder" in total - 1968 patients. Exclusion criteria - secondary dislocation. Successful correction of shoulder dislocation on an outpatient basis was performed in 1,159 (58.9%) patients, after unsuccessful correction, 809 (41.1%) patients were hospitalized with shoulder dislocation. Patients on an outpatient basis were randomly divided into 2 groups: group 1 - patients (n = 1552) were reduced by traditional methods using local anesthesia, in group 2 patients (n = 416) the author's manual technique was used without local anesthesia. By gender, age and type of dislocation, patients of both groups did not differ statistically significantly.

Results: The use of osteopathic techniques was effective in 85% of cases (352 people), 64 people were hospitalized (15%). The effectiveness of using traditional methods with the use of local anesthesia was 52% (dislocation was reduced in 807 patients), the rest of the patients were treated in inpatients.

Conclusion: The use of the author's manual technique in patients with dislocated shoulder on an outpatient basis has a higher efficiency compared to traditional methods due to the fact that more patients receive care without hospital admission. In addition, this type of treatment is carried out without anesthesia, which also reduces the cost of treatment in this category of patients.

Keywords: Shoulder Dislocation; Dislocation; Anesthesia; Manual Techniques

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Citation

Citation: Ehsan Ulhaq., et al. “Reduction of Shoulder Dislocation using Osteopathic Techniques without Anesthesia, A New Approach”.Acta Scientific Orthopaedics 6.2 (2023): 03-07.

Copyright

Copyright: © 2023 Ehsan Ulhaq., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.