Traumatic shoulder dislocation is a relatively common & serious injury in sports activities, because of its inherent anatomy & biomechanics. Shoulder joint is one of the most unstable & frequently dislocated joints in the body, accounting for about 50% of all dislocations .
Aim of study:-to evaluate efficacy of newly developed simple & gentle method of reduction technique for anterior shoulder dislocation.
Material & Methods:-Thirty patients were evaluated & treated by using this method, in a study done within 18 months period in outpatient clinic & emergency department of Al-Kahdymia teaching hospital in Baghdad through 2006 - 2007. Twenty six patients were male and only four patients were female, their age ranging from 18 – 55 years. Reduction technique represent gentle & slow abduction of the extended arm up to 90o , with the same physician’s hand gentle axial traction applied, then horizontal adduction of extended arm of dislocated shoulder and thumb of other hand placed against humeral head to assist a reduction while the patient in supine position
Results:-Twenty-four cases which represent 80% from thirty cases of dislocations were reduced successfully from first trail of reduction without using any anesthesia or assistance. Only six cases were failed to reduced by using this method, which represent 20% failure rate.
Conclusion :-Still we can say that, this method have superiority to other methods of reduction , due to its simplicity, efficiency, painlessness , and without reported complications in spite of its limited percentage of failure .
Keywords:- New, Reduction , Shoulder, Dislocation , |