Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial

Batur, Ali; arslan, volkan; Engin, Muhammed Çağatay; ARSLAN, Şenol; KÖSE, AHMET

doi:10.52312/jdrs.2023.879

Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial

Ali BATUR, (Hacettepe Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ankara, Türkiye)

Volkan ARSLAN, (Hacettepe Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ankara, Türkiye)

M. Çağatay ENGİN, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Şenol ARSLAN, (Erzurum Bölge Eğitim ve Araştırma Hastanesi, Acil Tıp Bölümü, Erzurum, Türkiye)

Ahmet KÖSE (Erzurum Bölge Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Erzurum, Türkiye)

Joint diseases and related surgery

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Yıl: 2023 Cilt: 34 Sayı: 1 Sayfa Aralığı: 144 - 150 Metin Dili: İngilizce DOI: 10.52312/jdrs.2023.879 İndeks Tarihi: 07-05-2023

Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial

Öz:

Objectives: This study aims to compare three glenohumeral dislocation (GHD) reduction techniques in terms of pain and reduction time and to offer clinicians an idea of the selection of the most appropriate technique. Patients and methods: T his m ulti-center, p rospective, randomized clinical study included a total of 90 patients (55 males, 35 females; median age: 29 years; range, 22 to 41 years) who had isolated anterior GHD without complication between December 2019 and December 2021. The patients were divided into three equal groups (traction-countertraction [TCT], external rotation [ExR], and Cunningham) using the block randomization method, and reductions were performed. Pre-reduction, intra-reduction, and post-reduction Visual Analog Scale (VAS) scores, reduction times, success rates, and complication rates were analyzed. Results: There was no statistically significant difference among the groups in terms of age (p=0.414), sex (p=0.954), pre-reduction VAS (p=0.175), and post-reduction VAS (p=0.204). The median intra-reduction VAS values in the TCT, the external rotation, and the Cunningham groups were 8 (range, 7 to 9), 5 (range, 4 to 7), and 4 (range, 2.75 to 5), respectively (p<0.001). The median reduction time and IQR were 105 (range, 82.5 to 120) sec for TCT, 270 (range, 232.5 to 300) sec for ExR, and 630 (range, 540 to 780) sec for Cunningham (p=0.001). Conclusion: The fastest, but most painful technique i s TCT, while the longest and the least painful technique is Cunningham. An inverse relationship is found between time and pain. Based on these findings, it seems to be reasonable to leave the choice of the ideal reduction technique to the clinician. The clinician should choose the technique to be used according to the conditions in the emergency department.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Batur A, arslan v, Engin M, ARSLAN Ş, KÖSE A (2023). Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. , 144 - 150. 10.52312/jdrs.2023.879
Chicago	Batur Ali,arslan volkan,Engin Muhammed Çağatay,ARSLAN Şenol,KÖSE AHMET Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. (2023): 144 - 150. 10.52312/jdrs.2023.879
MLA	Batur Ali,arslan volkan,Engin Muhammed Çağatay,ARSLAN Şenol,KÖSE AHMET Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. , 2023, ss.144 - 150. 10.52312/jdrs.2023.879
AMA	Batur A,arslan v,Engin M,ARSLAN Ş,KÖSE A Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. . 2023; 144 - 150. 10.52312/jdrs.2023.879
Vancouver	Batur A,arslan v,Engin M,ARSLAN Ş,KÖSE A Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. . 2023; 144 - 150. 10.52312/jdrs.2023.879
IEEE	Batur A,arslan v,Engin M,ARSLAN Ş,KÖSE A "Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial." , ss.144 - 150, 2023. 10.52312/jdrs.2023.879
ISNAD	Batur, Ali vd. "Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial". (2023), 144-150. https://doi.org/10.52312/jdrs.2023.879

APA	Batur A, arslan v, Engin M, ARSLAN Ş, KÖSE A (2023). Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. Joint diseases and related surgery, 34(1), 144 - 150. 10.52312/jdrs.2023.879
Chicago	Batur Ali,arslan volkan,Engin Muhammed Çağatay,ARSLAN Şenol,KÖSE AHMET Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. Joint diseases and related surgery 34, no.1 (2023): 144 - 150. 10.52312/jdrs.2023.879
MLA	Batur Ali,arslan volkan,Engin Muhammed Çağatay,ARSLAN Şenol,KÖSE AHMET Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. Joint diseases and related surgery, vol.34, no.1, 2023, ss.144 - 150. 10.52312/jdrs.2023.879
AMA	Batur A,arslan v,Engin M,ARSLAN Ş,KÖSE A Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. Joint diseases and related surgery. 2023; 34(1): 144 - 150. 10.52312/jdrs.2023.879
Vancouver	Batur A,arslan v,Engin M,ARSLAN Ş,KÖSE A Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial. Joint diseases and related surgery. 2023; 34(1): 144 - 150. 10.52312/jdrs.2023.879
IEEE	Batur A,arslan v,Engin M,ARSLAN Ş,KÖSE A "Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial." Joint diseases and related surgery, 34, ss.144 - 150, 2023. 10.52312/jdrs.2023.879
ISNAD	Batur, Ali vd. "Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial". Joint diseases and related surgery 34/1 (2023), 144-150. https://doi.org/10.52312/jdrs.2023.879