A Modified Chair Technique for Acute Anterior Shoulder Dislocation Compare With Traction-counter Traction Technique

N/ACompletedNCT07301931

Khon Kaen Hospital68 enrolled

Overview

Anterior shoulder dislocation is the most common type of joint dislocation and requires timely and effective closed reduction. The traction-counter traction technique is widely used in Thailand, although it may require patient transfer and sedation, which can increase the risk of adverse events. The modified chair technique has been introduced as a simpler, potentially more convenient method that may allow reduction to be performed in a single location

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Anterior Shoulder Dislocation

Interventions

Modified chair techniquePROCEDURE

Modified Chair Technique is a closed reduction method for acute anterior shoulder dislocation that adapts the traditional chair technique to improve convenience and safety in the emergency setting. Instead of using a standard chair backrest, this modified approach utilizes the side rail of a patient transport stretcher, which serves as a stable fulcrum beneath the patient's axilla.

Traction-counter traction techniquePROCEDURE

Traction-Counter Traction Technique is applying longitudinal traction to the affected arm while simultaneously providing counter traction across the patient's torso, allowing controlled separation of the humeral head from surrounding soft tissues to facilitate reduction.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients diagnosed with anterior shoulder dislocation based on physical examination and radiographic findings, including both first-episode (primary) and recurrent cases. * Patients aged 18 years or older. * Patients who are fully conscious and able to provide informed consent. * Patients with a Glasgow Coma Score (GCS) of 15. Exclusion Criteria: * Patients with a history of seizure prior to the current injury. * Patients with vascular or neurological deficits detected on physical examination. * Patients with associated humeral fractures identified on radiographic imaging. * Patients with multiple traumatic injuries involving.

Locations (1)

Khon Kaen Hospital

Khon Kaen, Changwat Khon Kaen, Thailand

Outcomes

Primary Outcomes

To compare the success rate of shoulder reduction between the modified chair technique and the traction-counter traction technique in patients with acute anterior shoulder dislocation.

Time frame: immediate after procedure

Secondary Outcomes

To compare the level of pain during the shoulder reduction procedure between the modified chair technique and the traction-counter traction technique.

we record pain with visual analog scale range from 0 to 10

Time frame: immediate after procedure

Evaluate the complications associated with shoulder reduction from using the modified chair technique and the traction-counter traction technique.

Complication such as brachial plexus injury, proximal humerus fracture, muscle spasm

Time frame: 30 minute after procedure

Data from ClinicalTrials.gov

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