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
68
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 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.
Khon Kaen Hospital
Khon Kaen, Changwat Khon Kaen, Thailand
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
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
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.