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[A new reduction technique for posterior locked shoulder dislocation. Case report and technique description]
H Godry1, M Citak, M Königshausen
1Chirurgische Klinik und Poliklinik, BG-Universitätsklinikum Bergmannsheil, Ruhr-Universität, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland. holger@godry.de
Der Unfallchirurg
|December 14, 2011
Summary
A novel technique for closed reduction of posterior locked shoulder dislocation is presented. This simple, one-person method effectively reduces shoulder dislocations with excellent patient outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Posterior shoulder dislocation is a challenging injury.
- Existing reduction techniques can be complex or require assistance.
Observation:
- A 61-year-old male presented with a posterior locked shoulder dislocation and glenoid rim fracture.
- A new four-step closed reduction technique was applied.
Findings:
- The technique involves constant traction, internal rotation, and using the physician's arm as a lever for humeral head manipulation.
- Successful reduction was achieved, leading to a stable shoulder.
- Two-year follow-up showed a pain-free, stable shoulder with full range of motion and a high Oxford instability score (48 points).
Implications:
- This technique offers a simple, gentle, and easily performable method for closed reduction of posterior locked shoulder dislocations.
- It may be a valuable addition to the orthopedic surgeon's armamentarium for managing shoulder dislocations.
- The technique's effectiveness is supported by positive clinical outcomes and patient satisfaction.