Comparison between new modified external rotation method and external rotation method for reduction of ASD.

Area of Science:

• Orthopedic surgery
• Traumatology
• Sports medicine

Background:

• Anterior shoulder dislocation (ASD) is a common injury requiring prompt reduction.
• Existing reduction methods, including the external rotation reduction method (ERM), have varying degrees of success and patient comfort.
• Novel techniques are sought to improve the efficiency and reduce the pain associated with shoulder dislocation reduction.

Purpose of the Study:

• To compare the efficacy and patient experience of a newly developed modified external rotation reduction method (MERM) against the established ERM for acute anterior shoulder dislocations.
• To evaluate differences in reduction time, pain scores, and success rates between MERM and ERM.

Main Methods:

• A randomized controlled study involving 62 patients diagnosed with acute anterior shoulder dislocations.
• Patients were randomly assigned to undergo reduction using either MERM or ERM.
• Data collected included pain scores (VAS), reduction time, success rates, and demographic/injury-related factors.

Main Results:

• The MERM group (n=32) showed a statistically significant reduction in mean application time compared to the ERM group (n=30) (1.34 ± 1.41 min vs. 3.05 ± 1.93 min; p < 0.001).
• No significant difference in intra-reduction Visual Analog Scale (VAS) pain scores was observed between the MERM and ERM groups (85.31 ± 10.39 vs. 78.33 ± 16.54; p = 0.122).
• The study included a cohort of 62 patients (52 males, 10 females; mean age 35 years).

Conclusions:

• The modified external rotation reduction method (MERM) is a viable and faster alternative for the reduction of acute anterior shoulder dislocations.
• MERM provides a comparable pain experience to ERM while significantly reducing the time required for the procedure.
• Further research may explore long-term outcomes and broader clinical application of MERM.