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Muscles of the Shoulder

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Anteroinferior shoulder dislocation: an auto-reduction method without analgesia

D Ceroni¹, H Sadri, A Leuenberger

¹Department of Orthopaedics, University Hospital of Geneva, Switzerland.

Journal of Orthopaedic Trauma

|August 1, 1997

Summary

This study introduces the Boss-Holzach-Matter method for reducing anteroinferior shoulder dislocations. The technique achieved a 60% success rate without anesthesia, making it suitable for rapid treatment.

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Area of Science:

Orthopedic Surgery
Traumatology

Background:

Anteroinferior shoulder dislocation is a common injury requiring prompt reduction.
Existing reduction techniques may necessitate sedation or anesthesia, complicating patient management.

Purpose of the Study:

To describe and evaluate a novel, non-sedated reduction method for anteroinferior shoulder dislocations.

Main Methods:

A retrospective (30 patients) and prospective (70 patients) study was conducted at a university hospital.
The Boss-Holzach-Matter technique involves specific patient positioning and a shoulder shrug maneuver.
Radiographic analysis classified dislocations and assessed reduction success.

Main Results:

The Boss-Holzach-Matter method demonstrated a 60% overall success rate.
Mean reduction time was 3 minutes, with a range of 15 seconds to 9 minutes.
No premedication or anesthesia was required for successful reductions.

Conclusions:

The Boss-Holzach-Matter method is an effective, anesthesia-free technique for anteroinferior shoulder dislocations.
It is recommended for patients requiring rapid reduction and early discharge.
This method offers a viable alternative for non-sedated patients.