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Ann Emerg Med. 1992 Nov;21(11):1349-52.

Prospective evaluation of the scapular manipulation technique in reducing anterior shoulder dislocations.

Author information

1
Department of Emergency Medicine, University of Cincinnati College of Medicine, Ohio.

Abstract

STUDY OBJECTIVE:

To evaluate the speed, efficacy, and safety of the scapular manipulation technique in reducing acute anterior shoulder dislocations.

DESIGN:

Prospective study.

SETTING:

Urban emergency department with an annual census of 65,000 patients.

PARTICIPANTS:

Forty-eight adult patients with acute anterior shoulder dislocation.

INTERVENTIONS:

Patients had an initial neurovascular and radiographic evaluation performed. They were sedated with IV fentanyl and midazolam. The shoulder was reduced using the scapular manipulation technique. The patient was re-evaluated for any evidence of complication. The total dose of analgesic required and time to reduction were recorded.

RESULTS:

The scapular manipulation technique was successful in 46 of 48 (96%) cases. The average time to reduction was 6.05 minutes, and no complications were detected. Average doses of 1.83 mg midazolam and 204 micrograms fentanyl were required for reduction.

CONCLUSION:

The scapular manipulation technique is a very fast, effective, safe method of reducing anterior shoulder dislocations in the ED. [Kothari RU, Dronen SC: Prospective evaluation of the scapular manipulation technique in reducing anterior shoulder dislocations.

PMID:
1416331
DOI:
10.1016/s0196-0644(05)81900-6
[Indexed for MEDLINE]

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