Safety and efficacy of the Prakash method in closed reduction of anterior shoulder dislocation
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251791Keywords:
Prakash methods, Anterior shoulder dislocation, Medical practiceAbstract
Introduction: Shoulder dislocation is a frequently encountered injury in daily medical practice. Among various types of shoulder dislocations, anterior shoulder dislocation is the most prevalent. Numerous techniques have been proposed for reducing a dislocated shoulder. The objective of this study was to evaluate the efficacy and safety of the Prakash technique in treating patients with anterior shoulder dislocation who sought treatment at our hospital's emergency department.
Methods: This was a prospective study conducted from March 2023 to July 2023 in the Department of Orthopedics in Government Medical College & Associated group of Hospitals, Kota. 50 shoulders fulfilling the inclusion criteria were included in this study, and observations were noted.
Results: After conducting a statistical analysis, it was observed that the new reduction method proved highly effective, successfully reducing 98% of the shoulders without the need for anesthesia. The study included a total of 50 patients, among whom 8 (16%) had left-sided shoulder dislocation, and 42 (84%) had right-sided shoulder dislocation. Notably, the reduction could be accomplished on the first attempt in 45 patients (90%), while a second attempt was required in 4 patients (8%). Fortunately, no complications were observed during the course of the study.
Conclusion: The Prakash method for reducing anterior shoulder dislocation has proven to be a straightforward and effective technique based on our study findings. Due to its success rate and the fact that it doesn't necessitate anesthesia, we strongly recommend that both orthopedic surgeons and emergency care providers familiarize themselves with this method. It can be a valuable addition to their skill set and provide a safe and efficient option for treating patients with anteriorly dislocated shoulders.
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Kazár B, Relovszky E. Prognosis of primary dislocation of the shoulder. Acta Orthop Scand. 1969;40:216-24. DOI: https://doi.org/10.3109/17453676908989501
Carrazzone OL, Tamaoki MJ, Ambra LF, Neto NA, Matsumoto MH, Belloti JC: Prevalence of lesions associated with traumatic recurrent shoulder dislocation. Rev Bras Ortop. 2011;46:281-7. DOI: https://doi.org/10.1016/S2255-4971(15)30196-8
Abrams R, Akbarnia H: Shoulder dislocations overview. StatPearls Publishing, Treasure Island, FL. 2021.
Riebel GD, McCabe JB. Anterior shoulder dislocation: a review of reduction techniques. Am J Emerg Med. 1991;9:180-8. DOI: https://doi.org/10.1016/0735-6757(91)90187-O
Manes HR. A new method of shoulder reduction in the elderly. Clin Orthop Relat Res. 1980;147:200-2. DOI: https://doi.org/10.1097/00003086-198003000-00035
Anjum R, Pathak S, Sharma AR, Aggarwal J, Sharma A, Pruthi V, et al. Reducing shoulder dislocation without anaesthesia or assistant: validation of a new reduction manoeuvre. Chin J Traumatol. 2019;22:274-7. DOI: https://doi.org/10.1016/j.cjtee.2019.05.004
Waldron VD, Hazel D. Tips of the trade #37. Technique for reduction of shoulder dislocation. Orthop Rev. 1991;20:563-6.
Prakash L. A new method for reduction of shoulder dislocations. Ortho Surg Ortho Care Int J. 2018;1:1-5.
Chen C, Ye T, Jiang J, He W, Xia J, Yang Y. Exploring temporal trends and burden of traumatic shoulder dislocation: a global perspective. Frontiers in Public Health. 2024;12:1346957. DOI: https://doi.org/10.3389/fpubh.2024.1346957
Dai F, Xiang M, Yang JS, Chen H, Hu XC, Zhang Q, et al. Injury mechanism of acute anterior shoulder dislocation associated with glenoid and greater tuberosity fractures: a study based on fracture morphology. Orthop Surg. 2020;12:1421-9. DOI: https://doi.org/10.1111/os.12767
Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am. 2010;92:542-9. DOI: https://doi.org/10.2106/JBJS.I.00450
Shah AS, Karadsheh MS, Sekiya JK. Failure of operative treatment for glenohumeral instability: etiology and management. Arthroscopy. J Arthros Related Surg. 2011;27(5):681-94. DOI: https://doi.org/10.1016/j.arthro.2010.11.057
Adams F. The internet classics archive: instruments of reduction by hippocrates. 2003.
Regauer M, Polzer H, Mutschler W. Neurovascular complications due to the Hippocrates method for reducing anterior shoulder dislocations. World J Orthop. 2014;5(1):57. DOI: https://doi.org/10.5312/wjo.v5.i1.57
Chung CH. Closed reduction techniques for acute anterior shoulder dislocation: from Egyptians to Australians. Hong Kong J Emerg Med. 2004;11(3):178-88. DOI: https://doi.org/10.1177/102490790401100309
Prakash L. A new method for reduction of shoulder dislocations. Ortho Surg Ortho Care Int J. 2018;1(3):1-5. DOI: https://doi.org/10.31031/OOIJ.2018.01.000511
Guler O, Ekinci S, Akyildiz F, Tirmik U, Cakmak S, Ugras A, Piskin A, Mahirogullari M. Comparison of four different reduction methods for anterior dislocation of the shoulder. J Orthop Surg Res. 2015;10:1-7. DOI: https://doi.org/10.1186/s13018-015-0226-4
Chung JY, Cheng CH, Graham CA, Rainer TH. The effectiveness of a specially designed shoulder chair for closed reduction of acute shoulder dislocation in the emergency department: a randomised control trial. Emerg Med J. 2013;30(10):795-800. DOI: https://doi.org/10.1136/emermed-2011-201011
Baykal B, Sener S, Turkan H. Scapular manipulation technique for reduction of traumatic anterior shoulder dislocations: experiences of an academic emergency department. Emerg Med J. 2005;22(5):336-8. DOI: https://doi.org/10.1136/emj.2004.019752
Adhikari S, Koirala P, Kafle D. Comparison of scapular manipulation with external rotation method of reduction of acute anterior shoulder dislocation for sedation requirements and success rates. J Spec Oper Med. 2018;18(3):34-7. DOI: https://doi.org/10.55460/W76R-Z4SN
Mohammad-Reza G, Seyed-Hamed H, Hamid-Reza J, Sadrollah M, Amin S. Comparison between traction-countertraction and modified scapular manipulation for reduction of shoulder dislocation. Chinese J Traumatol 2014;17(02):93-8.
Alkaduhimi H, Van Der Linde JA, Willigenburg NW, van Deurzen DF, van den Bekerom MP. A systematic comparison of the closed shoulder reduction techniques. Arch Orthop Trauma Surg. 2017;137:589-99. DOI: https://doi.org/10.1007/s00402-017-2648-4
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