A simple innovative Chennai handshake technique for reducing anterior dislocation of shoulder joint: a community study of 60 cases

Muhammad Thahir; B. Suresh Gandhi; Kalaivanan Kanniyan; Shanmugasundaram .

doi:10.18203/issn.2455-4510.IntJResOrthop20174700

Authors

Muhammad Thahir Department of Orthopaedic Surgery, Dubai Hospital, Dubai
B. Suresh Gandhi Department of Orthopaedic Surgery, JIPMER, Pondicherry, Tamil Nadu
Kalaivanan Kanniyan Department of Orthopaedic Surgery, SRM Institute of Medical Sciences, Chennai, Tamil Nadu
Shanmugasundaram . Department of Orthopaedic Surgery, Saveetha Medical College, Chennai, Tamil Nadu

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20174700

Keywords:

Anterior shoulder dislocation, Chennai handshake technique

Abstract

Background: Anterior shoulder dislocation is one of the commonest dislocation of our body. We here by introduce a simple, safe, successful and easily reproducible “Chennai Handshake Technique” to relocate anterior dislocation of shoulder joint.

Methods: This method was performed by a single surgeon on sixty cases (51 males, 9 females) of anterior shoulder dislocation with a mean age of 38 years (18 to 58 years) between 2008 to 2013 in tertiary care center. Among sixty patients, there were 12 cases (20%) of fresh dislocation and 48 cases (80%) of recurrent dislocation. It comprises of holding the hand in a classical double shake position and then giving a gentle longitudinal traction (stage I) followed with slow abduction and external rotation of arm (stage II), thus reducing the shoulder dislocation. Vertical oscillation may be a part of stage II in some cases before the external rotation.

Results: The index time of patient presenting to the casualty ranged from one hour to 18hrs with a mean of 4.45 hrs. The reduction time ranged from 1 to 16 min with a mean of 5.6 min. 17 dislocations (28.3%) were reduced during stage I. 41 dislocations (68.3%) were reduced during stage II. 5 dislocations (12.1%) needed vertical oscillation during stage II. we failed in two cases (3.3%).

Conclusions: No need of assistant, no need of anesthesia, no complications makes this technique, a more look back one.

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Author Biography

Muhammad Thahir, Department of Orthopaedic Surgery, Dubai Hospital, Dubai

Specialist Orthopedic Surgeon, Dubai Hospital, Dubai Health Authority

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