The Sool's method_ A new reduction method of anterior shoulder dislocation

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  • Опубликовано: 30 окт 2024
  • The effectiveness of a newly developed reduction method of anterior shoulder dislocations; the Sool’s method
    Accepted at American Journal of Emergency Medicine
    Objective: The objective of this study was to demonstrate the effectiveness of the Sool’s method of anterior shoulder dislocations.
    Method: This was a retrospective study conducted in a university affiliated emergency department (ED). Sequence of the Sool’s method: (1) the patient is placed in a sitting position. (2) The patient to raise the affected arm and hand with forward flexion until the angle of the arm and trunk reaches 90 degree, and put the patient’s hand on the operator’s shoulder of same side. (3) The operator grabs the muscles of anterior part of deltoid and pectoralis of affected side with a hand of the patient’s hand putted on and grabs the elbow of affected side with an opposite hand and pulls the elbow slowly with slight lateral rotating and massages the muscles of anterior part of deltoid and pectoralis.
    Result: 59 eligible patients presented to the ED were recruited. 35 patients were recruited to TSRT and 24 patients were recruited to the Sool’s method. The rate of successful reduction in ED was 80% (26/35) in TSRT group and 75% (18/24) in the Sool’s method group (P=0.75). The length of (LOS) in the ED was 72.3 minutes in the Sool’s method group and 98.4 minutes TSRT group (P=0.037). No significant difference in neurovascular deficit before and after reduction between both groups was reported. In the Sool’s method group, procedural time of successfully reduced cases was shorter than failed cases (P=0.015).
    Conclusions The Sool’s method was as successful as other methods in reducing shoulder dislocations. Sool’s method has shown encouraging results including significant reduction in LOS in ED, and unnecessary use of sedation. Sool’s method is technically easy and requires only a chair or a bed to sit on and a single operator, which reduces the use of valuable ED resources.

Комментарии • 36

  • @aortan90
    @aortan90 10 лет назад

    Awesome! No any pain killer during procedure.
    Genius U R!

  • @guitlwep
    @guitlwep 10 лет назад +3

    fantastic! It does not require any pain medication at all!

  • @지훈-b8k
    @지훈-b8k 7 лет назад +1

    보는내가손에땀이..대단하십니다 친절하시구

  • @둥둥-p9i
    @둥둥-p9i Год назад

    awesome

  • @vitoscaletta7730
    @vitoscaletta7730 5 лет назад +2

    I like how the third guy looks like he isn't aware of what the hecks going on 😂

  • @rnegoro1
    @rnegoro1 8 лет назад +2

    Usually you give them some small sedative before the reduction. I use my left hand to pull my right hand upwards, pointing up wards vertically, then i give it a strong pull, then it goes back into place.

    • @bharathteja3949
      @bharathteja3949 5 лет назад

      I also use the same bro..I face the problem so many times.

  • @tomsmith3321
    @tomsmith3321 5 лет назад +5

    The second guy looked like the nutty professor

  • @Anuuus
    @Anuuus 5 лет назад

    Awesome !

  • @EnriqueVelazquez-dq1hx
    @EnriqueVelazquez-dq1hx Месяц назад

    donde estas ubicado doctor

  • @jumbo3046
    @jumbo3046 5 лет назад

    cool doc

  • @dazzajt
    @dazzajt 8 лет назад +1

    Gold!!

  • @soyebbond4935
    @soyebbond4935 6 лет назад

    good doctor....

  • @scarred4evr03
    @scarred4evr03 8 лет назад

    Very good!!!

  • @2dam_
    @2dam_ 7 лет назад

    와.. 의사선생님멋져..

  • @furqanullah9980
    @furqanullah9980 5 лет назад

    Good very useful information please watch and sent

  • @davidtamura475
    @davidtamura475 8 лет назад +2

    Goog, very similar a Cunningham Technique

  • @charmkang6120
    @charmkang6120 7 лет назад

    저도 그냥 커닝햄 같은데.. 성공률이 몇퍼센트 정도인가요? 커닝햄으로 잘 안되던데저는..

  • @ykhemesh72
    @ykhemesh72 5 лет назад

    Till now ... 4 times it happened to me.
    First time I almost fainted..
    Afterwards getting used to it...with alot of PAIN.

  • @luciasaldo3144
    @luciasaldo3144 4 года назад

    How i wish mine can fix too😭😭😭.. Am suffering numbness around 😭😭

  • @wholeNwon
    @wholeNwon 6 лет назад

    Painful and traumatic. More like a Kocher. You might try the Cunningham technique.

  • @reteblack
    @reteblack 6 лет назад

    👍👍

  • @user-iz7zj6rs4y
    @user-iz7zj6rs4y 5 лет назад

    저 선생님계신병원이 어딘가요?

  • @massremover
    @massremover 7 лет назад

    선생님 멋져유 ~

  • @christinaechevarria5315
    @christinaechevarria5315 7 лет назад +2

    What is he massaging!?

    • @radeloncar2878
      @radeloncar2878 7 лет назад

      Humeral insertion of pectoralis major muscle.

    • @scarred4evr03
      @scarred4evr03 6 лет назад

      He’s inspecting the tendons, ligaments, and insuring that there is no impinging of the sub clavicular artery. Also mild manipulation in that area helps the bicep tendon reposition back to its rightful place

  • @masmoi2075
    @masmoi2075 6 лет назад +6

    In America they'll knock u out.

    • @mcnuggetsferg1685
      @mcnuggetsferg1685 5 лет назад +1

      No, in America they'd use the cunningham technique which looks way less painful

  • @메롱-k9y
    @메롱-k9y 5 лет назад +1

    2번째분 넘웃김 ㅋㅋ

  • @throwingpotsandpans
    @throwingpotsandpans 9 лет назад +2

    It looks like several of them could have used some pain medication.

    • @onjojo468
      @onjojo468 6 лет назад +4

      Trust me they are on pain medication, but it still hurts,

    • @AliG-iu3yl
      @AliG-iu3yl 6 лет назад

      or a sedative

  • @maigenbethel2005
    @maigenbethel2005 6 лет назад

    Is he stoling or what

  • @elgroso806
    @elgroso806 5 лет назад

    Change the cameraman !

  • @massagetherapyforinjuriesf8197
    @massagetherapyforinjuriesf8197 5 лет назад

    For Asians this is peace of biscuit .. in US is so stressful