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.
Awesome! No any pain killer during procedure.
Genius U R!
fantastic! It does not require any pain medication at all!
보는내가손에땀이..대단하십니다 친절하시구
awesome
I like how the third guy looks like he isn't aware of what the hecks going on 😂
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.
I also use the same bro..I face the problem so many times.
The second guy looked like the nutty professor
Awesome !
donde estas ubicado doctor
cool doc
Gold!!
good doctor....
Very good!!!
와.. 의사선생님멋져..
Good very useful information please watch and sent
Goog, very similar a Cunningham Technique
저도 그냥 커닝햄 같은데.. 성공률이 몇퍼센트 정도인가요? 커닝햄으로 잘 안되던데저는..
Till now ... 4 times it happened to me.
First time I almost fainted..
Afterwards getting used to it...with alot of PAIN.
How i wish mine can fix too😭😭😭.. Am suffering numbness around 😭😭
Painful and traumatic. More like a Kocher. You might try the Cunningham technique.
👍👍
저 선생님계신병원이 어딘가요?
선생님 멋져유 ~
What is he massaging!?
Humeral insertion of pectoralis major muscle.
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
In America they'll knock u out.
No, in America they'd use the cunningham technique which looks way less painful
2번째분 넘웃김 ㅋㅋ
It looks like several of them could have used some pain medication.
Trust me they are on pain medication, but it still hurts,
or a sedative
Is he stoling or what
Change the cameraman !
For Asians this is peace of biscuit .. in US is so stressful