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

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.

Author Biography

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

Specialist Orthopedic Surgeon, Dubai Hospital, Dubai Health Authority

References

Blake R, Hoffman J. Emergency department evaluation and treatment of the shoulder and humerus. Emerg Med Clin North Am. 1999;17:859-76.

Krøner K1, Lind T, Jensen J. The epidemiology of shoulder dislocations. Arch Orthop Trauma Surg. 1989;108:288-90.

Rockwood CA Jr, Wirth MA. Subluxation and dislocations about the G-H joint. In: Rockwood CA, Green DP, Burkolz RW, Heckman JD, editors. Rockwood and Green’s fractures in adult. 4th ed. Philadelphia: Lippincott-Raven Publishers; 1996: 1306-1309.

Beattie TF, Steedman DJ, McGowan, Robertson CE. A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury. 1986;17:349-52.

Amar E, Maman E, Khashan M, Kauffman E, Rath E, Chechik O. Milch versus Stimson technique for nonsedated reduction of anterior shoulder dislocation: a prospective randomized trial and analysis of factors affecting success. J Shoulder Elbow Surg. 2012;21:1443-9.

Milch H. Treatment of dislocation of the shoulder. Surgery. 1938;3:732-40.

McNamara RM. Reduction of anterior shoulder dislocations by scapular manipulation. Ann Emerg Med. 1993;22:1140-4.

Kothari RU, Dronen SC. Prospective evaluation of the scapular manipulation technique in reducing anterior shoulder dislocation. Ann Emerg Med. 1992;21:1349-52.

Boss A, Holzach P, Matter P. A new self-repositioning technique for fresh anterior-lower shoulder dislocation. Helv Chir Acta. 1993;60:263-5.

Tsoi LCH, Wong MCK. FARES method to reduce acute anterior shoulder dislocation: a case series and efficacy analysis. Hong Kong J Emergency Med. 2012;19:65-9.

Sayegh FE, Kenanidis EI, Papavasiliou KA, Potoupnis ME, Kirkos JM, Kapetanos GA. Reduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the Hippocratic and Kochermethods. J Bone Jt Surg Am. 2009;91(12):2775-82.

Marinelli M, Luigi de Palma. The external rotation method for reduction of acute anterior shoulder dislocations, J Orthop Traumatol. 2009;10(1):17–20.

Miljesic S, Kelly AM. Reduction of anterior dislocation of the shoulder: the Spaso technique. Emerg Med. 1998;10(3/4):173–5.

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.

Cunningham NJ. Techniques for reduction of anteroinferior shoulder dislocation. Emerge Med Australas. 2005;17:463–71.

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Published

2017-10-25

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Original Research Articles