Pre-hospital reduction of shoulder dislocations in Bavarian alps

• Conditions: S43; Dislocation, sprain and strain of joints and ligaments of shoulder girdle

• Registration Number: DRKS00023377
• Lead Sponsor: Bergwacht Bayern

Brief Summary

The suspected diagnosis of shoulder dislocation was confrmed in hospital in 37 (84%) of 44 cases. Concomitant injuries in other body regions were found in eight (16%) of 49 cases and were associated with incorrect diagnosis (p= 0.002). Younger age (p = 0.043) and frst shoulder dislocation event (p = 0.038) were associated with a higher success rate for reduction attempts. Out-of-hospital reduction of shoulder dislocations leads to signifcant pain relief and no poorer long-term outcome. Signs that are associated with successful out-of-hospital reduction (younger age and frst event), but also those that are associated with incorrect diagnosis (concomitant injuries) should be considered before trying to reduce shoulder dislocation on site. The considerable rate of incorrect frst diagnosis on site should give rise to an intensive discussion around teaching and training for this intervention.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-10-26
• Study Completion: 2022-03-31
• Results First Posted: 2023-11-18
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 52

Inclusion Criteria

Suspected shoulder dislocation in bavarian alps, informed consent, any age, male and female patients

Exclusion Criteria

Not applicable

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Complication rate of reduction pre-hospital vs. in-hospital

Secondary Outcome Measures

Name	Time	Method
Proportion of correct diagnosis, Proportion of shoulder dislocations with accompanying fractures, Success rate of reduction pre-hospital vs. in-hospital, Need for analgesia.