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Spaso Versus Self-assisted Maneuver for Anterior Shoulder Dislocation

Not Applicable
Completed
Conditions
Shoulder Dislocation
Interventions
Procedure: Spaso method
Procedure: Boss-Holzach-Matter method
Drug: Anti-Inflammatory Agents, Non-Steroidal
Registration Number
NCT02527603
Lead Sponsor
Corporacion Parc Tauli
Brief Summary

To compare the results and efficacy of the self-assisted Boss-Holzach-Matter maneuver for anterior shoulder dislocation and the Spaso method performed by a physician.

Detailed Description

Introduction: There are many described maneuvers in literature describing how to reduce an anterior shoulder dislocation. Most of these maneuvers are performed by a trained physician, however, seldom are these taught to patients in case of recurrence or accidental dislocations that may occur far from a trained professional to treat. The Boss-Holzach-Matter maneuver is a simple, easy to understand and easy to perform self assisted method that has not been compared to any other method.

Hypothesis: The Boss-Holzach-Matter method is a less painful maneuver compared to the Spaso method assuming an equal success rate.

Objective: To determine whether the Boss-Holzach-Matter method is a less painful method for anterior shoulder dislocations compares to the Spaso method assuming equal success rate.

Methodology: Fifty six patients presenting acute anterior shoulder dislocation will be randomized, at the time of the admission , to either Spaso reduction method performed by a physician or the self-assisted Boss-Holzach-Matter method.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients with an acute anterior shoulder dislocation that are diagnosed in our hospital trauma area.
Exclusion Criteria
  • Fracture luxation of the same shoulder.
  • Inability to cooperate due to mental or physical condition.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Spaso MethodAnti-Inflammatory Agents, Non-SteroidalRandomized for Sp method + 1 initial dose of 50mg dexketoprofen IM or 25mg Oral
Boss-Holzach-Matter MethodAnti-Inflammatory Agents, Non-SteroidalRandomized for BHM method +1 initial dose of 50mg dexketoprofen IM or 25mg Oral
Spaso MethodSpaso methodRandomized for Sp method + 1 initial dose of 50mg dexketoprofen IM or 25mg Oral
Boss-Holzach-Matter MethodBoss-Holzach-Matter methodRandomized for BHM method +1 initial dose of 50mg dexketoprofen IM or 25mg Oral
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Pain that the patient experiences during the reduction procedurePatients will be assessed throughout their visit to the Trauma Unit. No further following should be necessary.There will be no change in pain measurement, only the amount of pain felt during the manoeuvre.

Pain the patient feels during the reduction maneuver. The patient will be asked after reduction to fill out a form with a analog visual scale with scores ranging from 0 \[no pain\] to 10 \[worst possible pain\].

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Corporación sanitaria Parc Taulí de Sabadell

🇪🇸

Sabadell, Barcelona, Spain

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