Kothari R U, Dronen S C
Department of Emergency Medicine, University of Cincinnati College of Medicine, Ohio.
Ann Emerg Med. 1992 Nov;21(11):1349-52. doi: 10.1016/s0196-0644(05)81900-6.
To evaluate the speed, efficacy, and safety of the scapular manipulation technique in reducing acute anterior shoulder dislocations.
Prospective study.
Urban emergency department with an annual census of 65,000 patients.
Forty-eight adult patients with acute anterior shoulder dislocation.
Patients had an initial neurovascular and radiographic evaluation performed. They were sedated with IV fentanyl and midazolam. The shoulder was reduced using the scapular manipulation technique. The patient was re-evaluated for any evidence of complication. The total dose of analgesic required and time to reduction were recorded.
The scapular manipulation technique was successful in 46 of 48 (96%) cases. The average time to reduction was 6.05 minutes, and no complications were detected. Average doses of 1.83 mg midazolam and 204 micrograms fentanyl were required for reduction.
The scapular manipulation technique is a very fast, effective, safe method of reducing anterior shoulder dislocations in the ED. [Kothari RU, Dronen SC: Prospective evaluation of the scapular manipulation technique in reducing anterior shoulder dislocations.
评估肩胛手法复位技术在复位急性肩关节前脱位时的速度、疗效及安全性。
前瞻性研究。
年接诊量为65000例患者的城市急诊科。
48例急性肩关节前脱位的成年患者。
患者首先接受神经血管及影像学评估。通过静脉注射芬太尼和咪达唑仑使其镇静。采用肩胛手法复位技术对肩关节进行复位。对患者进行再次评估以查找任何并发症迹象。记录所需镇痛药物的总剂量及复位所需时间。
48例患者中有46例（96%）通过肩胛手法复位技术成功复位。平均复位时间为6.05分钟，未发现并发症。复位平均需要1.83毫克咪达唑仑和204微克芬太尼。
肩胛手法复位技术是在急诊科复位肩关节前脱位的一种非常快速、有效且安全的方法。[科塔里RU，德罗宁SC：肩胛手法复位技术复位肩关节前脱位的前瞻性评估。
