Introduction. Shoulder dislocation currently continues to be the most common among dislocations of all localizations - about 45%. Over the years of observation, this indicator has been decreasing in different countries. More than 50 methods of correcting shoulder dislocation have been described. Methods of correction and organizational features of the treatment of injured are the subject of discussions on scientific forums and on the pages of specialized magazines. The review is dedicated to the analysis of organizational and technological features shoulder dislocation. Results. The existing methods of correcting shoulder dislocation can be divided into three groups: lever; physiological methods based on muscle stretching (traction); methods involving pushing the head of the humerus into the joint cavity (push methods). Despite the many ways, the recurrence shoulder dislocation is noted in almost every second victim. Most often, relapse is stated by young patients. Many specialists note the shortcomings of the methods of correcting the primary traumatic shoulder dislocation as in terms of the choice of the method of correction, and in terms of the organization of the therapeutic and diagnostic process. Among the complications of shoulder dislocation reduction, instability of the shoulder joint, habitual dislocation, restriction of shoulder movement are most often verified. The review analyzes the main methods of conservative correction of shoulder dislocation, provides data on the frequency and structure of complications. Separately, information about anesthesia for the reduction of shoulder dislocation is noted. The features of treatment of injured with shoulder dislocation in outpatient conditions and during hospitalization are shown. Presented overview the literature allows you to orientate yourself in the state of the issue of conservative correction of shoulder dislocation today.

BACKGROUND: Shoulder joint dislocation is the most frequent among all types of dislocations. There are many ways to correct a dislocation of the shoulder. There are many ways to reduce a dislocated shoulder in both outpatient and inpatient settings. The results of conservative treatment of patients with shoulder dislocation are not always positive. AIM: To analyze the results of the authors manual technique for repositioning shoulder dislocation. MATERIALS AND METHODS: The study was conducted from 2013 to 2020 inclusive with unselected sampling; the study base is the trauma center of the City Hospital No. 1 by N.I. Pirogov. Criteria for including the patients in the study primary dislocation of the shoulder. Diagnosis: Closed traumatic dislocation of the shoulder in total 1968 people. Non-inclusion criteria secondary dislocation. In the outpatient setting, successful reduction of the shoulder was carried out in 1159 (58.9%) patients; after unsuccessful reduction, 809 (41.1%) patients were hospitalized with shoulder dislocation. The outpatient patients were randomly divided into two groups: in group 1 (n = 1552) the shoulders were adjusted using traditional methods with local anesthesia, the patients in group 2 (n = 416) received treatment according to the authors manual technique without local anesthesia. There were no statistically significant differences in gender, age, and type of dislocation in both groups. RESULTS: The use of manual techniques was effective in 85% of the cases (352 people), 64 people were hospitalized (15%). The effectiveness of using traditional methods with the use of local anesthesia was 52% (dislocation was repositioned in 807 patients), the rest of the patients were treated in the inpatient setting. CONCLUSIONS: The use of the authors manual technique in patients with shoulder dislocation in the outpatient setting has higher efficiency compared to traditional methods due to the fact that more patients receive assistance in the outpatient setting. In addition, this type of treatment is carried out without anesthesia, which also reduces the cost of treatment.

Introduction. Shoulder joint′s dislocation stands first among all dislocations. Assistance to patients with dislocation of the shoulder carries out both outpatient and inpatient. The cost of inpatient treatment is many times higher than that of outpatient care.The aim of the study is to substantiate the economic efficiency of the author′s manual technique for shoulder dislocation repositioning.Materials and methods. The study is longitudinal from 2013 to 2020 inclusive, the sample is continuous, the place of the study is the trauma center of the City Hospital № 1 N. I. Pirogov. Criteria for inclusion of patients in the study — primary dislocation of the shoulder. Diagnosis closed traumatic dislocation of the shoulder in total — 1 968 people. Non-inclusion criteria — secondary dislocation. Successful repositioning of shoulder dislocation on an outpatient basis was performed in 1 159 (58,9 %) patients; after unsuccessful repositioning, 809 (41,1 %) patients were hospitalized with shoulder dislocation. Outpatient patients were randomly divided into 2 groups: group 1 — patients (n=1 552) underwent reduction of the dislocation using traditional methods using local anesthesia, in group 2 patients (n=416) the author′s manual technique was used without local anesthesia. There were no statistically significant differences in gender, age, and type of dislocation in both groups. The effectiveness of using traditional methods with the use of local anesthesia was 52% (dislocation was repositioned in 807 patients), the rest of the patients were treated in an inpatient setting. The use of manual techniques was effective in 84,6 % of cases (352 people), 64 people were hospitalized (15,4 %).Results. Comparison of the cost of treatment was carried out on the basis of the Tariff Agreement in the compulsory medical insurance system of the Sevastopol city dated December 20, 2021: the cost of treating one patient with shoulder dislocation in the traumatology department (13 582,49 rubles) is 13,3 times more than in the trauma center (1 019,5 rub). The effectiveness of the author′s manual technique is 1,63 times higher than the use of standard reduction methods using local anesthesia.Conclusion. The use of the author′s manual technique in patients with shoulder dislocation on an outpatient basis has a higher efficiency compared to traditional methods due to the fact that more patients receive assistance on an outpatient basis, the cost of this service is much cheaper than inpatient treatment. In addition, this type of treatment is carried out without anesthesia, which also reduces the cost of treating of this category of patients.