No Sedation, No Traction, and No Need for Assistance: Analysis of New Prakash’s Method of Shoulder Reduction

Abstract

Background and Objective. Shoulder dislocations, which often occur anterior, account for about half of all dislocations. There are numerous reduction methods reported for the conservative treatment of acute anterior dislocations. However, there is still an ongoing search for an optimal method given the procedure time, possible complications, success rates, and need for sedation/analgesia in existing methods. This study seeks to explore the effectiveness and safety of Prakash’s method in the treatment of acute shoulder dislocations, which is a novel method in the treatment of anterior shoulder dislocations. Materials and Methods. A total of 19 patients who were admitted to the emergency department with the diagnosis of anterior shoulder dislocation participated in this study. The diagnosis of shoulder dislocation was established in the emergency department with physical examination and anteroposterior shoulder radiography. The method was applied only once to the patients in the sitting position by the same physician without using any help, traction, anesthesia, analgesia, and myorelaxant. Results. The mean age of the patients was 37.3 ± 13.1 years. Among them, 36.8% n=7 were female and 63.2% n=12 were male. Recurrent dislocations were observed in 21.1% n=4 of the patients. The success rate of the method was 94.7% n=18. No complication was noted in the patients. The mean procedure time was 243 ± 38 seconds. Conclusion. Prakash’s method is a safe method for anterior shoulder dislocations that can be quickly performed with no need for sedation, assistance, and traction and has a high success rate.

Manejo conservador de luxaciones glenohumerales anteriores en atención primaria. Revisión literaria

“…Luego de varios análisis realizados por especialistas, se establece que el método de reducción de Prakash tiene éxito en un 97% en el tratamiento conservador agudo de luxaciones glenohumerales anteriores de hombro. 5 La importancia de este método es sumamente especifico ya que su efectividad está relacionada con aplicación rápida, la ausencia de ayuda adicional, pocas o ninguna complicación, la ausencia de uso de tracción asociada con complicaciones y la no utilización de sedantes o medicamentos, debido a que los pacientes experimentan poco dolor, por esta razón se puede considerar este método como una técnica ideal para poder tratar las dislocaciones agudas del hombro en los centros de atención primaria. 12…”

Results of applying author’s manual method for repositioning shoulder dislocation

“…в 2016 г. определили, что 18 % пациентов с ВП можно вылечить без применения анестезии [29]. Количество таких исследований в последние годы растет [30][31][32].…”