The use of the Spaso technique in a patient with bilateral dislocations of shoulder

Yuen, Man-Cheuk; Tung, Wai-Kit

doi:10.1053/ajem.2001.20014

Cited by 22 publications

(12 citation statements)

References 8 publications

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“…In our work, we opted for the evaluation of a classical method, described by Kocher in 1870, 1 , 3 known by most orthopedists, cited in most published studies, with efficacy ranging from 71% to 90% . 2 , 9 , 12 , 13 Our result, however, showed 69.77% reduction through this technique, with an average time of 213.837 sec and pain level reported by the patients of 3,302 on the visual analogue scale. We compared the Kocher technique to a recent technique, described in 1998 by Miljesic and Kelly, 4.14 less known by most orthopedic surgeons, but that has shown very good outcomes in the few published works on thetopic.…”

Section: Discussioncontrasting

confidence: 58%

“…We compared the Kocher technique to a recent technique, described in 1998 by Miljesic and Kelly, 4.14 less known by most orthopedic surgeons, but that has shown very good outcomes in the few published works on thetopic. 5 , 9 , 12 - 14 According to the average described in the literature, we obtained reduction in 88.9% of cases by Spaso maneuver, taking an average time of 46.75 seconds with pain level of 3.13 on the VAS scale, on average.…”

Section: Discussionmentioning

confidence: 68%

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Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers

et al. 2015

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OBJECTIVE: To evaluate and to compare the Spaso and Kocher reduction maneuvers in terms of efficiency, time of reduction, facileness, pain, discomfort to the patient, complications and risks, besides promoting the comparison between the two maneuvers, aiming to ground the emergency conduct. METHODS: A prospective study with 105 patients with acute shoulder dislocations were enrolled in the study between February 2011 and September 2012. The patients were randomized into two groups and they were submitted to the reduction of dislocation using the Spaso maneuver (group A) or the Kocher technique (group B) by first, second or third-year orthopedic surgery residents from our service. The results were evaluated and compared. RESULTS: There was no statistically significant difference between the two groups in terms of age, gender, timing of reduction, number of precedent episodes and complications after reduction. However, reduction was achieved in more cases using the Spaso method than it was among the Kocher group, as well as the mean duration of the reduction maneuver and discomfort were shorter in the group A patients. CONCLUSIONS: Both methods presented good results in terms of dislocation reduction and low complications rates. Nevertheless, the Spaso maneuver was more efficient, fast and easily applicable in comparison with Kocher's method. Level of Evidence I, Therapeutic.

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Section: Discussioncontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 68%

Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers

et al. 2015

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“…Cette technique simple consiste à exercer une traction verticale sur le membre traumatisé, tenu par le poignet, le patient en décubitus dorsal, puis à exercer progressivement un mouvement de rotation externe. La force utilisée pour obtenir la réduction par cette technique serait moindre que celle utilisée dans la méthode de Kocher [3,11]. Le traitement orthopédique que nous avons institué, a abouti à un bon résultat.…”

Section: Discussionunclassified

Luxation antérieure bilatérale des épaules

Abalo

Dossim

Songne

et al. 2008

Chirurgie de la Main

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“…In our limited experience, Spaso is also a quick method which is quite popular in Hong Kong. [8][9][10][11] However, the original paper on the FARES method did not compare Spaso. One of the criticisms that paper received was that the new method was used to compare an out-dated Hippocratic method instead of more modern techniques.…”

Section: Analysis Of Efficacymentioning

confidence: 99%

FARES Method to Reduce Acute Anterior Shoulder Dislocation: A Case Series and an Efficacy Analysis

Цой¹,

Wong²

2012

Hong Kong j. emerg. med.

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All 9 cases were reduced successfully regardless of the reduction methods used. FARES method was found to be popular in the studying emergency department. Six out of the 9 cases were using the FARES method at their first attempt (the rest two case using Spaso; one using traction-counter traction). No pre-medication was needed in all FARES' cases. In all 6 cases using the FARES method, the shoulder could be reduced within 2 minutes. Conclusions: Our experience concords with overseas' in which the FARES method is efficacious and fast. (Hong Kong j.emerg

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The use of the Spaso technique in a patient with bilateral dislocations of shoulder

Cited by 22 publications

References 8 publications

Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers

Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers

Luxation antérieure bilatérale des épaules

FARES Method to Reduce Acute Anterior Shoulder Dislocation: A Case Series and an Efficacy Analysis

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