The importance of radiography after reduction of anterior shoulder dislocation

authors:

avatar Farah Hashemi , avatar Davood Sharifi , avatar Majid Kasaei , avatar Elahe Ghasemi , avatar Mohammadreza Razavi , avatar Sabahat Lavvaf , avatar Abdolhamid Hajihasani , *

Koomesh: Vol.18, issue 1; 197-202
published online: September 28, 2016
article type: Research Article
received: May 07, 2016
accepted: September 01, 2016

how to cite: Hashemi F, Sharifi D, Kasaei M, Ghasemi E, Razavi M, et al. The importance of radiography after reduction of anterior shoulder dislocation. koomesh. 2016;18(1):e151163. 

Abstract

Introduction: Dislocation of shoulder joint is the most common joint dislocation in the body.This dislocation is the most common one in the 2 period of life. In men between 20-30 years of age due to trauma and sports activities and in women between 60-80 years, usually due to increases in fall. The aim of this study was to determine the prevalence of abnormal radiography in the reduction of anterior shoulder dislocation. Materials and Methods: In a one-year cross sectional study, 236 patients with uncomplicated anterior shoulder dislocation who referred to Imam Reza hospital (Mashhad, Iran) were studied. The following data were obtained and recorded:  the age and gender of patients, mechanism of injury, radiographs before replacing it up and the interpretation of results, the result of reduction and shoulders immediately following graph reduction, the result of the interpretation of radiographs after reduction, the dislocation and reduction. Results: The mean age of patients was 31.81 ± 13.22.  174 patients (89%) were male and 26 (11%) were female. Anterior dislocation in 116 patients (49.2%) were right shoulder and in 120 patients (50.8%) were left shoulder. Spontaneous dislocation (61.9%) was the most dislocation mechanism and the external ortation (46.4%) was the most reduction method. Physcial examination before and afer reduction, and the interpretation of radiographs after reduction indicated the correction of anterior shoulder dislocation in all pateints. Conclusion: This study demonstrated that radiography after anterior shoulder dislocation reduction is not necessary.

References

  • 1.

    Kahn JH, Mehta SD. The role of post-reduction radiographs after shoulder dislocation. J Emerg Med 2007; 33: 169-173.

  • 2.

    Gottlieb M, Nakitende D, Krass L, Basu A, Christian E, Bailitz J. Frequency of fractures identified on post-reduction radiographs after shoulder dislocation. West J Emerg Med 2016; 17: 35-38.

  • 3.

    Hendey GW, Kinlaw K. Clinically significant abnormalities in postreduction radiographs after anterior shoulder dislocation. Ann Emerg Med 1996; 28: 399-402.

  • 4.

    Hendey GW, Chally MK, Stewart VB. Selective radiography in 100 patients with suspected shoulder dislocation. J Emerg Med 2006; 31: 23-28.

  • 5.

    Harvey RA, Trabulsy ME, Roe L. Are postreduction anteroposterior and scapular Y views useful in anterior shoulder dislocations? Am J Emerg Med 1992; 10: 149-151.

  • 6.

    The role of post reduction radiographs after anterior shoulder dislocation which is in good condition. 2005. (Persian).

  • 7.

    mond M, Le Sage N, Lavoie A, Moore L. Refinement of the Quebec decision rule for radiography in shoulder dislocation. CJEM 2009; 11: 36-43.

  • 8.

    Mofidi M, Ahmadi K. Audit on necessity of radiographs in anterior shoulder dislocations. J Mazandaran Univ Med Sci 2008; 17: 7-13. (Persian).

  • 9.

    Hendey GW. Necessity of radiographs in the emergency department management of shoulder dislocations. Ann Emerg Med 2000; 36: 108-113.

  • 10.

    Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am 2010; 92: 542-549.

  • 11.

    Leroux T, Wasserstein D, Veillette C, Khoshbin A, Henry P, Chahal J, et al. Epidemiology of primary anterior shoulder dislocation requiring closed reduction in Ontario, Canada. Am J Sports Med 2014; 42: 442-450.

  • 12.

    Liavaag S, Svenningsen S, Reikers O, Enger M, Fjalestad T, Pripp A, et al. The epidemiology of shoulder dislocations in Oslo. Scand J Med Sci Sports 2011; 21: e334-e340.

  • 13.

    Hovelius L. Incidence of shoulder dislocation in Sweden. Clin Orthop Relat Res 1982; 166: 127-131.

  • 14.

    Krner K, Lind T, Jensen J. The epidemiology of shoulder dislocations. Arch Orthop Trauma Surg 1989; 108: 288-290.

  • 15.

    Yeap J, Lee D, Fazir M, Borhan T, Kareem B. The epidemiology of shoulder dislocations in Malaysia. Med J Malaysia 2004; 59: 19-23.

  • 16.

    Beattie T, Steedman D, McGowan A, Robertson C. A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury 1986; 17: 349-352.

  • 17.

    Riebel GD, McCabe JB. Anterior shoulder dislocation: a review of reduction techniques. Am J Emerg Med 1991; 9: 180-188.

  • 18.

    ahin N, ztrk A, zkan Y, Atc T, zkaya G. A comparison of the scapular manipulation and Kochers technique for acute anterior dislocation of the shoulder. Eklem Hastalik Cerrahisi 2011; 22: 28-32.

  • 19.

    Dala-Ali B, Penna M, McConnell J, Vanhegan I, Cobiella C. Management of acute anterior shoulder dislocation. Br J Sports Med 2014; 48: 1209-1215.

  • 20.

    Cunningham NJ. Techniques for reduction of anteroinferior shoulder dislocation. Emerg Med Australas 2005; 17: 463-471.

  • 21.

    Hoi E. A new method of immobilization after traumatic anterior dislocation of the shoulder. A preliminary study. J Shoulder Elbow Surg 2003; 12: 413-415.