title: [Analgesic-free self-reduction of acute shoulder dislocation].
abstract: Incidence and severity of shoulder lesions are increasing especially in alpine skiing accidents. In case of a shoulder dislocation there is always the question of a safe and atraumatic reduction technique if possible without analgetics or even general anesthesia. We present a new reduction technique with the help of the patient's own body weight under muscular relaxation. Even in the presence of displaced fractures of the greater tuberosity or a depression fracture of the humeral head successful reductions were obtained. After the reduction, the arm is immobilized in a Gilet. The patient is able to leave immediately after a radiographic control. We have been using this method for some years with a primary success rate of about 60 per cent.
authors.affiliation: Spital Davos.
authors.forename: A
authors.initials: A
authors.lastname: Boss
authors.forename: P
authors.initials: P
authors.lastname: Holzach
authors.forename: P
authors.initials: P
authors.lastname: Matter
mesh_terms: D000328:Adult; D000368:Aged; D000698:Analgesia; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D005392:First Aid / Q000379:methods; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D009126:Muscle Relaxation / Q000502:physiology; D011859:Radiography; D012008:Recurrence; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000628:therapy*; D012865:Skiing / Q000293:injuries*; D013165:Splints
vernacular_title: Analgetikafreie Selbstreposition der frischen Schulterluxation.