title: CLASIC VERSUS NOVEL IN REDUCTION OF ACUTE ANTERIOR DISLOCATION OF THE SHOULDER: A COMPARISON OF FOUR REDUCTION TECHNIQUES.
abstract: OBJECTIVE
  The purpose of our study is to compare four different techniques for reduction shoulder dislocation in term of efficacy, duration until reduction and pain felt by patient during the procedure.
  
  
  METHODS
  During 2015 year, we conducted a study on 50 chronological patients with anterior shoulder dislocation. After exclusion of four patients, the remaining 46 (74% males, mean age 44.6 +/- 20.03 years, range 18 to 89) were randomly assigned in four groups and reduced by Cunningham (C), Kocher (K), Mothes (M) and Hipocrat (H) techniques. All the patients were sedated using Midazolam (2 mg) and Fentanyl (1 microg/kgbw) except patients who underwent Cunningham technique.
  
  
  RESULTS
  The success rate was 76.9% in C group, 98.4% in K group, 90.2% in M group and 87.96% in H group (p>0.05). The level of pain in C group was similar to the other groups in the absence of pain medication (p<0.05).
  
  
  CONCLUSIONS
  Cunningham technique is a simple, single person technique, drug free, less painful and safer, comparable with other "classical" methods.
authors.forename: B
authors.initials: B
authors.lastname: Puha
authors.forename: T S
authors.initials: TS
authors.lastname: Gheorghevici
authors.forename: B
authors.initials: B
authors.lastname: Veliceasa
authors.forename: D
authors.initials: D
authors.lastname: Popescu
authors.forename: O
authors.initials: O
authors.lastname: Alexa
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000008:administration & dosage; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008874:Midazolam / Q000008:administration & dosage; D008875:Middle Aged; D012189:Retrospective Studies; D012783:Shoulder Dislocation / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid; D006993:Hypnotics and Sedatives; D008874:Midazolam; D005283:Fentanyl