Mahir MAHİROĞULLARI, Faruk AKYILDIZ, İsmet KÖKSAL, Selami ÇAKMAK, Mustafa KÜRKLÜ, Mesih KUŞKUCU

Öne omuz çıkığı redüksiyonunda etkili ve kolay bir yöntem: Sandalye yöntemi

Amaç: Öne omuz çıkığı redüksiyonu için ideal redüksiyon yöntemi yardımcısız ve hasta müdahalesini en aza indirgeyerek uygulanan teknik olarak tanımlanmıştır. Bu çalışmada amacımız, acil serviste sandalye yöntemiyle redükte edilen omuz çıkığı olgularının sonuçlarını değerlendirmek ve bu yöntemin ideal metotlardan birisi olduğunu göstermekti. Çalışma planı: Travmatik öne omuz çıkığı olan 74 hasta sandalye yöntemi ile tedavi edildi. Hasta verileri kaydedildi ve istatistiksel metotlarla değerlendirildi. Bulgular: Çıkıkların tümü herhangi bir komplikasyon ve sorun olmaksızın sandalye yöntemi ile tedavi edildi. Çıkıklar otuz hastanın ilk çıkığı idi. Kırk dört hasta ise daha önce çıkık yaşamıştı. Çıkık oluş zamanı ile redüksiyon arasında geçen ortalama süre 3 (dağılım: 1-6) saat idi. Ortalama redüksiyon süresi ise 13.9 (dağılım: 3-45) saniye olarak kaydedildi. Çıkarımlar: Sandalye yöntemi omuz çıkıklarında etkili ve başarılı bir redüksiyon yöntemidir. Ortopedistlerin ve acil servis uzmanlarının bu basit tekniğe aşina olmaları gerektiğine ve anestezi uygulanmayacaksa bu tekniğin tercih edilebilir olduğuna inanıyoruz.

Chair method: a simple and effective method for reduction of anterior shoulder dislocation

Objective: The ideal reduction method for anterior shoulder dislocation is defined as a practical technique applied without any assistance and minimizing patient interference. The aim of this study was to evaluate the outcomes of patients with shoulder dislocations reduced using the chair method in the emergency department and show that the chair method is one of the ideal methods. Methods: Seventy-four patients with anterior shoulder dislocation were treated using the chair method. Data from patients were recorded and analyzed. Results: All dislocated shoulders were successfully reduced using the chair method without any complication or difficulty. Thirty patients had first time dislocation and 44 patients had previous dislocation. Mean duration between dislocation and reduction was 3 (range: 1 to 6) hours. Mean duration of reduction was 13.9 (range: 3 to 45) seconds. Conclusion: The chair method is an effective and successful reduction method for shoulder dislocation. We believe that orthopedists and emergency department physicians should be familiar with this simple technique which does not have to be performed under general anesthesia.

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