The Noergaard Technique for Anterior Shoulder Dislocation
NCT ID: NCT03649373
Last Updated: 2018-08-28
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
151 participants
OBSERVATIONAL
2014-01-01
2016-12-15
Brief Summary
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Detailed Description
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In this article the investigators describe the Noergaard technique for reduction of anterior shoulder dislocations. This is an atraumatic reduction method that has proven successful through several years of practice. The investigators describe and evaluate the results of this technique through a retrospective analysis of patients admitted and treated for anterior shoulder dislocation at the emergency department (ED) of Copenhagen University Hospital Hvidovre, Denmark, in a 1-year period.
Methods
In the Noergaard technique the patient is placed standing bend over forwards in front of the rail on a hospital bed, resting the forehead on the back of the non-affected forearm, which is put on the rail. The affected arm should now be relaxed and stretched, hanging straight down toward the floor. The patient is then instructed to attempt to relax and make pendular and circular motions with the affected arm hanging down.
Conditions
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Study Design
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OTHER
RETROSPECTIVE
Study Groups
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ED Patients
We retrospectively reviewed patient charts of all patients admitted for shoulder dislocation at the ED at Copenhagen University Hospital Hvidovre between January 1st 2014 and December 31st 2014. A total of 151 patients' charts were reviewed.
Noergaard technique
The patient is placed standing in an upright position in front of the rail on a hospital bed. Legs should be stretched with a wide well balanced stance. The patient is then instructed to bend forwards, resting the forehead on the back of the non-affected forearm, which is put on the rail. The affected arm should now be relaxed and stretched, hanging straight down toward the floor. The patient is then instructed to attempt to relax and make pendular and circular motions with the affected arm hanging down. Successful reduction occurs when sufficient muscle relaxation allows the humeral head to reposition to its natural position in the glenoid fossa. Often the patient will experience a popping sensation when the shoulder is reduced.
Interventions
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Noergaard technique
The patient is placed standing in an upright position in front of the rail on a hospital bed. Legs should be stretched with a wide well balanced stance. The patient is then instructed to bend forwards, resting the forehead on the back of the non-affected forearm, which is put on the rail. The affected arm should now be relaxed and stretched, hanging straight down toward the floor. The patient is then instructed to attempt to relax and make pendular and circular motions with the affected arm hanging down. Successful reduction occurs when sufficient muscle relaxation allows the humeral head to reposition to its natural position in the glenoid fossa. Often the patient will experience a popping sensation when the shoulder is reduced.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patients with malignancy in the humerus or scapula.
* Patients who have had a Total Shoulder Arthroplasty performed at the same side as the lunation.
* Patients with more than four previous shoulder reductions performed.
* Patients who have undergone operations on the same shoulder, but at different hospitals.
14 Years
85 Years
ALL
No
Sponsors
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Copenhagen University Hospital, Hvidovre
OTHER
Responsible Party
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Nikolaj Erin-Madsen
Principal Investigator
Principal Investigators
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Nikolaj Erin-Madsen, MD
Role: STUDY_DIRECTOR
Copenhagen University Hospital of Hvidovre
References
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Canale ST, Beaty JH, Phillips BB. Recurrent dislocation in Canley and Beaty: Campbell's Operative Orthopaedics. 11th edition. Vol. 45. Philadelphia: Mosby Elsevier; 2007. pp. 2677-83.
Beattie TF, Steedman DJ, McGowan A, Robertson CE. A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury. 1986 Sep;17(5):349-52. doi: 10.1016/0020-1383(86)90161-0.
Manes HR. A new method of shoulder reduction in the elderly. Clin Orthop Relat Res. 1980 Mar-Apr;(147):200-2.
Plummer D, Clinton J. The external rotation method for reduction of acute anterior shoulder dislocation. Emerg Med Clin North Am. 1989 Feb;7(1):165-75.
Marinelli M, de Palma L. The external rotation method for reduction of acute anterior shoulder dislocations. J Orthop Traumatol. 2009 Mar;10(1):17-20. doi: 10.1007/s10195-008-0040-4. Epub 2009 Jan 8.
MILCH H. The treatment of recent dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am. 1949 Jan;31A(1):173-80. No abstract available.
Canales Cortes V, Garcia-Dihinx Checa L, Rodriguez Vela J. Reduction of acute anterior dislocations of the shoulder without anaesthesia in the position of maximum muscular relaxation. Int Orthop. 1989;13(4):259-62. doi: 10.1007/BF00268508.
Erin-Madsen N, Ban I, Thomsen MG, Noergaard J, Tengberg PT. The Noergaard technique is a non-traumatic method for reduction of anterior shoulder dislocation. Dan Med J. 2021 Mar 17;68(4):A06200422.
Other Identifiers
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Noergaard Study
Identifier Type: -
Identifier Source: org_study_id
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