A Modified Chair Technique for Acute Anterior Shoulder Dislocation Compare With Traction-counter Traction Technique
NCT ID: NCT07301931
Last Updated: 2025-12-24
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
NA
68 participants
INTERVENTIONAL
2023-11-15
2025-10-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Modified chair technique
Modified chair technique
Modified Chair Technique is a closed reduction method for acute anterior shoulder dislocation that adapts the traditional chair technique to improve convenience and safety in the emergency setting. Instead of using a standard chair backrest, this modified approach utilizes the side rail of a patient transport stretcher, which serves as a stable fulcrum beneath the patient's axilla.
traction-counter traction teahnique
Traction-counter traction technique
Traction-Counter Traction Technique is applying longitudinal traction to the affected arm while simultaneously providing counter traction across the patient's torso, allowing controlled separation of the humeral head from surrounding soft tissues to facilitate reduction.
Interventions
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Modified chair technique
Modified Chair Technique is a closed reduction method for acute anterior shoulder dislocation that adapts the traditional chair technique to improve convenience and safety in the emergency setting. Instead of using a standard chair backrest, this modified approach utilizes the side rail of a patient transport stretcher, which serves as a stable fulcrum beneath the patient's axilla.
Traction-counter traction technique
Traction-Counter Traction Technique is applying longitudinal traction to the affected arm while simultaneously providing counter traction across the patient's torso, allowing controlled separation of the humeral head from surrounding soft tissues to facilitate reduction.
Eligibility Criteria
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Inclusion Criteria
* Patients aged 18 years or older.
* Patients who are fully conscious and able to provide informed consent.
* Patients with a Glasgow Coma Score (GCS) of 15.
Exclusion Criteria
* Patients with vascular or neurological deficits detected on physical examination.
* Patients with associated humeral fractures identified on radiographic imaging.
* Patients with multiple traumatic injuries involving.
18 Years
ALL
Yes
Sponsors
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Khon Kaen Hospital
OTHER_GOV
Responsible Party
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Pawat Yuwamitr
Orthopedic
Locations
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Khon Kaen Hospital
Khon Kaen, Changwat Khon Kaen, Thailand
Countries
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References
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Dreu M, Aufmesser W, Aufmesser H, Dolcet C, Feigl G, Sadoghi P. A simple and gentle technique for reduction after anterior shoulder dislocation. Arch Orthop Trauma Surg. 2015 Oct;135(10):1379-84. doi: 10.1007/s00402-015-2279-6. Epub 2015 Jul 21.
Smith SL. An investigation comparing the Oxford Chair Technique with the traditional methods of glenohumeral dislocation reduction currently implemented. Int Emerg Nurs. 2009 Jan;17(1):38-46. doi: 10.1016/j.ienj.2008.09.004. Epub 2008 Nov 25.
Sayegh FE, Kenanidis EI, Papavasiliou KA, Potoupnis ME, Kirkos JM, Kapetanos GA. Reduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the Hippocratic and Kocher methods. J Bone Joint Surg Am. 2009 Dec;91(12):2775-82. doi: 10.2106/JBJS.H.01434.
Mahirogullari M, Akyildiz F, Koksal I, Cakmak S, Kurklu M, Kuskucu M. Chair method: a simple and effective method for reduction of anterior shoulder dislocation. Acta Orthop Traumatol Turc. 2012;46(2):102-6. doi: 10.3944/AOTT.2012.2676.
Ghane MR, Hoseini SH, Javadzadeh HR, Mahmoudi S, Saburi A. Comparison between traction-countertraction and modified scapular manipulation for reduction of shoulder dislocation. Chin J Traumatol. 2014 Apr 1;17(2):93-8.
Guler O, Ekinci S, Akyildiz F, Tirmik U, Cakmak S, Ugras A, Piskin A, Mahirogullari M. Comparison of four different reduction methods for anterior dislocation of the shoulder. J Orthop Surg Res. 2015 May 28;10:80. doi: 10.1186/s13018-015-0226-4.
Fennelly JT, Gourbault L, Neal-Smith G, Pradhan A, Gade V, Baxter JA. A systematic review of pre-hospital shoulder reduction techniques for anterior shoulder dislocation and the effect on patient return to function. Chin J Traumatol. 2020 Oct;23(5):295-301. doi: 10.1016/j.cjtee.2020.08.003. Epub 2020 Aug 12.
Cunningham NJ. Techniques for reduction of anteroinferior shoulder dislocation. Emerg Med Australas. 2005 Oct-Dec;17(5-6):463-71. doi: 10.1111/j.1742-6723.2005.00778.x.
Alkaduhimi H, van der Linde JA, Willigenburg NW, van Deurzen DFP, van den Bekerom MPJ. A systematic comparison of the closed shoulder reduction techniques. Arch Orthop Trauma Surg. 2017 May;137(5):589-599. doi: 10.1007/s00402-017-2648-4. Epub 2017 Mar 1.
Other Identifiers
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KEF66038
Identifier Type: -
Identifier Source: org_study_id