Reduction of Anterior Glenohumeral Dislocation in Ventral Decubitus Versus Dorsal Decubitus Under Procedural Sedation (EPOLUX)
Reduction, Emergencies, Anterior Shoulder Dislocation
About this trial
This is an interventional treatment trial for Reduction
Eligibility Criteria
Inclusion Criteria:
- Patients with radiological confirmed anterior glenohumeral dislocation
- Patient affiliated or entitled to a social security scheme
- Oral informed consent form
Exclusion Criteria:
- Glenohumeral fracture or vasculoneural lesion associated
- Dislocation for more than 12 hours
- Homolateral shoulder surgery antecedent
- Contraindication to other analgesics (morphine, sedation)
- BMI > 40
- Patient < 18 year
- Pregnancy or nursing woment
- Person under guardianship or curatorship
Sites / Locations
- Hôpital Nord Franche-ComtéRecruiting
Arms of the Study
Arm 1
Arm 2
Sham Comparator
Experimental
Dorsal decubitus
Ventral decubitus
The dorsal decubitus reduction consists in placing the patient in the dorsal position and achieving reduction by traction maneuvers on the luxated upper limb. This maneuver generally requires procedural sedation. A mild traction of the traumatized limb in the axis is performed, with slight external rotation and progressive abduction. In the absence of reduction at this stage, this gesture is completed by a flexion adduction of the limb. A counterweight is then made by a rolled sheet and passed under the armpit of the patient.
The ventral decubitus reduction consists in placing the patient in the ventral position. The luxated limb is positioned in pendulum and the line of contact with the stretcher must pass through the mid-clavicular line. The humeral head is brought to the scapula.