Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Ortopédica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000400192 |
Resumo: | OBJECTIVE: To evaluate and to compare the Spaso and Kocher reduction maneuvers in terms of efficiency, time of reduction, facileness, pain, discomfort to the patient, complications and risks, besides promoting the comparison between the two maneuvers, aiming to ground the emergency conduct. METHODS: A prospective study with 105 patients with acute shoulder dislocations were enrolled in the study between February 2011 and September 2012. The patients were randomized into two groups and they were submitted to the reduction of dislocation using the Spaso maneuver (group A) or the Kocher technique (group B) by first, second or third-year orthopedic surgery residents from our service. The results were evaluated and compared. RESULTS: There was no statistically significant difference between the two groups in terms of age, gender, timing of reduction, number of precedent episodes and complications after reduction. However, reduction was achieved in more cases using the Spaso method than it was among the Kocher group, as well as the mean duration of the reduction maneuver and discomfort were shorter in the group A patients. CONCLUSIONS: Both methods presented good results in terms of dislocation reduction and low complications rates. Nevertheless, the Spaso maneuver was more efficient, fast and easily applicable in comparison with Kocher's method. Level of Evidence I, Therapeutic. |
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Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuversShoulder dislocationsShoulder jointManipulation, orthopedic/methodsProspective studies OBJECTIVE: To evaluate and to compare the Spaso and Kocher reduction maneuvers in terms of efficiency, time of reduction, facileness, pain, discomfort to the patient, complications and risks, besides promoting the comparison between the two maneuvers, aiming to ground the emergency conduct. METHODS: A prospective study with 105 patients with acute shoulder dislocations were enrolled in the study between February 2011 and September 2012. The patients were randomized into two groups and they were submitted to the reduction of dislocation using the Spaso maneuver (group A) or the Kocher technique (group B) by first, second or third-year orthopedic surgery residents from our service. The results were evaluated and compared. RESULTS: There was no statistically significant difference between the two groups in terms of age, gender, timing of reduction, number of precedent episodes and complications after reduction. However, reduction was achieved in more cases using the Spaso method than it was among the Kocher group, as well as the mean duration of the reduction maneuver and discomfort were shorter in the group A patients. CONCLUSIONS: Both methods presented good results in terms of dislocation reduction and low complications rates. Nevertheless, the Spaso maneuver was more efficient, fast and easily applicable in comparison with Kocher's method. Level of Evidence I, Therapeutic. ATHA EDITORA2015-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000400192Acta Ortopédica Brasileira v.23 n.4 2015reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-78522015230400701info:eu-repo/semantics/openAccessRezende,Bruno da Rocha MoreiraAlmeida Neto,José Inácio deSousa,Uriel Jaime deBomfim,Leônidas de SouzaFerreira Júnior,Mário Soareseng2015-08-04T00:00:00Zoai:scielo:S1413-78522015000400192Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2015-08-04T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers |
title |
Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers |
spellingShingle |
Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers Rezende,Bruno da Rocha Moreira Shoulder dislocations Shoulder joint Manipulation, orthopedic/methods Prospective studies |
title_short |
Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers |
title_full |
Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers |
title_fullStr |
Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers |
title_full_unstemmed |
Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers |
title_sort |
Glenoumeral dislocation: a prospective randomized study comparing spazo and kocher maneuvers |
author |
Rezende,Bruno da Rocha Moreira |
author_facet |
Rezende,Bruno da Rocha Moreira Almeida Neto,José Inácio de Sousa,Uriel Jaime de Bomfim,Leônidas de Souza Ferreira Júnior,Mário Soares |
author_role |
author |
author2 |
Almeida Neto,José Inácio de Sousa,Uriel Jaime de Bomfim,Leônidas de Souza Ferreira Júnior,Mário Soares |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rezende,Bruno da Rocha Moreira Almeida Neto,José Inácio de Sousa,Uriel Jaime de Bomfim,Leônidas de Souza Ferreira Júnior,Mário Soares |
dc.subject.por.fl_str_mv |
Shoulder dislocations Shoulder joint Manipulation, orthopedic/methods Prospective studies |
topic |
Shoulder dislocations Shoulder joint Manipulation, orthopedic/methods Prospective studies |
description |
OBJECTIVE: To evaluate and to compare the Spaso and Kocher reduction maneuvers in terms of efficiency, time of reduction, facileness, pain, discomfort to the patient, complications and risks, besides promoting the comparison between the two maneuvers, aiming to ground the emergency conduct. METHODS: A prospective study with 105 patients with acute shoulder dislocations were enrolled in the study between February 2011 and September 2012. The patients were randomized into two groups and they were submitted to the reduction of dislocation using the Spaso maneuver (group A) or the Kocher technique (group B) by first, second or third-year orthopedic surgery residents from our service. The results were evaluated and compared. RESULTS: There was no statistically significant difference between the two groups in terms of age, gender, timing of reduction, number of precedent episodes and complications after reduction. However, reduction was achieved in more cases using the Spaso method than it was among the Kocher group, as well as the mean duration of the reduction maneuver and discomfort were shorter in the group A patients. CONCLUSIONS: Both methods presented good results in terms of dislocation reduction and low complications rates. Nevertheless, the Spaso maneuver was more efficient, fast and easily applicable in comparison with Kocher's method. Level of Evidence I, Therapeutic. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000400192 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000400192 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1413-78522015230400701 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ATHA EDITORA |
publisher.none.fl_str_mv |
ATHA EDITORA |
dc.source.none.fl_str_mv |
Acta Ortopédica Brasileira v.23 n.4 2015 reponame:Acta Ortopédica Brasileira (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Acta Ortopédica Brasileira (Online) |
collection |
Acta Ortopédica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
1atha@uol.com.br||actaortopedicabrasileira@uol.com.br |
_version_ |
1752122275161702400 |