Scapulohumeral maneuver for shoulder dislocation

3^rd Annual Congress and Medicare Expo on Trauma and Critical Care

March 13-14, 2017 London, UK

Sanjay V Sonanis, S Kumar, N Deshmukh, A Chikate, C Wray and D Beard

Bronglais Hospital- Hywel Dda University Health Board, UK

Posters & Accepted Abstracts: J Trauma Treat

Abstract :

A prospective study was done to analyze the results of scapulohumeral maneuver (SHM) to reduce the shoulder dislocations. An assistant stabilizes the affected limb by holding at the forearm and maintaining the elbow in 90�° flexion with mild traction. The surgeonâ��s left hand is placed in the patientâ��s left axilla holding the proximal humerus between his fingers and the thumb. The right palm is kept over the superior surface of the acromion. With assistant stabilizing the limb, a lateral thrust is applied by the left hand of the surgeon at the proximal humerus and at the same time surgeonâ��s right palm pushing the acromion downwards to rotate the scapula so as to face the glenoid towards the humeral head. The shoulder relocates with a click. Check radiographs were done and the patients were immobilized in collar and cuff for three weeks and then mobilized with physiotherapy and were followed up for 12 weeks. 27 patients with shoulder dislocations were treated by scapulohumeral maneuver in Airedale NHS trust (20) and other NHS hospitals (7). 12 males and 15 females were treated in casualty under sedation and one under GA in operation theatre. 26 patients had anterior dislocations and one patient had an inferior dislocation. Three patients had history of previous dislocations. One pregnant lady (38 weeks) with recurrent dislocation had to be reduced under local anesthesia. Four patients had previous other methods failed for reduction. SHM was attempted primarily in 23 patients. There were no complications, but the method failed in one muscular patient in which the shoulder reduced spontaneously under sedation. Average time required for the maneuver was 30 to 45 seconds. We conclude that the SHM was technically easy, traumatic and reliable in the cases we have studied.