The Noergaard Technique for Anterior Shoulder Dislocation

Sponsor

Copenhagen University Hospital, Hvidovre (Other)

Overall Status

Completed

CT.gov ID

NCT03649373

Collaborator

(none)

151

Enrollment

35.4

Actual Duration (Months)

Study Details

Study Description

Brief Summary

In this paper we describe and evaluate the results of the Noergaard technique through a retrospective analysis of patients admitted and treated for anterior shoulder dislocation at the ED of Copenhagen University Hospital Hvidovre, Denmark, in a 1-year period.

Condition or Disease	Intervention/Treatment	Phase
Anterior Shoulder Dislocation	Procedure: Noergaard technique

Detailed Description

Introduction

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.

Study Design

Study Type:

Observational

Actual Enrollment :

151 participants

Observational Model:

Other

Time Perspective:

Retrospective

Official Title:

The Noergaard Technique, a Simple and Non-traumatic Method for Reduction of Anterior Shoulder Dislocations

Actual Study Start Date :

Jan 1, 2014

Actual Primary Completion Date :

Dec 31, 2014

Actual Study Completion Date :

Dec 15, 2016

Arms and Interventions

Arm	Intervention/Treatment
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.	Procedure: 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.

Arm

Intervention/Treatment

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.

Procedure: 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.

Outcome Measures

Primary Outcome Measures

Successful shoulder reduction after anterior shoulder dislocation. [30 min.]
Successful shoulder reduction occurs when sufficient muscle relaxation allows the humeral head to reposition to its natural position in the glenoid fossa.

Eligibility Criteria

Criteria

Ages Eligible for Study:

14 Years to 85 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Patients have had a closed shoulder reduction performed at the emergency center of Hospital of Hvidovre between 1st of January 2014 and the 31st of December 2014.

Exclusion Criteria:

Patients with diagnosed severe arthrosis in the shoulder joint.
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.