The Noergaard Technique for Anterior Shoulder Dislocation

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Anterior Shoulder Dislocation

Intervention / Treatment
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* Procedure: Noergaard technique


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| ED Patients<br>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<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Successful shoulder reduction after anterior shoulder dislocation. | Successful shoulder reduction occurs when sufficient muscle relaxation allows the humeral head to reposition to its natural position in the glenoid fossa. | 30 min. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Shoulder, Dislocation, Noergaard, Reduction