Clinical trial NCT03649373: The Noergaard Technique for Anterior Shoulder Dislocation
Official title: The Noergaard Technique, a Simple and Non-traumatic Method for Reduction of Anterior Shoulder Dislocations
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Anterior Shoulder Dislocation
Keywords: Shoulder
Dislocation
Noergaard
Reduction
Lead sponsor: Copenhagen University Hospital, Hvidovre
Sponsor class: OTHER
First posted: 2018-08-28
Enrollment: 151
Sex: ALL
Minimum age (years): 14
Maximum age (years): 85
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study population is chosen from the criteria that 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.

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.

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.

Eligibility criteria: 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.

Primary outcomes:
measure: Successful shoulder reduction after anterior shoulder dislocation.
timeFrame: 30 min.
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Copenhagen University Hospital of Hvidovre
name: Nikolaj Erin-Madsen, MD
role: STUDY_DIRECTOR
References:
citation: Canale ST, Beaty JH, Phillips BB. Recurrent dislocation in Canley and Beaty: Campbell's Operative Orthopaedics. 11th edition. Vol. 45. Philadelphia: Mosby Elsevier; 2007. pp. 2677-83.
citation: Beattie TF, Steedman DJ, McGowan A, Robertson CE. A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury. 1986 Sep;17(5):349-52. doi: 10.1016/0020-1383(86)90161-0.
citation: Manes HR. A new method of shoulder reduction in the elderly. Clin Orthop Relat Res. 1980 Mar-Apr;(147):200-2.
citation: Plummer D, Clinton J. The external rotation method for reduction of acute anterior shoulder dislocation. Emerg Med Clin North Am. 1989 Feb;7(1):165-75.
citation: Marinelli M, de Palma L. The external rotation method for reduction of acute anterior shoulder dislocations. J Orthop Traumatol. 2009 Mar;10(1):17-20. doi: 10.1007/s10195-008-0040-4. Epub 2009 Jan 8.
citation: MILCH H. The treatment of recent dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am. 1949 Jan;31A(1):173-80. No abstract available.
citation: Canales Cortes V, Garcia-Dihinx Checa L, Rodriguez Vela J. Reduction of acute anterior dislocations of the shoulder without anaesthesia in the position of maximum muscular relaxation. Int Orthop. 1989;13(4):259-62. doi: 10.1007/BF00268508.
citation: Erin-Madsen N, Ban I, Thomsen MG, Noergaard J, Tengberg PT. The Noergaard technique is a non-traumatic method for reduction of anterior shoulder dislocation. Dan Med J. 2021 Mar 17;68(4):A06200422.