Scapular manipulation for reduction of @entity2065 without XXXX : results of a prospective study.

@entity1 @entity1337 @entity158 @entity1363 @entity2065 @entity130 @entity3029
OBJECTIVES: To the best of knowledge, this was the first study of scapular manipulation technique (SMT) in Asia. We conducted this prospective study to report our experiences of reducing @entity2065 by SMT without @entity1337 in a large study group in Iran. METHODS: Scapular manipulation technique was applied to 111 @entity1 presenting with @entity2065 to the ED of the largest teaching hospital in north-east of Iran between January 2009 and January 2010. Reduction was performed without medication and if unsuccessful, the second attempt was carried out with i.v. injection of @entity1363 . We also evaluated the @entity158 experienced by the @entity1 immediately after reduction attempt. RESULTS: The study consisted of 112 dislocations (one @entity1 had @entity3029 ). We achieved a success rate of 87.5% without medication at the first attempt and 97.3% overall. In total, 98.2% of dislocations were reduced in less than 1 min. The success rate was significantly lower in the presence of greater tuberosity fractures and also in late presentations (>6 h after @entity130 ). We showed a success rate of 100% in recurrent dislocations. Some 81.1% of the @entity1 reported no @entity158 or mild @entity158 . No complications were observed. CONCLUSION: The results of our study showed that SMT even without medication is a safe, rapid and relatively painless technique in reducing @entity2065 in the ED that might reduce medical resource utilization and can be cost-effective.
