The Noergaard Technique for Anterior Shoulder Dislocation

NCT03649373 | Completed

• 1 other identifier: Noergaard Study
• Study Type: observational
• Target: 151
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Anterior Shoulder Dislocation

Keywords

Shoulder; Dislocation; Noergaard; Reduction

Outcome Measures

Primary Outcomes (1)

• 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.

Study Arms (1)

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

Interventions

Noergaard technique PROCEDURE

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.

ED Patients

Eligibility Criteria

• Age: 14 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• 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.

You may qualify if:

• \- 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Copenhagen University Hospital, Hvidovre: lead

Related Publications (8)

• 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.

  BACKGROUND

• 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.

  PMID: 3533776 BACKGROUND

• Manes HR. A new method of shoulder reduction in the elderly. Clin Orthop Relat Res. 1980 Mar-Apr;(147):200-2.

  PMID: 7371296 BACKGROUND

• 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.

  PMID: 2917505 BACKGROUND

• 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.

  PMID: 19384630 BACKGROUND

• 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.

  PMID: 18106759 BACKGROUND

• 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.

  PMID: 2599702 BACKGROUND

• 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.

  PMID: 33829988 DERIVED

MeSH Terms

Conditions

Joint Dislocations

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Wounds and Injuries

Study Officials

• Nikolaj Erin-Madsen, MD

  Copenhagen University Hospital of Hvidovre

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 23, 2018
• First Posted: August 28, 2018
• Study Start: January 1, 2014
• Primary Completion: December 31, 2014
• Study Completion: December 15, 2016
• Last Updated: August 28, 2018

Record last verified: 2018-08

Data Sharing

• IPD Sharing: Will not share