Reduction of Acute Anterior Inferior Glenohumeral Joint Dislocation in the Argentine Health Care System. A National Perspective

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Santiago Argüelles
Joffre Anchundia
Alex Chele
Fernando Holc
José David

Abstract

Objective: To know the methods used for the initial treatment of the first episode of acute anterior inferior glenohumeral dislocation and to compare the behaviors of physicians between the different levels of specialization. Our hypothesis was that there is great variability in the methods used in Argentina.
Materials and Methods: A survey was conducted using the Google forms platform. It was disseminated through the morbidity and mortality committee of the AAOT and the Argentinian Association of Shoulder and Elbow Surgery. The questionnaire consisted of 13 questions with multiple choice answers that included the degree of specialization, work environment, maneuvers, anesthesia, complications, position, and immobilization time.
Results: 429 complete answers were obtained. 52.2% use the Kocher maneuver as their first choice, followed by the Hippocratic method (15.9%). 72% do not use anesthesia to perform the reduction, there is a statistically significant difference between the use of anesthesia and the different levels of specialization (P= 0.046). 85.8% of the 120 surgeons who use anesthesia for the reduction, use general anesthesia or sedation. 74.8% immobilize the patient in adduction and internal rotation. 13.8% reported having complications related to the reduction.
Conclusions: There is a great variability regarding the methods used to reduce a first episode of LGHAI in the emergency services in Argentina. We believe it is important to reconsider the use of anesthesia, proposing intra-articular anesthesia as the first option, if needed.

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How to Cite
Argüelles, S., Anchundia, J., Chele, A., Holc, F., & David, J. (2022). Reduction of Acute Anterior Inferior Glenohumeral Joint Dislocation in the Argentine Health Care System. A National Perspective. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(4), 498-506. https://doi.org/10.15417/issn.1852-7434.2022.87.4.1554
Section
Clinical Research
Author Biographies

Santiago Argüelles, Orthopedics and Traumatology Service, Hospital Municipal “Bernardo Houssay”, Vicente López, Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Municipal “Bernardo Houssay”, Vicente López, Buenos Aires, Argentina

Joffre Anchundia, * Orthopedics and Traumatology Service, Hospital Municipal “Bernardo Houssay”, Vicente López, Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Municipal “Bernardo Houssay”, Vicente López, Buenos Aires, Argentina

Alex Chele, Orthopedics and Traumatology Service, Hospital Municipal “Bernardo Houssay”, Vicente López, Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Municipal “Bernardo Houssay”, Vicente López, Buenos Aires, Argentina

Fernando Holc, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

José David, Orthopedics and Traumatology Service, Hospital Municipal “Bernardo Houssay”, Vicente López, Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Municipal “Bernardo Houssay”, Vicente López, Buenos Aires, Argentina

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