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Adherence of Patients to Methods of Self-Reduction of Shoulder Dislocation Taught via Smartphones: A Medium-Term Follow-up Survey.
Rabin, Alon; Chechik, Ofir; Maman, Eran; Warschawski, Yaniv; Factor, Shai; Gurel, Ron; Rotman, Dani; Kazum, Efi.
Afiliación
  • Rabin A; Department of Physical Therapy, Ariel University, Ariel, Israel.
  • Chechik O; Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
  • Maman E; Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
  • Warschawski Y; Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
  • Factor S; Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
  • Gurel R; Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
  • Rotman D; Department of Orthopedics, Laniado Hospital, Adelson School of Medicine, Ariel University, Netanya, Israel.
  • Kazum E; Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Wilderness Environ Med ; 35(3): 266-270, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38853417
ABSTRACT

INTRODUCTION:

Self-reduction of a shoulder dislocation may reduce the time from injury to reduction and to the relief of patient discomfort. The purpose of this study was to assess adherence to earlier acquired self-reduction techniques during real-time recurrent shoulder dislocation.

METHODS:

A telephone survey was conducted among 58 patients previously taught shoulder self-reduction via an instructional video sent to their smartphones during a visit to the emergency department (ED) for the treatment of anterior shoulder dislocation. Participants were queried on recurrent dislocations, use of self-reduction methods, success rate, the effect that instruction in self-reduction had on their willingness to participate in recreational sports activities, on the decision to avoid surgery, and on the overall level of satisfaction with self-reduction methods.

RESULTS:

Forty-five patients (77.6%; average age 31.4±11.7 y, 10 females) were available for follow-up at an average 60.8±11.0 mo after the index visit to the ED. Eighteen of 23 patients (78.2%) who experienced a recurrent dislocation during the follow-up period attempted self-reduction, and 12 of them successfully achieved self-reduction. Sixteen patients (35.6%) reported that the knowledge in self-reduction increased their willingness to participate in recreational sports activities, whereas 4 (8.9%) patients reported that knowledge in self-reduction affected their decision not to undergo surgical stabilization.

CONCLUSIONS:

Individuals who sustain recurrent shoulder dislocations should be educated on shoulder self-reduction with the aims of minimizing discomfort, obviating referral to the ED, and motivating participation in recreational activities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Luxación del Hombro / Teléfono Inteligente Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Wilderness Environ Med Asunto de la revista: SAUDE AMBIENTAL Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Luxación del Hombro / Teléfono Inteligente Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Wilderness Environ Med Asunto de la revista: SAUDE AMBIENTAL Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos