André Wajnsztejn1, Marcel Jun Sugawara Tamaoki2, Nicola Archetti Netto3, João Carlos Belotti4, Marcelo Hide Matsumoto5, Flavio Faloppa6. 1. Third-year Resident, Department of Orthopedics and Traumatology, UNIFESP, Paulista School of Medicine, São Paulo, Brazil. 2. Specialist in Orthopedics and Traumatology; Physician, Department of Orthopedics and Traumatology, UNIFESP, Paulista School of Medicine, São Paulo, Brazil. 3. Master's degree in Science; Physician, Shoulder and Elbow Group, Department of Orthopedics and Traumatology, UNIFESP, Paulista School of Medicine, Sáo Paulo, Brazil. 4. Doctor's degree in Science; Physician, Hand Group, Department of Orthopedics and Traumatology, UNIFESP, Paulista School of Medicine, São Paulo, Brazil. 5. Doctor's degree in Science; Head, Shoulder and Elbow Group, Department of Orthopedics and Traumatology, UNIFESP, Paulista School of Medicine, São Paulo, Brazil. 6. Full Professor; Lecturer, Department of Orthopedics and Traumatology, UNIFESP, Paulista School of Medicine, São Paulo, Brazil.
Abstract
OBJECTIVE: The aim of the present study was to investigate Brazilian orthopedists' opinions regarding the main aspects of the treatment of glenohumeral traumatic dislocation and compare these to literature's current concepts. METHODS: Two hundred questionnaires containing 13 items were randomly distributed to orthopedists who were attending a Brazilian orthopedics congress; 158 were filled, in correctly and were considered in this study. RESULTS: The preferred maneuver was traction-countertraction (60.8%). Among the respondents, 68.4% stated that glenohumeral dislocation reduction was achieved in the first attempt in 90% of the cases. The first attempt of reduction occurred mainly in the Emergency room (96.5%). Seventy-nine individuals (50%) reported that they do not use any analgesic prior to reduction. The majority of the participants immobilize their patients after the reduction (98.1%). 75.4% of them keep their patients immobilized from 2 to 3 weeks. CONCLUSION: Generally, Brazilian orthopaedists perform tractioncountertraction maneuvers, achieving reduction in the first attempt in more than 90% of the cases in the Emergency room. No previous analgesic agent is used prior to reduction. Immobilization of the patient is made with a Velpeau dressing or a sling for 2 to 3 weeks.
OBJECTIVE: The aim of the present study was to investigate Brazilian orthopedists' opinions regarding the main aspects of the treatment of glenohumeral traumatic dislocation and compare these to literature's current concepts. METHODS: Two hundred questionnaires containing 13 items were randomly distributed to orthopedists who were attending a Brazilian orthopedics congress; 158 were filled, in correctly and were considered in this study. RESULTS: The preferred maneuver was traction-countertraction (60.8%). Among the respondents, 68.4% stated that glenohumeral dislocation reduction was achieved in the first attempt in 90% of the cases. The first attempt of reduction occurred mainly in the Emergency room (96.5%). Seventy-nine individuals (50%) reported that they do not use any analgesic prior to reduction. The majority of the participants immobilize their patients after the reduction (98.1%). 75.4% of them keep their patients immobilized from 2 to 3 weeks. CONCLUSION: Generally, Brazilian orthopaedists perform tractioncountertraction maneuvers, achieving reduction in the first attempt in more than 90% of the cases in the Emergency room. No previous analgesic agent is used prior to reduction. Immobilization of the patient is made with a Velpeau dressing or a sling for 2 to 3 weeks.