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The Noergaard Technique for Anterior Shoulder Dislocation

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ClinicalTrials.gov Identifier: NCT03649373
Recruitment Status : Completed
First Posted : August 28, 2018
Last Update Posted : August 28, 2018
Sponsor:
Information provided by (Responsible Party):
Nikolaj Erin-Madsen, Copenhagen University Hospital, Hvidovre

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.

Condition or disease Intervention/treatment
Anterior Shoulder Dislocation Procedure: Noergaard technique

Detailed Description:

Introduction

In this article the investigators describe the Noergaard technique for reduction of anterior shoulder dislocations. This is an atraumatic reduction method that has proven successful through several years of practice. The investigators describe and evaluate the results of this technique through a retrospective analysis of patients admitted and treated for anterior shoulder dislocation at the emergency department (ED) of Copenhagen University Hospital Hvidovre, Denmark, in a 1-year period.

Methods

In the Noergaard technique the patient is placed standing bend over forwards in front of the rail on a hospital bed, 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.

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Study Type : Observational
Actual Enrollment : 151 participants
Observational Model: Other
Time Perspective: Retrospective
Official Title: The Noergaard Technique, a Simple and Non-traumatic Method for Reduction of Anterior Shoulder Dislocations
Actual Study Start Date : January 1, 2014
Actual Primary Completion Date : December 31, 2014
Actual Study Completion Date : December 15, 2016

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
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
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.




Primary Outcome Measures :
  1. Successful shoulder reduction after anterior shoulder dislocation. [ Time Frame: 30 min. ]
    Successful shoulder reduction occurs when sufficient muscle relaxation allows the humeral head to reposition to its natural position in the glenoid fossa.



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Ages Eligible for Study:   14 Years to 85 Years   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
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.
Criteria

Inclusion Criteria:

- 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.

Exclusion Criteria:

  • 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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03649373


Sponsors and Collaborators
Copenhagen University Hospital, Hvidovre
Investigators
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Study Director: Nikolaj Erin-Madsen, MD Copenhagen University Hospital of Hvidovre

Publications:
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Responsible Party: Nikolaj Erin-Madsen, Principal Investigator, Copenhagen University Hospital, Hvidovre
ClinicalTrials.gov Identifier: NCT03649373    
Other Study ID Numbers: Noergaard Study
First Posted: August 28, 2018    Key Record Dates
Last Update Posted: August 28, 2018
Last Verified: August 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: There is no IPD sharing plan.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Nikolaj Erin-Madsen, Copenhagen University Hospital, Hvidovre:
Shoulder
Dislocation
Noergaard
Reduction
Additional relevant MeSH terms:
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Joint Dislocations
Shoulder Dislocation
Joint Diseases
Musculoskeletal Diseases
Wounds and Injuries
Shoulder Injuries