OMUZ ÇIKIĞINDA GÜVENİLİR ETKİN VE BASİT BİR YÖNTEM: SPASO TEKNİĞİ

Yıl 2018, Cilt: 11 Sayı: 1, 1 - 5, 08.07.2019

Cihan Adanaş Sezai Özkan

Öz

Omuz vücudumuzda meydana gelen eklem
çıkıklarından en sık görülenidir. Omuz çıkıklarında
bir çok redüksiyon yöntemi tanımlanmış ve
hangi yöntemin daha güvenli,
etkin ve kolay olduğu ile
ilgili bir çok çalış ma mevcuttur. Bu çalış mada anestezi
gerektirmeyen etkili ve güvenilir bir redüksiyon
yöntemi olan Spaso tekniği ile omuz
redüksiyonu yapılan hastaların
sonuçlarının literatür eşliğinde sunulması amaçlandı. Bu çalış mada 2011-2017 yılları arasında
hastaneye anterior omuz çıkığı nedeniyle başvuran 43 (39 erkek, 4 kadın)
hasta çalış maya alındı. Hastaların yaşı,
c insiyeti, çıkığın bulunduğu ekstremite
tarafı, çıkığın üzerinden geçen süre, çıkığ ın oluş nedeni ve nörovasküler muayene sonuçları
retrospektif olarak kaydedildi. Hastaların hiç birine Redüksiyon öncesi ve redüksiyon sırasında analjezik, sedasyon ve anestezi uygulanmadı. Hastalara anteior omuz
çıkığı redüksiyonu için Spaso  yöntemi  ile redüksiyon  
uygulandı. Çalış maya
dâhil edilen hastaların 31’inde sağ, 12’sinde
sol omuz çıkığı vardı. Çıkıkların; 19 hasta el üzerine düşme, 11 hasta spor müsabakası esnasında
düşme, 7 hasta minimal travma (elb ise
giyme, yüzme gibi) sonrası ve 6 hasta
doğal afet sırasında (Van depremi) meydana geldiğ i bildirilmiştir. Çıkık oluşumu ile hastaya müdahale sırasına kadar
geçen otalama süre 170 dakika (30 dk-420 dk) id
i. Ortalama redüksiyon süresi 2,8 dakika
(dağılım:1-4) olarak kaydedildi.
Anterior omuz çıkığı redüksiyonu için Spaso
yönteminin anestezi gerektirmeyen
basit, etkili ve güvenilir bir redüksiyon manevrizması olduğu kanaatine varıldı.

Anahtar Kelimeler

Omuz çıkığı, Spaso teknik, , Kapalı redüksiyon

EFFECTIVE AND SIMPLE METHOD OF SHOULDER DISLOCATION: SPASO TECHNIQUE

Öz

The
shoulder jo
int is the most
common dislocation of our body.
Although many reduction methods have been described in shoulder
dislocations, there is no  clear
result  of
which method is easier, safer and more
effective. In this study, we
aimed to present the results of spaso technique in the treatment
of
anterior shoulder
dislocation. 43 (39 male,
4 female) patients with anterior shoulder dislocation were included in our study between
the years of 20011-2017. Age, sex, dislocation side, dislocation
time, dislocation and neurovascular exa mination results were recorded
retrospectively. None of the patients received analgesic, sedation
and anesthesia before and after reduction. patients underwent reduction with Spaso
Miljesic method for reduction of
Anteior shoulder dislocation. Thirty-seven patients had right shoulder
dislocation and 12 patients had left shoulder dislocation. 19 patients
had fall on hand, 11 patients
had fall
during sports competition, 7
patients had minimal trauma (dress wear,
swimming) and 6 patients had
a natural disaster (van
earthquake). The interval between the
occurrence of dislocation and the time of intervention to the patient was 170 min (30 min-420 min). Average reduction time was recorded as 2.8 minutes (range: 1-4). We
conclude that the Spaso method for anterior shoulder dislocation reduction is a simple, effective and reliable reduction maneuver that does not
require anesthesia.

Anahtar Kelimeler

Shoulder dislocation, Spaso technique, closed reduction

Kaynakça

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