At a glance
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Comparison of the Standard Cunningham Technique and the Modified Cunningham Technique in Terms of Reduction Success and Emergency Department Discharge Time in Patients With Anterior Shoulder Dislocation: A Two-Center Prospective Randomized Study
In Brief
A clinical study evaluating Standard Cunningham Technique and Modified Cunningham Technique for Anterior Shoulder Dislocation and 2 related conditions. Completed, enrolled 64 participants across 1 site.
Signals
Detailed Summary
Anterior shoulder dislocation is a common emergency condition that usually requires closed reduction in the emergency department. Several reduction techniques are used in clinical practice, and the ideal method should be effective, fast, easy to perform, well tolerated by the patient, and associated with a low need for sedation. This two-center prospective randomized study compares the standard Cunningham technique with a modified Cunningham technique in adult patients presenting to the emergency department with anterior shoulder dislocation. Eligible patients were randomly assigned to one of two groups: standard Cunningham technique or modified Cunningham technique. The main aim of the study is to compare the success rate of shoulder reduction between the two techniques. Secondary aims include comparing reduction time, pain level measured by the Visual Analog Scale, need for additional reduction maneuvers, need for sedation, emergency department discharge time, and procedure-related complications. The study is designed to determine whether the modified Cunningham technique can provide faster and more successful shoulder reduction without increasing patient discomfort or complication risk.
Study Details
Timeline
Arms & Interventions
Participants in this arm underwent closed reduction of anterior shoulder dislocation using the standard Cunningham technique. The patient was placed in a seated position, and reduction was attempted through patient relaxation and massage of the biceps, deltoid, and trapezius muscles without forceful traction.
articipants in this arm underwent closed reduction of anterior shoulder dislocation using the modified Cunningham technique. The patient was placed in a seated position, and the affected hand was positioned on the volar aspect of the physician's elbow. The physician supported the patient's elbow and applied gentle downward pressure to the antecubital region while performing massage of the biceps, deltoid, and trapezius muscles to facilitate reduction without forceful traction.
Interventions
Closed reduction of anterior shoulder dislocation using the standard Cunningham technique. The participant is seated, the affected upper extremity is supported in adduction and elbow flexion, and the physician applies massage to the biceps, deltoid, and trapezius muscles to facilitate muscle relaxation and shoulder reduction without forceful traction.
Closed reduction of anterior shoulder dislocation using the modified Cunningham technique. The participant is seated, and the affected hand is placed on the volar aspect of the physician's elbow. The physician supports the participant's elbow and applies gentle downward pressure to the antecubital region while performing massage of the biceps, deltoid, and trapezius muscles to facilitate reduction without forceful traction.