At this URL, one can read an editorial from the Australian Medical
Journal (2003) about why an external rotation splint might be better in
the post-reduction period after an anterior shoulder dislocation:
http://www.ori.org.au/bonejoint/shoulder/ssfd.htm
Here is the URL for a movie (done by Dr. Itoi I presume) showing the
application of an external rotation splint:
http://www.ori.org.au/bonejoint/shoulder/ssfd/splint.mov
I haven't heard orthopedists here in Turkey talking about this yet...
Any other research, like the Itoi paper, to back this up?
Sincerely, John Fowler, MD in Izmir
On 07.Şub.2005, at 19:55, Danny McGeehan wrote:
> Our orthopods have asked us to immobilise the post
> relocated,dislocated shoulders in an externally rotated position.
> Some paper from Japan, the series has apparently reduced the
> redislocation rate from 45% to zero. A splint will be applied and I
> understand that in this position it re-attaches the Bankhart lesion.
> Associated with this research it is also postulated that by relocating
> dislocations using the Kocher's proceedure the incidence of relocation
> is higher. Again something to do with Bankhart lesion. I must
> confess that I always use this proceedure. Perhaps the quasi
> acaedemics on the list could oblige and enlighten us, MWC et al
> Kind regards
> Danny McGeehan
>
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> Is anyone aware of any literature relating to the pros and cons of
> starting DVT prophylaxis in patients at potential risk of DVT who are
> going into a below knee POP /Backslab? Had a recent case of a patient
> who had an ankle fracture, POP and then developed pleuritic chest
> pain. Fortunately wasn't a PE but the question of whether we should
> be starting LMWH on these patients has been raised.
>
>
>
> Sunil
>
> Redhill
>
>
>
>
>
>
>
> http://www.surreyandsussex.nhs.uk
>
>
>
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