| Autor: |
Derksen RJ; Zaans Medisch Centrum, afd. Chirurgie, Zaandam.; Contact: derksen.r@zaansmc.nl., van der Meijden OAJ; Albert Schweitzer Ziekenhuis, afd. Orthopedie, Dordrecht., Huygen LE; Sint Maartenskliniek, afd. Radiologie, Ubbergen., Boon F; Schoudercentrum IBC Amstelland, Amstelveen., Balemans ACJ; Kennisinstituut Federatie Medisch Specialisten, Utrecht., Baden DN; Diakonessenhuis, afd. Spoedeisende Hulp, Utrecht. |
| Jazyk: |
Dutch; Flemish |
| Zdroj: |
Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2024 Apr 17; Vol. 168. Date of Electronic Publication: 2024 Apr 17. |
| Abstrakt: |
Shoulder dislocations remain the most frequent of joint dislocations, with anterior displacement of the humeral head being the direction of dislocation seen most often (97%). Recently, the Dutch clinical guideline on shoulder dislocations has been revised on the basis of predetermined bottlenecks in clinical practice. In this paper, the guideline is translated to clinical practice by means of two fictional cases, in which the novel recommendations are incorporated. The following topics were systematically assessed based on the best available scientific evidence: primary diagnostics, reduction techniques, painmedication/ sedation surrounding reduction and the need for physiotherapy, stabilization surgery and immobilization. Also, a best practice care pathway is advocated. Since scientific evidence is often inconclusive to provide undebatable therapeutic rules, the committee graded the available evidence and additionally used expert opinion to carefully draft recommendations. The paper concludes with an overview of all the recommendations stated in the updated multidisciplinary guideline. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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