| Introduction: Due to the fact that radiography before and after reduction requires significant waste of time, the patient is exposed to harmful radiation and imposes a significant material burden on patients, the present study was conducted based on these objectives to see if The physician's clinical judgment in determining the presence of anterior shoulder dislocation is so accurate that preoperative radiography can be ruled out in these patients. Positive results, improvements in the process of diagnosis and treatment of these patients.
Methods: This descriptive cross-sectional study was conducted in 2019 at Tabriz University of Medical Sciences with the participation of 116 patients with shoulder trauma. Patients underwent appropriate shoulder dissection and then underwent control radiography to determine if radiography was required. Relevant data were compared using a statistical test.
Results: In group 1, there were no fractures before and after reduction of 8 cases. There were fractures in cases with group 2 trauma, but no new fractures were seen in all cases after reduction. In group 1, one case and in group 2, six cases of unsuccessful reduction were sent to the operating room.
Conclusion: As a general conclusion, this study shows that physicians in cases of shoulder dislocation without fracture are able to accurately diagnose dislocation and correct reduction. Shoulder radiography should be requested at a time when the physician is unsure of the condition of the joint. |