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{
    "pk": 8332,
    "title": "Low-Cost Alternative External Rotation Shoulder Brace and Review of Treatment in  Acute Shoulder Dislocations",
    "subtitle": null,
    "abstract": "Traumatic dislocations of the shoulder commonly present to emergency departments (EDs). Immediate closed reduction of both anterior and posterior glenohumeral dislocations is recommended and is frequently performed in the ED. Recurrence of dislocation is common, as anteroinferior labral tears (Bankart lesions) are present in many anterior shoulder dislocations.14,15,18,23 Immobilization of the shoulder following closed reduction is therefore recommended; previous studies support the use of immobilization with the shoulder in a position of external rotation, for both anterior and posterior shoulder dislocations.7-11,19 In this study, we present a technique for assembling a low-cost external rotation shoulder brace using materials found in most hospitals: cotton roll, stockinette, and shoulder immobilizers. This brace is particularly suited for the uninsured patient, who lacks the financial resources to pay for a pre-fabricated brace out of pocket. We also performed a cost analysis for our low-cost external rotation shoulder brace, and a cost comparison with pre-fabricated brand name braces. At our institution, the total materials cost for our brace was $19.15. The cost of a pre-fabricated shoulder brace at our institution is $150 with markup, which is reimbursed on average at $50.40 according to our hospital billing data. The low-cost external rotation shoulder brace is therefore a more affordable option for the uninsured patient presenting with acute shoulder dislocation. [West J Emerg Med. 2015;16(1):–0.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Shoulder Dislocation, Trauma, Immobilization"
        }
    ],
    "section": "Healthcare Utilization",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2f15d747",
    "frozenauthors": [
        {
            "first_name": "Kyle",
            "middle_name": "",
            "last_name": "Lacy",
            "name_suffix": "",
            "institution": "Detroit Medical Center, Department of Orthopaedic Surgery, Detroit, Michigan",
            "department": "None"
        },
        {
            "first_name": "Chris",
            "middle_name": "",
            "last_name": "Cooke",
            "name_suffix": "",
            "institution": "Detroit Medical Center, Department of Orthopaedic Surgery, Detroit, Michigan",
            "department": "None"
        },
        {
            "first_name": "Pat",
            "middle_name": "",
            "last_name": "Cooke",
            "name_suffix": "",
            "institution": "Detroit Medical Center, Department of Orthopaedic Surgery, Detroit, Michigan",
            "department": "None"
        },
        {
            "first_name": "Justin",
            "middle_name": "",
            "last_name": "Schupbach",
            "name_suffix": "",
            "institution": "Wayne State University, Detroit Medical Center, Detroit, Michigan",
            "department": "None"
        },
        {
            "first_name": "Rahul",
            "middle_name": "",
            "last_name": "Vaidya",
            "name_suffix": "",
            "institution": "Detroit Medical Center, Department of Orthopaedic Surgery, Detroit, Michigan",
            "department": "None"
        }
    ],
    "date_submitted": "2014-07-13T17:46:32Z",
    "date_accepted": "2014-07-13T17:46:32Z",
    "date_published": "2015-01-07T01:16:07Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8332/galley/4765/download/"
        }
    ]
}