Indications and rules for applying a deso bandage for injuries of the shoulder and collarbone. Applying a bandage for a fracture of the collarbone Deso-type bandage how to wear

Bandage Dezo immobilizes upper limb. Fixes the shoulder and forearm bent at the elbow to the body, creates physiological traction. Covers all the necessary musculoskeletal system. Helps relieve stress. It prevents displacements, which reduces the risk of complications and speeds up recovery after injuries.

Named after the inventor Pierre Dezo, one of the best French surgeons of the 18th century. Now it is used in an improved form - the technique of application and the materials used have changed, due to which the effectiveness of treatment has increased.

Indications

The Deso bandage is necessary to immobilize the arm from the shoulder to the finger phalanges in case of:

dislocation of the shoulder and for the prevention of relapse;
fracture of the humerus;
clavicle fracture;
scapula fracture;
ligament injuries;
paralysis of the upper limbs;
arthritis, periarthritis and arthrosis;
secondary myositis, neuritis, paresis and plexitis;
in the recovery period after operations on the upper limb and wearing a cast.

It can be used for simple fractures - when there is no risk of displacement and damage to soft tissues by bone fragments. Sometimes it is prescribed for bruises and cuts of the hands.

Types of bandages Deso

Bandage bandages Deso

Deso's classic bandage is bandage. It covers the sore shoulder and torso with several rounds of bandage, goes around the back and elbow from below, obliquely rises up, under the healthy armpit, spreads over to the sore shoulder and falls again. Fastened with pins or plaster. If you have to wear it for a long time, the tours of the bandage are stitched so that they do not slip off and stretch less. Sometimes Dezo's bandage is made of plaster.

Disadvantages of the Deso bandage

A bandage that is too tight cuts off circulation and causes pain. Too weak - does not perform its functions. Improper fixation can lead to malunion of the bones. In addition, the bandage requires systematic care. If it becomes dirty or displaced, a replacement is required: you need to remove the old bandage and apply a new one, without strictly changing the position of the sore arm.

Ready bandages Deso

Ready-made Deso dressings are easier to use, convenient for patients and doctors. They are bandages - connected into a single structure and. Made of hypoallergenic materials that allow air to pass through - do not cause irritation, provide full circulation. Attached with Velcro. They do not require an exact selection - they are produced in universal sizes, adjustable individually.

Rules for wearing a bandage Deso

How to choose and wear correctly?

Ready bandage type Deso on shoulder joint worn over underwear like a T-shirt. At the same time, the patient's arm is bent at a right angle, the forearm is parallel to the floor. Above the elbow, the product is attached to the body horizontally with a belt. The device should not hang out or squeeze.

A suitable size is selected by a traumatologist or orthopedic surgeon. He puts the bandage on the patient for the first time and teaches the necessary technique.

How much to wear and how to sleep?

The duration of wearing the Dezo bandage depends on the nature of the injuries. With a dislocation of the shoulder, it is worn from a week to a month. Younger and more active patients require longer immobilization to prevent secondary injury. With uncomplicated closed fractures of the shoulder or collarbone, the product is worn for about a month.

How much to wear during the day and whether it is possible to take it off at night, the doctor indicates. When worn around the clock - the most common option - they sleep on their backs.

How to care?

Deso ready-made shoulder bandages come in non-staining colors so they require little maintenance while they are being worn. After the end of the treatment, the product is washed at a temperature of 30 ° C in manual mode without spinning. Dry naturally.

Indications for the Dezo bandage: immobilization of the upper limb to the chest in case of fractures of the clavicle, as well as after reduction of the dislocation of the shoulder.
When applying a bandage to the upper limb, a physiological position is attached.

First, the shoulder is fixed to the body, then the wrist joint is held, and finally the elbow joint of the injured side. The joints of a healthy upper limb remain free, and the patient can make any movements with a healthy hand.
Equipment: bandage 20 cm wide, cotton-gauze roller, scissors, pin or adhesive plaster.
Note: The fixing tour of the bandage is always carried out to the sore arm around the body, tightly pressing the shoulder to the chest. When applying a bandage to left hand the bandage moves from left to right, and when bandaging the right hand - from right to left, the arm is given a bent position at the elbow joint at a right angle, the elbow is retracted slightly back, and the shoulder is lifted upward during the bandaging process.

1. Dezo bandage is applied after preliminary insertion of a cotton wool roll wrapped with gauze into the armpit. After carefully bend the injured limb in the elbow joint, lead and press to the chest.

2. Make two fixing tours of the bandage on the chest, the diseased arm in the shoulder area, back and armpit from the side of the healthy limb.

3. Lead the bandage through the armpit of the healthy side along the front surface of the chest obliquely on the shoulder girdle of the diseased side.

4. Lower the bandage down the back of the affected shoulder under the elbow.

5. Go around the elbow joint and, supporting the forearm, direct the bandage obliquely into the armpit of the healthy side. Lead a bandage from the armpit along the back to the sore shoulder girdle.

6. Lead a bandage from the shoulder girdle along the front surface of the diseased shoulder under the elbow and go around the forearm. Direct the bandage along the back to the armpit of the healthy side. Repeat the rounds of the bandage until the shoulder is completely fixed.

7. Finish the bandage with two fixing rounds on the chest, on the sore arm in the area of the shoulder, back. Pin the end of the bandage with a pin. If the bandage is applied to long time, bandage tours should be stitched.

With various injuries and diseases of the joints, it is necessary to carry out the correct immobilization. This is especially important for dislocations or fractures of the shoulder. Proper fixation of the injured limb will help prevent complications and speed up recovery.

Most often, in case of injuries in the upper part of the arm, when its immobilization is necessary, a Dezo bandage is applied to the shoulder joint. This method of fixing the shoulder has been used for a long time, it is easy and accessible even to a person without a medical education. Knowing the features of applying a bandage, you can provide first aid to the victim before the arrival of an ambulance.

Bandage features

The Dezo bandage was invented at the end of the 18th century by a famous French surgeon. It is the immobilization of the shoulder with a bandage applied by a special method. With its help, you can fix the upper limb well in case of simple injuries. AT modern traumatology Dezo bandage is used less and less, as more reliable methods of immobilization have appeared. But it is precisely this fixation that is used at the first aid stage for simple injuries of the shoulder, shoulder blade or collarbone.

Such a bandage is also used for rehabilitation after dislocation of the shoulder joint or for its immobilization in various conditions. inflammatory diseases. Now, in addition to the usual bandaging, this type of fixation is carried out using a ready-made bandage. This method of immobilization provides unloading of the upper part of the limb, gives the correct position to the hand. At the same time, recovery processes and tissue healing proceed faster.

Indications for use

It is necessary to apply a Dezo bandage in cases where immobilization of the upper arm is necessary. Temporarily at the stage of first aid, it can be applied for any minor injuries when semi-rigid immobilization is required.

But the constant wearing of such a fixing bandage is possible only on the advice of a doctor. After all, the Dezo bandage fixes the limb, preventing its movement and the development of complications in injuries. But it does not take the shoulder joint back, which is necessary, for example, in case of a fracture of the collarbone.

Therefore, it is most often used temporarily to immobilize a limb with such injuries:

shoulder dislocation;
clavicle fracture;
uncomplicated;
fracture of the humerus;
severe tissue injury in the shoulder area.

The Deso bandage is used mainly at the first aid stage for various injuries.

Such a bandage can also be used for a long time as directed by a doctor. Indications for its use may be diseases of the shoulder joint, in which its immobilization is required. It can be arthritis, arthrosis, myositis, tendinitis, plexitis and other pathologies. Such immobilization is also needed during the period of rehabilitation after injuries and surgical operations in the shoulder area. It helps to give the hand a physiologically correct position, preventing pain even with the active movement of the patient.

Contraindications

But it is not always possible to apply a Deso bandage. Like any therapeutic effect, such immobilization has contraindications. First of all, you can not apply a fixing bandage with a serious dislocation or open fracture. If there is bleeding, multiple injuries of the upper limb or a complex injury, it is better to simply ensure that the victim is at rest until the ambulance arrives.

Such fixation in the presence of bone fragments or damage to soft tissues can aggravate the situation. It can lead to displacement of fragments, damage to blood vessels. This fixing bandage is not used in the presence of dermatological diseases in the shoulder area, with malignant tumors. You can not wear it for a long time without the testimony of a doctor.

It is very important that the Dezo bandage is applied correctly.

Overlay technique

It is possible to apply a Deso bandage on the shoulder joint only if you know its features and rules of application well. But the technique of applying it is quite simple, so you can use step-by-step photographs or a detailed description.

First you need to put a soft roller made of gauze under the arm of the victim. It will ensure the correct position of the limb and improve fixation.
The patient's arm is bent at the elbow at a right angle and pressed against the body. It is not necessary to clench the brush into a fist, the fingers are located freely.
For the bandage, a regular or elastic bandage with a width of at least 20 cm is used. In emergency cases, you can use strips of fabric.
You need to apply a bandage starting from the armpit of a healthy arm. If hurt right hand, the direction of bandaging should go from left to right, for the left hand - vice versa.
The first rounds of the bandage fix the shoulder to the chest.
Next, you need to direct the bandage obliquely on the shoulder girdle, lower it from behind along the sore arm under the elbow. In front, the bandage should go obliquely into the armpit of a healthy arm, to fix the forearm.
The last rounds of the bandage should also be directed obliquely through the sore shoulder, down along the arm, and in front of the elbow joint and return to the shoulder again.
Finish the bandage with two rounds through the chest. Then the bandage is fixed with a pin or adhesive tape.

When applying a bandage, you can use step by step instructions

Application features

In order for such a bandage on the shoulder joint to be useful, it is necessary to follow the rules for its application and use. When bandaging, it is recommended to repeat each round 2-3 times, then the bandage will not move when the victim is moved. In addition, it is very important to adhere to the same bandage tension throughout the bandage. Do not pull too hard, as this can lead to impaired blood circulation and increased pain. But if the bandage is applied too loosely, the retainer will not perform its functions and will slide off. The correctness of the application of the Deso bandage can be checked by appearance: triangles of bandage strips should be visible in front and behind.

Mistakes during immobilization should be avoided, because improper fixation of the limb can aggravate the situation. You should not apply a bandage yourself also if any movement of the hand causes pain to the patient and it is impossible to fix it in the position necessary for it. Therefore, use this method of fixation before rendering medical care recommended only in mild cases. The patient should not feel discomfort, and the arm should be completely immobilized.

Ready bandage

For temporary immobilization, you can use the Deso bandage, but if you need to wear it for a long time, it is better to purchase a ready-made orthosis. After all, doctors sometimes recommend such fixators for various diseases of the shoulder joint, as well as during the rehabilitation period after injuries or operations. In this case, wearing a bandage may take from 1 to 4 weeks. The bandage will have to be changed frequently as the bandage becomes loose and dirty. A ready-made orthosis is inexpensive - from 1500 to 5500 rubles.

It is more convenient to use a ready-made bandage according to the type of Deso bandage if long-term immobilization is necessary.

It is made according to the Dezo bandage type, it fixes the arm well in the shoulder joint, contributing to the rapid healing and restoration of its functions. But such a bandage has a complex shape, so some may have a question about how to put it on. If you understand the principle of the orthosis, it turns out that it is easy. First you need to put on the sleeve on the forearm. Throw the straps over your shoulders, cross them on your back and fasten them to the muff in front. After that, the arm is fixed with a wide belt to the chest. The orthosis should not cause discomfort or increased pain. The degree of fixation, as well as the duration of its wearing, is determined by the attending physician.

The Dezo shoulder bandage is a common treatment for various diseases and injuries of the shoulder. But it must be used correctly, only on the advice of a doctor.

The Dezo bandage (orthosis) was invented in the 18th century by the famous French surgeon Pierre Joseph Dezo, who pioneered the bandaging technique.

Deso bandage - is a fixator for the upper limbs, which is used for dislocation of the arms or shoulder, as well as for a fracture, bruise or sprain. It helps to achieve the maximum fixing effect, allowing you to fix the limb in a stationary position with a few turns. elastic bandage. The so-called immobilizing bandage provides comfortable conditions for the recovery of the anatomical segment after an injury.

Indications for use

The Dezo fixing bandage is used to fix the limb in case of injuries and damage to the collarbone. It is a semi-rigid fixative and is sometimes used with gypsum mortar. The application of the Dezo fixative is necessary in the following cases:

fractures of the humerus and clavicle;
dislocation of the humerus and shoulder joint;
recovery from the above injuries;
rehabilitation after operations in the shoulder area.

Description and functions

The retainer is made of airtight knitted three-layer material, which has the greatest immobilizing effect and maximum comfort when wearing it. The product consists of a special clutch for placing the injured limb in a comfortable position and a mobile belt for firmly attaching the hand to the body. The latch has a universal character, as it is suitable for both right and left hands. The bandage is a hypoallergenic product that does not cause itching and skin irritation.

The latch has the following functions:

immobilization after injuries and injuries of the upper limbs in the correct position;
unloads the ligamentous and muscular apparatus, which facilitates the condition of the joints.

Overlay technique

Dezo dressing needs a special overlay technique and is performed in the following sequence:

The patient is seated face to face.
A roll of gauze or a piece of cotton wool is placed in the axillary region.
The arm is pressed to the chest and bent at an angle of 90 degrees.
They perform several wrapping rounds in the chest area, while not forgetting about the diseased limb.
The bandage is removed from a healthy armpit and lifted obliquely towards the opposite shoulder.
Lower the bandage along the back of the arm and grab the sore elbow, hold the bandage under it.
They return to the armpit area, carry out one round along the back obliquely up to the opposite shoulder girdle.
From the shoulder, the bandage is released down the front surface of the arm, passing it under elbow joint are returned to the intact armpit.
Repeat the original sequence, making three or four fixing moves with a bandage along the line of the triangle.
At the end, the remaining edge is firmly fixed with adhesive tape or a pin so that it does not hang out.
If the bandage is applied for a long time, then it is stitched through several layers.

This is where the bandage ends, however, it is not enough for a full and strong fixation. So that it does not weaken due to insufficiently strong material during the transportation of the patient to the medical facility, three additional rounds are carried out, achieving a tight and lasting effect.

Applying a bandage to the right or left limb allows its tight fixation relative to the body, but without taking the shoulder back. If there is a need for long-term use of the bandage, then the use of additional parts for shoulder abduction is allowed.

How to care

With temporary use of the bandage, no measures are taken to care for it. For example, if it is applied for a while as a splint (during transportation to the hospital), then it is removed there. If it is worn instead of plaster for a long time, then it needs care.

In this case, some nuances are required:

bandages are changed after they are heavily soiled;
in case of deformation of the bandages, when they are not able to perform the functions of a tight fixator, I completely change them, while keeping the hand in the desired position;
when individual sections are weakened, there is no need to completely replace the bandage, sagging sections can be tightened and fixed again;
if the pharmacy fixative is dirty, then it is washed by hand in water at room temperature;
at the same time I do not use chemical bleaches or solvents;
dry cleaning is contraindicated;
after washing, the product should be rinsed thoroughly;
it is strictly forbidden to rub and squeeze;
it is recommended to dry the product in a straightened position away from heaters and ultraviolet rays;
do not iron the product, store in a dry place;
Avoid water and direct sunlight.

How long to use

Terms of use vary depending on the type of injury. When rendering first aid the time of wearing the fixator depends on the delivery time of the victim to the medical facility. If necessary, a reliable and durable fixation is worn for about 3-4 weeks. In addition, patients over the age of 40 do not wear a brace for as long as younger people. This is due to the high physical activity of young people, whose activity leads to repeated dislocations. During the same time, a bandage is worn for fractures of the collarbone and shoulder. In these cases, the use of a simple bandage bandage is not enough. However, it is used when the imposition of a plaster or splint is impossible for some reason.

Who is able to bandage Dezo

When providing first aid, the bandage is applied by people from the environment of the victim. As a result, the bandage is not always applied correctly. In a medical institution, the procedure is performed by junior medical personnel under the supervision and control of a traumatologist. In order to make a bandage, it is not necessary to have a special medical education. To do this, it is enough to have simple dexterity and skill, and most importantly, to repeat the sequence of actions exactly. In order to repeat the Dezo fixator, you need to take a wide bandage that will firmly and securely fix the limb.

The most common mistakes when applying a bandage

What can be done wrong when performing dressing? Errors can be as follows:

the hand may be in the wrong position, which leads to displacement of bone fragments;
unreliable and weak immobilization;
when carrying out too tight revolutions, the limb is compressed, which leads to the intensity of pain, and there may also be a violation of the blood supply in the squeezed hand;
too weakly imposed revolutions lead to slipping of the bandage from the body and lead to a change in its position;
uneven pressure on the limb: in some areas the bandage is applied too tightly, in others too weakly;
the retainer is made of the wrong material, this happens when pre-hospital care first aid, when improvised means act as a bandage: towels, sheets, shirts, pieces of cloth. Such fixators most often do not cope with their direct duty, fall off and do not have an immobilizing effect.

The immobilizing bandage is only effective when performed correctly. If there is no experience in applying medical dressings, it is better not to do this at all. Let the limb remain in the position that it took after the injury.

Deso bandage alternative

Alternative bandages include:

Delbe Rings

This method of applying the retainer implies the presence of two rings, which are made of belts, wide pieces of fabric or bandage. They are carried over the shoulders of the patient, and behind the back they are fixed in such a way that they spread the shoulders of the victim to the sides.

Eight bandage

This is a variation of the Delbe fixator. For the bandage, an elastic wide bandage is used, which is applied behind the back in the form of the number eight.

scarf

The easiest bandage to perform. In order to complete it, a piece of square-shaped fabric is required, which on one side must have at least one meter. The dressing is designed to prevent sagging of the injured limb, as a result of which bone fragments can move.

Fixator Velpo

This fixator is also a variant of the Deso bandage. When it is performed, the limb is fixed at an acute angle, and not at a right angle, as is customary in the classical version. The palm of the injured hand is pressed against a healthy forearm and thus attached to the body.

In case of fractures of the shoulder, collarbone or shoulder dislocation, fixing bandages are usually applied. The Dezo bandage for the shoulder joint fixes the upper limb in a stationary state, reducing the load on the joints. With the exact execution of the sequence of stages of applying such an orthosis, the recovery period is significantly reduced. You can make the bandage yourself or buy ready-made.

Deso bandage: indications for use

This method of dressing and fixing the shoulder joint after an injury was invented by the famous 18th century surgeon Pierre Joseph Dezo.

The fixing bandage on the shoulder joint is intended for semi-rigid immobilization of the arm after injury. It is used after an injury, a fracture of the shoulder or collarbone of a non-severe nature, in rehabilitation and postoperative periods. The injured arm is connected to the body and secured with several rounds of a special bandage. The orthosis consists of a tape, a belt, a fixing pin and a cotton-gauze roller.

Indications for use

Bandages Dezo are used in the following cases:

simple injuries of the shoulder region;
or forearm;
fractures of a non-severe nature in the collarbone;
immobilization of the injured area after surgery.

Ready-made bandages Deso on the shoulder joint

In the pharmacy you can buy a ready-made orthosis for a child.

Ready-made Deso orthoses can be purchased at pharmacies and specialty stores medical purpose. In their manufacture are used:

latex;
polyester;
cotton.

The bandage includes a belt wrapping around the body, two fixators - shoulder and forearm, and a tape supporting the shoulder belt. The bandage uses non-allergenic fabric sewn in several layers. The underside of the bandage is covered with a cotton fabric. Adhesive tape is used for fastening. There are 2 main types of modifications of such a device (Deso 1 and Deso 2), for children a children's orthosis is provided.

How to put on a ready-made bandage?

Putting on the fixing device is quite simple:

The patient is dressed in cotton clothing.
A belt is fastened in the abdomen area, designed to fasten the upper limb.
A latch for the forearm is fastened with a belt clasp.
The tape intended for the shoulder girdle is pulled from the non-injured area and fastened with Velcro.
The fixator is attached to the injured shoulder joint.

How to apply a bandage bandage?

The bandage is applied in several steps.

Dezo bandage on the damaged humerus done in stages. The patient is seated on a chair, the injured limb is bent at the elbow joint. A cotton-gauze pad is placed in the axillary area. The hand is connected to the body by applying 3 bandage circular tours:

The bandage is removed from the area between the shoulder joint and the chest along the front to the injured forearm, and then vertically down to the elbow. Then it is pulled along the chest area to a healthy armpit, then the coil is repeated.
The head of the bandage is removed under the arm of the workable part and stretched to the patient's shoulder girdle.
The bandage is pulled under the armpit of an uninjured shoulder, leading along the chest to the damaged shoulder girdle. Then it stretches down the back of the shoulder, capturing the elbow joint. A bandage is wrapped around the forearm and again stretched to a healthy armpit. Then the bandage tape will again be introduced to the damaged shoulder girdle. From it, along the front part under the elbow joint, it is directed to the armpit of the working side. All turns are repeated until complete fixation of the injured shoulder.

If bandage triangles have formed on the chest surface and on the back, then the Dezo bandage on the shoulder joint is applied correctly.