Deso bandage: rules and diagram of application to the shoulder joint, how to apply a Deso bandage step by step. Indications and rules for applying a dezo bandage for injuries of the shoulder and collarbone Applying a soft bandage dezo bandage

This bandage is applied to fix the upper limb in case of fractures and dislocations of the shoulder.

Necessary tools

bandage 20 cm wide
pin

Note. The right hand is bandaged from left to right, the left - from right to left.

Sequencing

Deso bandage. Overlay scheme

1. Make the patient sit facing you, calm him down, and explain the course of the upcoming manipulation.
2. Place a cotton wool roll wrapped in gauze into the armpit.
3. Bend the forearm at the elbow joint at a right angle.
4. Press your forearm to your chest.
5. Make two fastening rounds of the bandage on the chest, the sore arm in the shoulder area, the back and the armpit on the side of the healthy limb.
6. Pass the bandage through the armpit of the healthy side along the front surface of the chest obliquely onto the shoulder girdle of the sore side.
7. Go down the back of the sore shoulder under the elbow.
8. Go around the elbow joint and, supporting the forearm, direct the bandage obliquely into the armpit of the healthy side.
9. Run the bandage from the armpit along the back to the sore forearm.
10. Move the bandage from the shoulder girdle along the front surface of the sore shoulder under the elbow and around it
forearm.
11. Direct the bandage along the back to the armpit of the healthy side.
12. Repeat rounds of the bandage until the shoulder is completely fixed.
13. Finish the bandage with two fastening rounds on the chest, sore arm in the shoulder area, and back.
14. Pin the end of the bandage with a pin.

Note. If the bandage is applied for a long time, the bandage should be stitched.

The bandage bandage, which immobilizes a limb, was invented by the French traumatologist Pierre Deszo back in the 18th century. The Deso bandage is still used today for fractures and other injuries of the upper extremities, as well as during rehabilitation periods after surgery and reduction of dislocations.

Indications for use

The application of a Deso fixing bandage is indicated for the following injuries of the upper extremities:

fracture of the humerus;
shoulder ligament injuries;
myositis;
decreased or increased muscle tone;
atrophic condition of muscles after injury;
collarbone fracture;
shoulder dislocation;
condition after dislocations and subluxations of the shoulder joints;
condition after shoulder reduction.

In addition, the bandage is used in the period after surgery, when the hand should be completely motionless.

Using a standard bandage, the arm is tightly attached to the body without retracting the shoulder joint. If it is necessary to fix a limb in case of a clavicle fracture for a long period of time, elements that retract the shoulder back are additionally used.

Contraindications to applying a bandage using the Deso method are comminuted and open fractures. Fixing the limb in such injuries is fraught with complications in the form of destruction of soft tissues by bone fragments, increased displacement of their fragments and deterioration of the patient’s general condition. It is also not advisable to apply a bandage for dermatitis in the acute stage, open wounds of soft tissue, skin infections and individual sensitivity to dressing material.

Overlay technique

To apply the Deso bandage, use a regular medical bandage 5 m long and 25 cm wide, a piece of cotton wool and a piece of gauze to create an axillary roll, scissors, and safety pins to secure the bandage.

The victim sits on a chair, bends the affected arm at the elbow and presses it to the chest. A soft roll of cotton wool and gauze is placed in the armpit.

Next, the Deso bandage is applied in stages:

Bandaging a limb to the body. The bandage is applied in a circle in two to three turns, extending onto the shoulder of the affected arm, the back and armpit of the healthy arm.
Elbow fixation. The end of the bandage is brought out along the front side of the body from under the arm in the area of the armpit, up and obliquely onto the affected forearm. Further along the back it descends vertically down towards the elbow and circles it from below.
Re-fixing. Going around the elbow of the affected arm, the bandage secures the forearm and passes along the chest towards the armpit of the healthy side. It goes up the back to the injured shoulder girdle. The sequence of movements is repeated several more rounds until the shoulder is fixed as tightly as possible.
Completion. Application of the Deso bandage ends with two horizontal tours of the chest, sore arm and back. The end of the bandage is pinned with a pin. When applied for a long period of time, it is recommended to stitch the bandage.

A properly applied bandage forms a triangle on the back and firmly attaches the arm to the chest.

Possible mistakes

When applying the Deso dressing, errors are possible that lead to undesirable consequences:

The arm is fixed in the wrong position. The ends of the broken bone are displaced, and fixation is carried out insufficiently and poorly.
Excessively tight bandaging. Painful sensations in the injured arm intensify due to disruption of normal blood circulation in the tissues.
Insufficient bandage application. With any manipulation, the Deso bandage slips off the shoulder, the arm can move freely, as a result of which the treatment does not bring results.
The bandage is applied with uneven pressure. In areas with tight fixation, the tissues are subject to compression; in places where the bandage passes without tension, its functions are not performed.
Incorrectly chosen dressing material. If the first aid kit does not have a suitable bandage, it is not recommended to apply a Deso bandage from available materials (duvet covers, sheets and other pieces of fabric). Such bandages do not perform fastening functions and can harm the injured limb. It is better to leave the hand in the position in which it found itself after the injury and wait for the ambulance team to arrive, which will provide qualified assistance before being examined by a surgeon.

Caring for the bandage

When using the Deso fixative for a long time, you need to know the features of caring for it. Removing and reapplying the bandage is permissible if the bandages become loose, become excessively dirty, or if any discomfort occurs. The old bandage is unwound and removed completely. After cleansing the skin, new bandages are applied in its place, while the hand should remain in the same position.

If the bandages have slipped into the shoulder girdles, they can be returned to their place and secured with an additional pin.

The timing of applying the Deso bandage varies depending on its purpose:

Before admission to the hospital, the arm is fixed for painless transportation of the patient to the hospital.
To secure the shoulder girdle at rest after a dislocation, the wearing period ranges from 1 to 4 weeks. It should be remembered that the younger the patient, the higher the risk of recurrent dislocations due to increased activity.
To fix the arm during fractures, the immobilization period using a Deso bandage is 2–4 weeks. But in the presence of such injuries, plaster braces or durable splints are most often used.

An alternative version of the classic bandage

If you don’t have the time or desire to understand the specifics of applying a bandage retainer, you can purchase a soft bandage at the pharmacy that completely replicates the functions of the classic Deso bandage. It is made of synthetic materials with natural inserts. The bandage set includes shoulder and forearm fasteners, a tape to support the shoulder girdle, fastening is carried out using reliable Velcro.

Using a ready-made bandage is very convenient:

it is easy and quick to put on;
firmly secures the limb in a position optimal for speedy recovery;
suitable for both hands;
has a warming effect;
affordable.

Its wearing is prescribed not only for fractures and dislocations, but also for minor injuries and bruises, cuts to the hands, arthritis and arthrosis of the joints.

The finished bandage can only be used as prescribed by the surgeon. It should be selected based on the compliance of its dimensions with the dimensions indicated on the packaging. If discomfort occurs, you should contact your doctor to adjust your treatment.

An alternative bandage similar to the Deso bandage is easy to care for: it can be washed at 40°C using standard detergents without bleaches and dried in the open air. It is not recommended to wash the product in hot water, as the material may lose shape and change size.

Rules for applying a finished bandage

Correctly wearing the alternative to the Deso bandage must take into account the following recommendations:

The patient wears comfortable cotton clothing.
The torso is wrapped in a belt designed to securely secure the arm, which is fastened on the stomach.
A latch is attached to the waist clasp, connecting the bandage to the forearm.
A tape is stretched along the healthy side of the body, fixing the sore shoulder and secured with Velcro.
The affected shoulder joint is secured with a fixator.

Other fixation methods

In addition to the Deso bandage, other fixation methods are used to secure the position of the upper limb. They are prescribed depending on the nature of the injury and the individual characteristics of the patient.

"Klondike"

The easiest to apply method of fixing an injured upper limb, which is often used as first aid to the victim. It is also used to secure a bandage and isolate a wound. For a high-quality bandage, a piece of cotton fabric shaped like an isosceles triangle is used.

The technique of applying the Kerchief differs significantly from the Deso bandage:

one end of the fabric is placed on the injured shoulder, the other on the wrist area;
the free end is wrapped around the forearm;
the other end wraps around the shoulder towards the forearm;
the two ends are tied tightly.

Delbe rings

It is a shoulder girdle fixator, which is prescribed for fractures and other injuries of the collarbones. It has the shape of 2 rings, worn on the shoulders with a tight fixation on the back. While wearing the bandage, the shoulders are separated to recline the upper part of the thoracic spine, the position of the acromial clavicular joint is secured, and the load is distributed from the clavicles.

Eight-shaped scarf

An elastic bandage used to fasten and fix the position of the edges of a broken bone. Unlike the Deso bandage, the application is carried out strictly in a hospital after an x-ray and repositioning of the bone tissue elements:

the bandage is placed on the back in the area between the shoulder blades;
one end is placed on the shoulder girdle, passed under the arm and returned to the shoulder blades;
the algorithm of actions is repeated for the second forearm using the other end of the bandage;
all free ends of the bandage are tightly tied or secured with safety pins.

The technique of applying the Deso bandage is simple to perform and does not require special medical knowledge. If it is necessary to fix the hand of a loved one at home, the manipulations are carried out independently.

You can learn the nuances of the method from a medical professional and consolidate your knowledge by watching specialized videos. For training, it is recommended to use an elastic bandage that is not subject to destruction, unlike a regular one. But if there is not enough experience for proper application, it is better to entrust the procedure to specialists.

Features of the Deso bandage

The advantage of fixation is the ability to immobilize the entire upper limb, fixing it to the body, eliminating any movement in all joints. At the same time, wearing a bandage does not lead to compression of the tissues of the arm and disruption of its blood circulation if it is applied correctly.

In addition, an important point is the ease of application and availability of materials.

Overlay Rules

All you need to prepare is: a bandage at least 20 cm wide, scissors, a pin or adhesive tape, a small roller made of soft fabric or cotton gauze. In order for the bandage to perform its fixation function as much as possible and not cause inconvenience and undesirable effects, the following rules must be observed:

Make the victim sit facing you, calm him down, and let him relax.
Before application, a roller is placed in the axillary area of the injured arm, after which the arm is carefully brought to the body.
Bend the arm at the elbow joint at a right angle, the hand should be relaxed, and the healthy arm is moved to the side.
Wrap a bandage around the chest 2 times with the hand pressed to it above the level of the elbow. In this case, if the patient’s right arm is fixed, the bandage is placed around the chest from left to right.
Having made 2 turns on the back, the bandage is led from the front of the chest obliquely upward to the top of the shoulder joint of the affected arm, goes around it and lowers the bandage along the back surface of the shoulder.
Bending around the elbow area, the bandage is led obliquely upward into the axillary area of the healthy side, from there it is transferred to the back and the previous move is repeated.
The end of the bandage cannot be tied; it is fixed to the main bandage with a pin or bandage.

When applied to the left hand, the algorithm of actions is the same with the difference that they begin to bandage in a different direction - from right to left.

How to properly apply a Deso bandage

Today, industrially produced ready-made Deso bandages - bandages of various models - are very popular. They are easy to use, provide quick, reliable and adjustable fixation using hooks, Velcro, and locks.

At their core, these are fixing bandages for the shoulder and forearm; they can be purchased at pharmacies or medical equipment and orthopedics stores, as well as in online stores. The price varies from 800 to 4000 rubles, depending on the type of model, materials, and rigidity of fixation. All types of such fixing bandages are selected according to size; in most cases they are marked by clothing size - S, L, M, XL and so on, or their corresponding numbers 1, 2, 3, 4.

The duration of wearing the fixing bandage is individual, it depends on the nature of the pathology and is determined by a traumatologist.

In this case, with the help of a bandage, fixation of the limb to the body is achieved, but abduction of the shoulder joint does not occur.

When using the Deso method for long-term fixation for clavicle fractures, the application of additional elements is required to allow the shoulder to be pulled back.

The Deso method is not used for complex comminuted fractures and open fractures, since its application can aggravate the patient’s condition, provoke additional destruction of soft tissues by bone fragments, and lead to increased displacement of bone fragments.

You can buy a ready-made fixing bandage for the shoulder joint, or you can apply it using a bandage.

Terms of use may vary widely. At the prehospital stage, the time of fixation of the limb using this method directly depends on the timing of delivery of the victim to the hospital.

When using the Deso bandage to fix the shoulder after a dislocation, the period of wearing it can range from 1 to 3-4 weeks.

At the same time, young patients are subject to longer immobilization than patients older than 30-40 years. This is due to the high physical activity of young people, which leads to repeated dislocations.

The wearing time for fractures of the shoulder or collarbone is approximately the same. It is worth noting that in such cases, fixation methods using a conventional bandage are used extremely rarely, only in situations where the application of a plaster cast or a full-fledged splint is impossible for some reason.

After removing the bandage, exercise therapy and proper nutrition are important during the rehabilitation period.

When should you not apply a Deso bandage?

The Deso bandage and its various variants can be used for both first aid and treatment.

Indications for transport immobilization for injuries are:

shoulder dislocation;
injuries of the shoulder joint - bruise, sprain and rupture of ligaments;
collarbone fracture;
humeral neck fracture;
fracture of the forearm bones;
damage to the elbow joint - bruises, sprains and ligament tears.

During treatment, fixation is used in the following cases:

after surgery for a fracture of the collarbone, shoulder, ligament rupture;
after closed or open reduction of shoulder dislocation;
in the initial period of rehabilitation after injuries;
with acute inflammatory process in the shoulder joint.

Also, in the case of complex fragment fractures and fracture-dislocations with pronounced displacement and deformation of the limb, it cannot be used, because to apply it you will have to straighten the arm and bend it at the elbow joint. This cannot be done when providing assistance; you must try to fix the limb in the position as it is, using the available means.

Overlay technique

The patient is seated facing himself, the injured limb is bent at an angle of 90˚, and a roller wrapped in a bandage or gauze is placed in the armpit. To apply a fixing structure, you need a bandage 20 centimeters wide, a pin that will later be used to secure the bandage, and scissors.

In critical conditions, just a bandage is enough. If necessary, you can use an elastic bandage or a long, wide strip of fabric.

Technique for applying the Deso bandage:

To achieve a positive result, experts recommend repeating each round of the bandage three times. Otherwise, the material may weaken and shift when the victim moves and is transported to the hospital.

Care of the bandage

If immobilization is imposed temporarily only to transport the victim to a medical facility, no care is required. You just need to make sure that the bandage does not move and the fixation does not weaken.

When wearing a bandage for a long time, you need to keep it clean so that the limb does not become infected with pathogenic microbes. If it gets dirty or wet, you need to reapply it, but at the same time make sure that during the process of removing and re-bandaging the hand remains in the same position.

Repeated application of Deso may be required if the bandages are heavily soiled, as well as if they are weakened due to excessive activity of the patient. The old one is removed completely and replaced with a new one. The injured limb must be held in the position in which it was fixed.

Possible errors during application

The following errors may be made:

The limb is in the wrong position - in this case, bone fragments can move, fixation is incomplete and of poor quality;
Bandages are applied too tightly - an error leads to increased pain and poor circulation in the fixed limb;
The wraps are applied too loosely - the bandage slips off the patient’s body, the bandage does not fulfill its functional purpose, the limb changes position;
Uneven pressure on the surface of the body - in areas where the bandage is applied too tightly, it will compress the blood vessels. Where the bandage is applied with little tension, the bandage will lose its original position and slide down;
The bandage is made from the wrong material. Sometimes people providing assistance to the victim before the ambulance arrives try to apply a Deso bandage using sheets and duvet covers. Such bandages are not fixed on the body, fall off, and do not perform their function. It is better to use a sheet to apply a scarf bandage. It would be more appropriate here.

Complete fixation of the limb can only be performed with the help of a correctly applied Deso bandage without errors. If you do not have the necessary skills, it is better not to try to immobilize the limb, but to leave it in the position it assumed after the injury until the ambulance arrives.

Alternative bandages for fixing the shoulder joint

The list of fixation methods alternative to the Deso bandage includes:

Delbe rings are 2 rings made from a bandage or wide belts and passed through the victim’s shoulder girdle. The rings are connected behind the back in such a way that they move the patient’s shoulder joints apart.

The eight-shaped bandage is an improved version of the Delbe rings. To make it, a bandage is used, which is applied in such a way that the patient’s shoulder girdles are separated, and behind his back the bandage takes the form of the number “8”.

The scarf bandage is the easiest to apply. A square piece of fabric with a side of at least 1 meter is used. The bandage is designed to prevent sagging of the arm and stretching of the muscles, which can separate bone fragments during a fracture.

The Velpeau dressing is a type of Deso. In this case, the limb is fixed at a more acute angle, the palm of the patient’s injured limb is located in the area of the healthy shoulder girdle. The advantages and disadvantages of Velpo are similar to those when using Deso.

Other types of bandages are applied to the shoulder joint area:

plaster version of the Deso bandage - fixed only in a hospital setting for the purpose of rigid and long-term immobilization for fractures;
Velpeau bandage is an alternative to the classic Deso bandage with the difference that the arm is bent at the elbow joint at an acute angle, the hand of the injured arm is fixed at the level of the shoulder girdle of the healthy side, it swells less, the indications for application are the same;
figure-of-eight bandage and Delbe rings - applied to both shoulder joints, ensuring shoulder abduction in case of a clavicle fracture;
scarf bandage - used only for first aid, suspends the arm from the neck, excluding movements in the shoulder and elbow joints.
spica - for bandaging the shoulder and joint in the presence of open injuries, fixing the dressing material on the wound.

During treatment for injuries and diseases, the optimal dressing option is determined by the doctor in each specific case. And for providing first aid for injuries, the Deso bandage is the best option.

Alternative options for the Deso bandage

This bandage is applied to fix the upper limb in case of fractures and dislocations of the shoulder.

Necessary tools

bandage 20 cm wide
pin

Note. The right hand is bandaged from left to right, the left - from right to left.

Sequencing

Note. If the bandage is applied for a long time, the bandage should be stitched.

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

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

Features of the bandage

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

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

Indications for use

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

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

Therefore, it is most often used temporarily to immobilize a limb for the following injuries:

shoulder dislocation;
collarbone fracture;
uncomplicated;
fracture of the humerus;
severe tissue bruise in the shoulder area.

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

This bandage can also be used for a long time as prescribed by a doctor. Indications for its use may include diseases of the shoulder joint, which require its immobilization. These can be arthritis, arthrosis, myositis, tendinitis, plexitis and other pathologies. Such immobilization is also necessary during the rehabilitation period after injuries and surgical operations in the shoulder area. It helps to give the hand a physiologically correct position, preventing pain even when the patient is actively moving.

Contraindications

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

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

It is very important that the Deso bandage is applied correctly

Overlay technique

You can apply a Deso bandage to the shoulder joint only if you are well aware of its features and rules of use. 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 place a soft cushion made of gauze under the victim’s armpit. 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. There is no need to clench your hand into a fist; your fingers are positioned freely.
For the bandage, use a regular or elastic bandage with a width of at least 20 cm. In emergency cases, you can use strips of fabric.
The bandage should be applied starting from the armpit of the healthy arm. If the right hand is injured, 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 to the shoulder girdle, lower it from behind along the sore arm under the elbow. From the front, the bandage should go diagonally into the armpit of the healthy arm to secure the forearm.
The last rounds of the bandage should also be directed obliquely over the sore shoulder, down along the arm, and around the elbow joint in front and back again to the shoulder.
Finish the bandage with two rounds through the chest. Then the bandage is secured with a pin or adhesive tape.

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

Features of application

In order for such a brace on the shoulder joint to be beneficial, you must 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 moves. In addition, it is very important to maintain the same tension throughout the bandage. Do not over-tighten, as this can lead to poor circulation and increased pain. But if the bandage is applied too loosely, the retainer will not perform its functions and will slip off. The correct 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, as improper fixation of the limb can aggravate the situation. You should not apply the bandage yourself if any movement of the hand causes pain to the patient and it is impossible to fix it in the position required for it. Therefore, it is recommended to use this method of fixation before providing medical assistance only in mild cases. The patient should not feel discomfort, and the hand should be completely immobilized.

Ready bandage

For temporary immobilization, you can use a 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 clamps 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 be necessary from 1 to 4 weeks. The bandage will have to be changed frequently as the bandage becomes loose and dirty. And a ready-made orthosis is inexpensive - from 1,500 to 5,500 rubles.

A ready-made bandage similar to the Deso bandage is more convenient to use when long-term immobilization is necessary.

It is made like a Deso bandage and secures the arm well in the shoulder joint, promoting 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 operation of the orthosis, it turns out that it is easy. First you need to put the muff on your forearm. Throw the straps over your shoulders, cross them on the back and fasten them to the muff in front. After this, 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 wearing it, is determined by the attending physician.

The Deso shoulder bandage is a common method of treating various diseases and injuries of the shoulder. But it must be used correctly, only on the recommendation of a doctor.

Its medicinal functions.

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The main thing in the article

Indications for use

Desmurgy considers Deso as part of first aid, as an auxiliary immobilization after operations, as well as when transporting patients. How provide first aid in case of emergency- read in the Chief Nurse system.

Main stage

the limb on which the Deso bandage will be applied is given an average physiological position;
a cotton-gauze roll is placed in the armpit of the injured arm;
The healthcare worker applies two circular fastening rounds of bandages to the chest, the injured limb in the middle third of the shoulder, back and under the armpit. The direction of bandaging is from the healthy side to the damaged one;
the second round is carried out from the healthy armpit to the shoulder girdle of the injured side, then down along the back surface of the shoulder under the elbow;
third round - the bandage goes around the elbow joint. Then the hand and forearm are fixed, the bandage is passed obliquely upward into the armpit of the healthy side, and brought along the back to the sore forearm;
fourth round - the bandage is drawn vertically down in front of the shoulder, going around the elbow joint. After this, the bandage is directed to the back surface of the chest in the armpit of the healthy side;
then all four circles are repeated at least 3 times;
the bandage is completed by a fastening round - the bandage is directed around the chest, the bandage is fixed in the chest area in front;
Pins are used to fix the crossing points of the round, and they can also be stitched.

The final stage of applying the Deso bandage

disinfect the external surfaces of medical products;
remove gloves, place them in a container for disinfection, treat and dry your hands;
fill out medical documents;
disinfect used materials, products, etc.

Mistakes and Consequences

If, when applying the Deso bandage, the scheme of health workers is violated, this can lead to the following consequences:

1. The hand is fixed in the wrong position. The ends of the broken bone are displaced, the fixation is generally poor and insufficient.

2. The bandage is applied too tightly. In this case, the pain at the fracture site intensifies, because normal blood circulation in tissues is disrupted.

3. The bandage is not applied tightly enough. In this case, the bandage will constantly slide off the shoulder, the arm moves freely, and immobilization does not occur. Such a bandage will not allow you to achieve the necessary treatment results.

4. The bandage is applied to the injury site with uneven pressure. In those places where the bandage is too tight, the tissues are compressed, and in those places where the bandage is not tight enough, the functions of the bandage are not performed.

5. The dressing material is chosen incorrectly. If the medical kit does not contain bandages of the required size, health workers use improvised materials - pieces of fabric, sheets, duvet covers, etc.

This is a big mistake - such a bandage will not be able to perform the function of immobilizing the limb, moreover, it can harm it.

If there is no suitable material, the best solution is to leave the hand in the position in which it was after the injury and wait for the arrival of paramedics, who will perform all the necessary actions before examining the injury by a surgeon.

Contraindications to applying the Deso bandage

There are no absolute contraindications for applying the Deso dressing. There is also no information about what types of fractures are prohibited from using this type of fixation.

There are relative contraindications:

individual characteristics of the joint
malignant neoplasms in the area of use of the bandage
the presence of contact dermatitis, trophic ulcers and bedsores
allergic reaction to the materials from which the product is made
local skin diseases;
intolerance to some components included in the structure of the material.

The Deso bandage immobilizes the upper limb. Fixes the shoulder and forearm bent at the elbow to the body, creating physiological traction. Covers all the necessary musculoskeletal systems. Helps relieve stress. Prevents displacement, thereby reducing the risk of complications and speeding up recovery from 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 when:

shoulder dislocation and to prevent relapses;
fracture of the humerus;
collarbone fracture;
scapula fracture;
ligament damage;
paralysis of the upper limbs;
arthritis, periarthritis and arthrosis;
secondary myositis, neuritis, paresis and plexitis;
during the recovery period after surgery on the upper limb and wearing a cast.

Can be used for simple fractures - when there is no risk of displacement and damage to soft tissues from bone fragments. Sometimes prescribed for bruises and cuts on the hands.

Types of Deso dressings

Deso bandages

The classic Deso bandage is a bandage. Covers the sore shoulder and torso with several rounds of the bandage, goes around the back and elbow from below, rises obliquely up, under the healthy armpit, spreads over the sore shoulder and falls again. Attached with pins or tape. If you are going to wear it for a long time, the bandages are stitched so that they do not slip and stretch less. Sometimes the Deso bandage is made of plaster.

Disadvantages of the Deso bandage

A bandage that is too tight will cut off circulation and cause pain. Too weak - does not perform its functions. Improper fixation can lead to improper bone healing. 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, strictly without changing the position of the affected arm.

Ready-made Deso dressings

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

Rules for wearing a Deso bandage

How to choose and wear correctly?

A ready-made Deso-type bandage on the shoulder joint is worn over underwear according to the principle of a T-shirt. The affected arm is bent at a right angle, the forearm parallel to the floor. Above the elbow, the product is attached to the body horizontally using a belt. The device should not dangle or squeeze.

The appropriate 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 Deso bandage depends on the nature of the injuries. When a shoulder is dislocated, it is worn from a week to a month. Younger and more active patients require longer immobilization to prevent secondary injuries. For 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 can be removed at night, the doctor indicates. When worn around the clock, the most common option is to sleep on your back.

How to care?

Ready-made Deso shoulder bandages are available in non-marking colors, so they do not require special care while they are worn. After completion of treatment, the product is washed at a temperature of 30 °C manually without spinning. Dry naturally.