Abstract
Background
Shoulder dislocations are a common presentation to the emergency department and one
of the most frequent types of joint dislocations. Studies have found that delays from
presentation to first reduction attempt and failed attempt at initial reduction are
associated with lower rates of overall reduction success.
Discussion
This article reviews 26 total reduction techniques, as well as a variety of modifications
to these techniques. Each technique has distinct advantages and limitations associated
with its use. While there are limited data comparing specific techniques, the individual
success rates of most maneuvers range from 60–100%.
Conclusion
It is essential for emergency physicians to be familiar with multiple different reduction
techniques in case the initial reduction attempt is unsuccessful or patient-specific
characteristics limit the ability to perform certain techniques. This article reviews
several reduction maneuvers for shoulder dislocations, variations on these techniques,
and advantages and disadvantages for each approach. It is intended to serve as a resource
for those interested in expanding their knowledge of shoulder reduction techniques.
Keywords
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Article info
Publication history
Published online: January 13, 2020
Accepted:
November 23,
2019
Received in revised form:
November 18,
2019
Received:
October 8,
2019
Footnotes
Reprints are not available from the author.
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
