How to reduce an anterior shoulder dislocation

How to reduce an anterior shoulder dislocation
Anterior dislocations account for as many as 95-98% of shoulder dislocations. In emergency care settings, people with an anterior shoulder dislocation often have to wait for hours before they can be sedated in the operation theatre. This video shows a safe and soft technique to reduce the dislocation fast.
Before any attempts at reduction, the provider should perform a neurovascular examination and assess the probability of a fracture. The axillary nerve is the most commonly injured nerve.

Several techniques for reduction are possible as the Stimson Maneuver where the patient is placed in the prone position on an elevated stretcher with the shoulder off the edge of the stretcher, hanging downward in 90° of forward flexion.

Another technique is the traction-countertraction where the physician applies traction by leaning backward with fully extended arms. It is important that an assistant applies countertraction.

Here we describe a two-step reduction as a variant of the method desscribed by Nho et al in 2006 for inferolateral dislocations.
In this technique, the inferior dislocation is converted to an anterior dislocation (step 1), which is subsequently reduced (step 2).

This knowledge is for medical personnel only. The author is not responsible for any use and misuse of this technique or any complications or damage to the patient occuring when using the information or technique showed in this video.

For more information see:
http://www.medics4medics
http://www.medics4medics.com/nl/traum...
http://emedicine.medscape.com/article...