Skip to main content
Erschienen in: International Orthopaedics 5/2019

29.08.2018 | Original Paper

FARES method for reduction without medication of first episode of traumatic anterior shoulder dislocation

verfasst von: Ali Hassan Chamseddine, Ibrahim M. Haidar, Oussama M. El Hajj, Hadi K. Zein, Ali M. Bazzal, Abdullah A. Alasiry, Nader A. Mansour, Amer C. Abdallah

Erschienen in: International Orthopaedics | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of this study is to demonstrate the efficiency of (FARES) method for reduction of first-episode anterior shoulder dislocation, as well as its safety, reliability, and quick easy reproducibility by inexperienced physicians without any use of medications.

Methods

This was a prospective study of 28 patients with first episode of anterior shoulder dislocation that underwent closed reduction using FARES method by junior orthopaedic residents without use of any analgesic, muscle relaxant, or anesthesia. Only two attempts of reduction were allowed for each patient. The time needed for reduction was recorded, and the patients were asked to grade their pain according to a visual analog scale from 0 to 10.

Results

Reduction was achieved after one attempt in 21 patients (75%) and after two attempts in three additional patients (total 85.7%). The mean time needed for reduction was 62.66 seconds, and the mean visual analog scale for pain evaluation was 5.29.

Conclusion

FARES method is a fast, reliable, and safe method for reduction of a first episode of anterior shoulder dislocation and can be easily performed by inexperienced physicians and junior residents.
Literatur
1.
Zurück zum Zitat Cunningham NJ (2005) Techniques for reduction of anteroinferior shoulder dislocation. Emerg Med Austral 17:463–471CrossRef Cunningham NJ (2005) Techniques for reduction of anteroinferior shoulder dislocation. Emerg Med Austral 17:463–471CrossRef
2.
Zurück zum Zitat Riebel GD, McCabe JB (1991) Anterior shoulder dislocation: a review of reduction techniques. Am J Emerg Med 9:180–189CrossRefPubMed Riebel GD, McCabe JB (1991) Anterior shoulder dislocation: a review of reduction techniques. Am J Emerg Med 9:180–189CrossRefPubMed
3.
Zurück zum Zitat Kuhn JE (2006) Treating the initial anterior shoulder dislocation. An evidence-based medicine approach. Sports Med Arthrosc Rev 14:192–198CrossRefPubMed Kuhn JE (2006) Treating the initial anterior shoulder dislocation. An evidence-based medicine approach. Sports Med Arthrosc Rev 14:192–198CrossRefPubMed
4.
Zurück zum Zitat Sayegh FE, Kenanidis EI, Papavasiliou KA, Potoupnis ME, Kirkos JM, Kapetanos GA (2009) Reduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the Hippocratic and Kocher methods. J Bone Joint Surg Am 91-A:2775–2782. https://doi.org/10.2106/JBJS.H.01434 CrossRef Sayegh FE, Kenanidis EI, Papavasiliou KA, Potoupnis ME, Kirkos JM, Kapetanos GA (2009) Reduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the Hippocratic and Kocher methods. J Bone Joint Surg Am 91-A:2775–2782. https://​doi.​org/​10.​2106/​JBJS.​H.​01434 CrossRef
5.
Zurück zum Zitat Kazar B, Relovszky E (1969) Prognosis of primary dislocation of the shoulder. Acta Orthop Scand 40:216–224CrossRefPubMed Kazar B, Relovszky E (1969) Prognosis of primary dislocation of the shoulder. Acta Orthop Scand 40:216–224CrossRefPubMed
6.
Zurück zum Zitat Thorndike A (1956) Athletic injuries. Lea & Febiger, Philadelphia, p 152 Thorndike A (1956) Athletic injuries. Lea & Febiger, Philadelphia, p 152
8.
Zurück zum Zitat Cutts S, Prempeh M, Drew S (2009) Anterior shoulder dislocation. Ann Roy Coll Surg Engl 91:2–7CrossRef Cutts S, Prempeh M, Drew S (2009) Anterior shoulder dislocation. Ann Roy Coll Surg Engl 91:2–7CrossRef
9.
Zurück zum Zitat Goss TP (1988) Anterior glenohumeral instability. Orthopedics 11:87–95PubMed Goss TP (1988) Anterior glenohumeral instability. Orthopedics 11:87–95PubMed
10.
Zurück zum Zitat Adam M, Attia AK, Alhammoud A, Aldahamsheh O, Al Ateeq Al Dosari M, Ahamed G (2018) Arthroscopic Bankart repair for the acute anterior shoulder dislocation: systematic review and meta-analysis. Int Orthop published online 07 July 2018 https://doi.org/10.1007/s00264-018-4046-0 Adam M, Attia AK, Alhammoud A, Aldahamsheh O, Al Ateeq Al Dosari M, Ahamed G (2018) Arthroscopic Bankart repair for the acute anterior shoulder dislocation: systematic review and meta-analysis. Int Orthop published online 07 July 2018 https://​doi.​org/​10.​1007/​s00264-018-4046-0
13.
Zurück zum Zitat Hippocrate (1849) Œuvres complètes d’Hippocrate. Traduction E. Littré. Paris Hippocrate (1849) Œuvres complètes d’Hippocrate. Traduction E. Littré. Paris
14.
Zurück zum Zitat Rang M (1966) Anthology of orthopedics. E & S Livingston, Edinburgh, pp 225–228 Rang M (1966) Anthology of orthopedics. E & S Livingston, Edinburgh, pp 225–228
15.
Zurück zum Zitat Paré A (1585) Les Oeuvres d’Ambroise Paré, Conseiller et premier chirurgien du Roy. Gabriel Buon, Paris Paré A (1585) Les Oeuvres d’Ambroise Paré, Conseiller et premier chirurgien du Roy. Gabriel Buon, Paris
17.
Zurück zum Zitat De Palma AF, Faennery GF (1973) Acute anterior dislocations of the shoulder. Am J Sports Med 2:6–15 De Palma AF, Faennery GF (1973) Acute anterior dislocations of the shoulder. Am J Sports Med 2:6–15
18.
Zurück zum Zitat Mc Laughlin HL, Cavallaro W (1950) Primary anterior dislocation of the shoulder. Am J Surg 80:615–621CrossRef Mc Laughlin HL, Cavallaro W (1950) Primary anterior dislocation of the shoulder. Am J Surg 80:615–621CrossRef
19.
Zurück zum Zitat Post M (1978) The shoulder: surgical and non-surgical management. Lea & Febiger, Philadelphia, pp 429–456 Post M (1978) The shoulder: surgical and non-surgical management. Lea & Febiger, Philadelphia, pp 429–456
20.
Zurück zum Zitat Gregg PJ Injuries of the shoulder girdle. In: Bailey and Love’s short practice of surgery. 21st ed, chap 14. Chapman and Hall, London, p 302 Gregg PJ Injuries of the shoulder girdle. In: Bailey and Love’s short practice of surgery. 21st ed, chap 14. Chapman and Hall, London, p 302
21.
Zurück zum Zitat Connolly JF DePalma’s. The management of fractures and dislocations. An atlas. 3rd ed, Vol 1. W. B. Saunders, p 619 Connolly JF DePalma’s. The management of fractures and dislocations. An atlas. 3rd ed, Vol 1. W. B. Saunders, p 619
22.
Zurück zum Zitat Mirick MJ, Clinton JE, Ruiz E (1979) External rotation method of shoulder dislocation reduction. JACEP 8:528–531CrossRefPubMed Mirick MJ, Clinton JE, Ruiz E (1979) External rotation method of shoulder dislocation reduction. JACEP 8:528–531CrossRefPubMed
23.
Zurück zum Zitat Royle G (1973) Treatment of acute anterior dislocation of the shoulder. Br J Clin Pract 27:403–408PubMed Royle G (1973) Treatment of acute anterior dislocation of the shoulder. Br J Clin Pract 27:403–408PubMed
24.
Zurück zum Zitat Watson-Jones R (1955) Fractures and joint injuries. 4th edition, vol II. Williams & Wilkins, Baltimore, pp 477–486 Watson-Jones R (1955) Fractures and joint injuries. 4th edition, vol II. Williams & Wilkins, Baltimore, pp 477–486
25.
Zurück zum Zitat White DM (1976) Dislocated shoulder: a simple method of reduction. Med J Austral 2:726–727PubMed White DM (1976) Dislocated shoulder: a simple method of reduction. Med J Austral 2:726–727PubMed
26.
Zurück zum Zitat Leidelmeyer R (1977) Reduced! A shoulder, subtly and painlessly. Emerg Med 9:233–234 Leidelmeyer R (1977) Reduced! A shoulder, subtly and painlessly. Emerg Med 9:233–234
27.
Zurück zum Zitat Poulsen SR (1988) Reduction of acute shoulder dislocations using the Eskimo technique: a study of 23 consecutive cases. J Trauma 28:1382–1383CrossRefPubMed Poulsen SR (1988) Reduction of acute shoulder dislocations using the Eskimo technique: a study of 23 consecutive cases. J Trauma 28:1382–1383CrossRefPubMed
28.
Zurück zum Zitat Uglow MG (1998) Kocher’s painless reduction of anterior dislocation of the shoulder: a prospective randomized trial. Injury 29:135–137CrossRefPubMed Uglow MG (1998) Kocher’s painless reduction of anterior dislocation of the shoulder: a prospective randomized trial. Injury 29:135–137CrossRefPubMed
29.
Zurück zum Zitat Eachempati KK, Dua A, Malhotra R, Bhan S, Bera JR (2004) The external rotation method for reduction of acute anterior dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am 86-A:2431–2434CrossRef Eachempati KK, Dua A, Malhotra R, Bhan S, Bera JR (2004) The external rotation method for reduction of acute anterior dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am 86-A:2431–2434CrossRef
30.
Zurück zum Zitat Kocher T (1870) Eine neue Reductionsmethode fur Schuiterverrenkung. Berlin Klin Wehnschr 7:101–105 Kocher T (1870) Eine neue Reductionsmethode fur Schuiterverrenkung. Berlin Klin Wehnschr 7:101–105
31.
Zurück zum Zitat Russell JA, Holmes EM, Keller DJ, Vargas JH (1981) Reduction of acute anterior shoulder dislocations using the Milch technique: a study of ski injuries. J Trauma 21:802–804CrossRefPubMed Russell JA, Holmes EM, Keller DJ, Vargas JH (1981) Reduction of acute anterior shoulder dislocations using the Milch technique: a study of ski injuries. J Trauma 21:802–804CrossRefPubMed
32.
Zurück zum Zitat Beattie TF, Steedman DJ, McGowan A, Robertson CE (1986) A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury 17:349–352CrossRefPubMed Beattie TF, Steedman DJ, McGowan A, Robertson CE (1986) A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury 17:349–352CrossRefPubMed
33.
Zurück zum Zitat Khotari RU, Dronen SC (1992) Prospective evaluation of the scapular manipulation technique in reducing anterior shoulder dislocations. Ann Emerg Med 21:1349–1352CrossRef Khotari RU, Dronen SC (1992) Prospective evaluation of the scapular manipulation technique in reducing anterior shoulder dislocations. Ann Emerg Med 21:1349–1352CrossRef
35.
Zurück zum Zitat Ugras AA, Mahirogullari M, Kural C, Erturk AH, Cakmak S (2008) Reduction of anterior shoulder dislocations by Spaso technique: clinical results. J Emerg Med 34:383–387CrossRefPubMed Ugras AA, Mahirogullari M, Kural C, Erturk AH, Cakmak S (2008) Reduction of anterior shoulder dislocations by Spaso technique: clinical results. J Emerg Med 34:383–387CrossRefPubMed
36.
Zurück zum Zitat Tsoi LCH, Wong MCK (2012) Fares method to reduce acute anterior shoulder dislocation: a case series and an efficacy analysis. Hong Kong J Emerg Med 19:65–69CrossRef Tsoi LCH, Wong MCK (2012) Fares method to reduce acute anterior shoulder dislocation: a case series and an efficacy analysis. Hong Kong J Emerg Med 19:65–69CrossRef
Metadaten
Titel
FARES method for reduction without medication of first episode of traumatic anterior shoulder dislocation
verfasst von
Ali Hassan Chamseddine
Ibrahim M. Haidar
Oussama M. El Hajj
Hadi K. Zein
Ali M. Bazzal
Abdullah A. Alasiry
Nader A. Mansour
Amer C. Abdallah
Publikationsdatum
29.08.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 5/2019
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-4131-4

Weitere Artikel der Ausgabe 5/2019

International Orthopaedics 5/2019 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.