Best of both (BOB) maneuver for rapid reduction of anterior shoulder dislocation

Mark J Sagarin
Journal of Emergency Medicine 2005, 29 (3): 313-6
This article describes a combination maneuver for the reduction of anterior glenohumeral dislocations. It maximizes the force counter to the patient's musculature by using downward motion, with the physician's body mass and gravity doing the work, and the base of the ED gurney providing countertraction. It couples this force with the benefit of a scapulothoracic manipulation maneuver, which rotates the glenoid fossa into a position more amenable to "reaccepting" the humeral head. Some might regard this as a variation of the scapulothoracic manipulation maneuver. Because minimal sedation and analgesia is necessary, this technique may be useful for shoulder reductions at sporting events, wilderness areas, or accident scenes. It may also expedite the care of patients in busy emergency department settings.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"