Humerus axial traction with acromial fixation reduction maneuver for anterior shoulder dislocation

Santos Caudevilla Polo, Elena Estébanez de Miguel, Orosia Lucha López, José Miguel Tricás Moreno, Silvia Pérez Guillén
Journal of Emergency Medicine 2011, 41 (3): 282-4

BACKGROUND: Many techniques have been described for the reduction of anterior glenohumeral dislocation, but each of the techniques has its disadvantages. A new shoulder reduction technique is needed to overcome these disadvantages.

DESCRIPTION: An alternate technique of humerus axial traction with acromial fixation is presented. The technical description of this procedure focuses on the pre-reduction and post-reduction process. The use of acromial countertraction, the choice of the most loosely packed position of the shoulder joint, and the operator's ability to reduce muscle spasm are the main principles discussed.

CONCLUSION: This modified technique increases the possibilities for the reduction of shoulder dislocation in different clinical situations.

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