Chair method: a simple and effective method for reduction of anterior shoulder dislocation

Mahir Mahiroğulları, Faruk Akyıldız, Ismet Köksal, Selami Cakmak, Mustafa Kürklü, Mesih Kuşkucu
Acta Orthopaedica et Traumatologica Turcica 2012, 46 (2): 102-6

OBJECTIVE: The ideal reduction method for anterior shoulder dislocation is defined as a practical technique applied without any assistance and minimizing patient interference. The aim of this study was to evaluate the outcomes of patients with shoulder dislocations reduced using the chair method in the emergency department and show that the chair method is one of the ideal methods.

METHODS: Seventy-four patients with anterior shoulder dislocation were treated using the chair method. Data from patients were recorded and analyzed.

RESULTS: All dislocated shoulders were successfully reduced using the chair method without any complication or difficulty. Thirty patients had first time dislocation and 44 patients had previous dislocation. Mean duration between dislocation and reduction was 3 (range: 1 to 6) hours. Mean duration of reduction was 13.9 (range: 3 to 45) seconds.

CONCLUSION: The chair method is an effective and successful reduction method for shoulder dislocation. We believe that orthopedists and emergency department physicians should be familiar with this simple technique which does not have to be performed under general anesthesia.

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