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Anterior Shoulder Dislocation Reduction: Techniques in the Emergency Department

Anterior shoulder dislocation can be resolved quickly in the emergency department with the right reduction techniques.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Anterior Shoulder Dislocation Reduction: Techniques in the Emergency Department?

Anterior shoulder dislocation is anterior displacement of the humeral head relative to the glenoid. It is common in sports and fall trauma and requires emergency reduction.

Before and after reduction the axillary nerve and vessel must be examined and assessed with AP and scapular Y views.

Stimson, Cunningham, Milch, Kocher and FARES methods are chosen by evidence level; they are facilitated with procedural sedation or intra-articular lidocaine.

Symptoms

Holding the arm to support it
Flattening of the shoulder contour
Prominent acromial bulge
Severe pain on passive movement
Loss of axillary sensation
Radial pulse change (rare)
Visible deformity
Restricted rotation

Risk Factors

Young male athletes
Epileptic seizures
Previous dislocation history (habitual)
Ligamentous laxity
High-energy fall in older patients
Contact sports
Multiple dislocation history

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Apply to hospital immediately for shoulder deformity
  • Neurovascular check should be the priority
  • Operating room support is needed if there is open fracture
  • Orthopedic follow-up after suspected Hill-Sachs or Bankart lesion

Treatment Methods

01
Analgesia and sedation are planned
02
Stimson technique: prone position, weight on the arm
03
Cunningham: communication-based massage technique with the patient
04
FARES: stepwise flexion-abduction-external rotation
05
Kocher: classic movement sequence
06
Control radiograph after reduction
07
Arm sling 1-3 weeks
08
Neurovascular examination is repeated
09
Stabilization is achieved with physiotherapy
10
Surgical evaluation in recurrent dislocation

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.