Australian Family Physician
Australian Family Physician


Volume 40, Issue 3, March 2011

Anterior shoulder dislocation Seated versus traditional reduction technique

Sadiq Jamali
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Anterior dislocation of the shoulder joint is a common presentation to hospital emergency departments (EDs).
To compare the requirement for sedation and length of ED stay utilising the author’s seated shoulder reduction technique (SRT) with traditional shoulder reduction (TSR) techniques in the ED.
A total of 486 patient charts were reviewed and 404 met inclusion criteria. Patients were categorised into the SRT group: 66 (16.3%) and TSR group: 338 (83.7%). Mean age of the groups was 30 years (SRT) vs. 29 years (TSR), with 80% being male. Mean length of stay in the SRT group was 1.5 hours (95% CI: 1.1–1.9) vs. TSR 2.9 hours (95% CI: 2.3–2.9; p<0.001). Sedation was not required in patients in the SRT group, but was required for all patients in the TSR group. No complications were reported in either group.
In this study group, the author’s technique was successful in reducing anterior shoulder dislocation, without the need for sedation, and reduced length of ED stay when compared to TSR techniques.

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