Reduction of Acute Anterior Dislocation with the FARES Method.
Fares E Sayegh1, Eustathios I Kenanidis2, Kyriakos A Papavasiliou3
1"Papageorgiou" General Hospital, Ring-Road, North Efkarpia, 546 03 Thessaloniki, Greece.
JBJS Essential Surgical Techniques
|July 20, 2019
Summary
The Fast, Reliable, and Safe (FARES) method effectively reduces acute anterior glenohumeral dislocations. This technique combines traction, oscillation, and rotation for successful shoulder reduction.
Area of Science:
- Orthopedics
- Sports Medicine
- Emergency Medicine
Background:
- Acute anterior glenohumeral dislocation is a common injury.
- Traditional reduction methods can be painful and have varying success rates.
- The Fast, Reliable, and Safe (FARES) method offers a novel approach.
Purpose of the Study:
- To describe the technique for the Fast, Reliable, and Safe (FARES) method for shoulder dislocation reduction.
- To compare the efficacy of the FARES method with established techniques.
Main Methods:
- The FARES method involves patient positioning, arm manipulation, and specific movements.
- Gentle longitudinal traction, vertical oscillations, and gradual abduction/external rotation are applied.
- Patient cooperation is emphasized for optimal outcomes.
Main Results:
- The FARES method was evaluated in a prospective randomized study.
- It was compared against the Hippocratic and Kocher reduction methods.
- Successful reduction is typically achieved with significant shoulder abduction.
Conclusions:
- The FARES method is a viable technique for reducing anterior glenohumeral dislocations.
- Further research may explore its comparative effectiveness and patient-reported outcomes.
- Understanding indications, contraindications, and potential challenges is crucial for its application.
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