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.
Introduction:
The FARES (Fast, Reliable, and Safe) method is a new way to reduce acute anterior glenohumeral dislocations that combines the application of gentle longitudinal traction, vertical oscillation movements, and abduction and external rotation of the arm.
Step 1 Position The Patient:
Place the patient supine on a stretcher, with his/her elbow extended, and advise him/her to hold the stretcher with the opposite hand.
Step 2 Brief The Patient:
Convince the patient that his/her cooperation is necessary for a better outcome.
Step 3 Hold The Arm:
Holding the patient's hand with both of your hands, with his/her elbow extended and forearm in neutral rotation, start the procedure at 30° of shoulder abduction.
Step 4 Apply Traction And Add Oscillations:
Applying gentle longitudinal traction to keep the arm extended, add gentle vertical oscillating movements.
Step 5 Abduct And Externally Rotate The Arm:
Gradually abduct the arm to 90° and then gradually externally rotate the arm to achieve full external rotation.
Step 6 Achieve Reduction:
The dislocation is usually reduced once 120° to 150° of shoulder abduction has been achieved.
Results:
In our previously published prospective randomized study, the FARES method was compared with the Hippocratic and the Kocher methods12.
What To Watch For:
IndicationsContraindicationsPitfalls & Challenges.
More Related Videos
Related Concept Videos
Oxidation-Reduction Reactions
Muscles of the Anterior Neck
Block Diagram Reduction
The first step in this process is the identification and relocation of a branch point. A branch point, where a...
Oxymercuration-Reduction of Alkenes
Phase I Reactions: Reductive Reactions
Esters to Alcohols: Hydride Reductions
Lithium aluminum hydride is a source of hydride ions and functions as a nucleophile. The mechanism proceeds in three steps. Firstly, the nucleophilic hydride ion attacks the carbonyl carbon of the ester to form a tetrahedral intermediate. Subsequently, the carbonyl group re-forms,...


