DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20151456

Success outcome of reduction in anterior shoulder dislocation by FARES method

Thirunarayanan Vasudevan, Ramprasath Dhurvas Ramlal, Arularasan Samraj

Abstract


Background: Acute anterior shoulder dislocation is the commonest major joint dislocation. Various reduction techniques are available and the individual preferences vary. The aim of our study was to assess the success rate and safety of FARES (Fast, Reliable and Safe) method in reduction of acute anterior shoulder dislocation. The duration of reduction, the intensity of pain experienced by patients during reduction and the factors affecting both were also assessed.

Methods: A total of 161patients with acute anterior shoulder dislocation from June 2013 to May 2015 were studied. All patients underwent reduction of their dislocation by FARES method, without anaesthesia. A visual analogue scale was used to determine the intensity of pain felt during reduction.

Results: 149 cases were successfully reduced by FARES method. In the remaining 12 cases closed reduction was achieved under anaesthesia. The success rate of reduction that can be achieved by FARES method was 92.54%.The mean duration of reduction manoeuvre was 1.42 mins±31 seconds and among the studied factors, age had a statistically significant influence on duration of reduction (beta 0.370; p<0.05) .The mean visual analogue pain score was 1.78 ± 0.97and among the studied factors, age had a statistically significant influence on pain perception (beta 0.013; p<0.05).No complications were encountered in any patients.

Conclusion: Reduction of acute anterior shoulder dislocation by FARES method yields higher success rate in a quick time with less discomfort to the patients and without any complications.

 


Keywords


Dislocation, FARES, Reduction, Shoulder, VAS

Full Text:

PDF

References


Chung CH. Closed reduction techniques for acute anterior shoulder dislocation: from Egyptians to Australians. Hong Kong J Emerg Med. 2004;11(3):178-88.

Sayegh FE, Kenanidis EI, Papavasiliou KA, Potoupnis ME, Kirkos JM, Kapetanos GA. Reduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the Hippocratic and Kocher methods. J Bone Joint Surg Am. 2009;91(12):2775-82.

Uglow MG. Kocher’s painless reduction of anterior dislocation of the shoulder: a prospective randomised trial. Injury. 1998;29:135-7.

Milch H. The treatment of recent dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am. 1949;31:173-80.

Ashton HR, Hassan Z. Best evidence topic report. Kocher’s or Milch’s technique for reduction of anterior shoulder dislocations. Emerg Med J. 2006;23:570-1.

Yuen MC, Yap PG, Chan YT, Tung WK. An easy method to reduce anterior shoulder dislocation: the Spaso technique. Emerg Med J. 2001;18(5):370-2.

Eachempati KK, Dua A, Malhotra R, Bhan S, Bera JR. The external rotation method for reduction of acute anterior dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am. 2004;86:2431-4.

Maity A, Roy DS, Mondal BC. Prospective randomised clinical trial comparing FARES method with the Eachempati external rotation method for reduction of acute anterior dislocation of shoulder. Injury. 2012;43(7):1066-70.

Tsoi LCH, Wong MCK. FARES method to reduce acute anterior shoulder dislocation: a case series and efficacy analysis. Hong Kong Journal of Emergency Medicine. 2012;19:65-9.

Beattie TF, Steedman DJ, McGowan A, Robertson CE. A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder. Injury. 1986;17:349-52.