Adduction Techniques

References Article Link
Adduction Shoulder Relocation Techniques
Kocher, Theodor: “Eine neue Reductionsmethode für Schulterverrenkung (A new method of reducing dislocated shoulders)”, Berliner Klinische Wochenschrift (Berlin Weekly Clinics), vol 7, issue 9, 28 Feb 1870, 101-105. [EXPAND Abstract]

It might be held against me if I attribute the title of a new treatment to a method of setting (reducing) dislocated shoulders whose first action totally coincides with a method already known. Considering however that Schinzinger himself admits a certain violence and painfulness of his method – for the following deals with a modification of that method – and also that eminent luminaries not only point out the dangers of considerable injury, but also lament the many deficiencies of the technique, it seems justified to me to direct attention to suggestions which are based on the results of experimental studies and attempt to remove these problems. Read the full article here. [/EXPAND]

Cunningham N. A new drug free technique for reducing anterior shoulder dislocations. Emerg Med 2003; 15: 521-4. [EXPAND Abstract]

Five cases of anterior shoulder dislocation are reported. The dislocations were reduced quickly, painlessly and without the use of drugs using the ‘Cunningham technique.’ The practice and theory of the technique are described. The ‘Cunningham technique’ is a useful single operator method of reducing anterior shoulder dislocations. Further research is being undertaken to reproduce the results in a larger patient group and also to examine how easily the technique can be taught.[/EXPAND]

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. [EXPAND Abstract]

Several methods of reducing an acute anterior dislocation of the shoulder have been described. The aim of this study was to assess the effectiveness of the external rotation method in the reduction of acute anterior shoulder dislocations with and without fractures of the greater tuberosity and to evaluate the causes of failure. The external rotation method for the reduction of an acute anterior dislocation of the shoulder is a safe and reliable method that can be performed relatively painlessly for both subcoracoid and subglenoid dislocations provided that a displaced fracture of the greater tuberosity is not present.[/EXPAND]

Journal of Bone and Joint Surgery
Walker, Graham,  in The Cunningham Shoulder Reduction: Awake and Painless. March 7th, 2011.[EXPAND Abstract]

I, sir, am a convert. I had read about Dr. Cunningham’s technique at his website, I was amazed at his videos, but honestly didn’t believe them. Painless? No pulling? And no procedural sedation? I didn’t think it was possible. Until last week. Read more…[/EXPAND]

Shaw, Gina in Emergency Medicine News. Believe It or Not: Painless Reduction of Dislocated Shoulders. Emerg Med News 2011. 33 (6) 1,28. doi: 10.1097/01.EEM.0000398947.99869.5b.[EXPAND Abstract]

There are literally dozens of methods emergency physicians can use to reduce a dislocated shoulder, but they all have one thing in common: they hurt. Some are less painful than others, but in most emergency departments, the majority of patients undergoing closed shoulder reduction need at least some level of sedation to help them manage their pain during the procedure. That’s why Graham Walker, MD, was so skeptical when he saw an online video in which Australian physician Neil Cunningham, MBBS, reduced a dislocated shoulder in less than two minutes, using only massage. Read more…[/EXPAND]

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