Other Techniques

References Article Link
Other Shoulder Relocation Techniques
Ceroni D, Sadri H, Leuenberger A. Anteroinferior shoulder dislocation: an auto-reduction method without analgesia. J Ortho Trauma 1997; 11(6): 399-404. [EXPAND Abstract]

When using the reduction method described by Boss-Holzach-Matter, the authors attained an overall success rate of 60 percent, with a mean reduction time of three minutes and a time interval varying from fifteen seconds to nine minutes. The Boss-Holzach-Matter method is a reduction technique for anteroinferior shoulder dislocations that can be used without premedication or anesthesia. The authors recommend it for those patients who are not going to be sedated and for whom “quick” reduction and early discharge is desirable.[/EXPAND]

Journal of Orthopaedic Trauma
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
Oza MN. Direct humeral head manipulation (Oza maneuver) for anterior shoulder dislocations. Ann Emerg Med 2004; 44(3): 282. [EXPAND Abstract]

With this new maneuver, the patient may be seated upright or supine, but the maneuver is easiest to perform with the patient at least partially upright. The affected arm is slowly abducted to 45 to 90 degrees, with gentle traction applied by an assistant. The physician places both thumbs behind the humeral head and forms a circle around the patient’s axilla, with the index fingers meeting at the patient’s acromium process. With a pivoting motion, the physician attempts to lift and then gently push the humeral head over the anterior glenoid lip using the thumbs.[/EXPAND]

PDF Link
Boss A, Holzach P, Matter P. Eine neue Selbstrepositionstechnik der frischen, vorderenunteren Schulterluxation [A new self-repositioning technique for fresh, anterior-lower shoulder dislocation]. Helv Chir Acta 1993;60:263-265. [EXPAND Abstract]

[In case of a shoulder dislocation there is always a question of a safe and atraumatic reduction technique if possible without analgetics or even general anesthesia. The dislocated humeral head is reduced anatomically with the help of the patient’s own body weight under muscular relaxation without injuring manipulations. Even with displaced fractures of the greater tuberosity or an impression fracture of the humeral head successful reductions were obtained. We have been using this method for over three years with a primary success rate of over 60%.][/EXPAND]

Chevalier J, Thery DD, Callens J. La reduction des luxations traumatiques de l’épaule: pour une plus grande douceur. J Chir [Paris] 1990;127:490-491. [EXPAND Abstract]Insert Abstract Here[/EXPAND]
Canales Cortés V, Garcia-Dihinx Checa L, Rodriguez Vela J. Reduction of acute anterior dislocations of the shoulder without anaesthesia in the position of maximum muscular relaxation. Int Orthop (SICOT) 1989;13:259-262.[EXPAND Abstract]Insert Abstract Here[/EXPAND]

Here is a list of references and useful articles. Some are available free on the web, whereas you may have access to others via your institution (e.g. Athens Login), or via subscription. Articles that are freely available have been provided with PDF links. If there is a reference that you think would be useful to have on our website, then please contact us.

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