title: A stepped care approach to reduction of anterior shoulder dislocation in the prone position.
abstract: There are various methods of reducing anterior shoulder dislocations. The traditionally used methods like Kocher's and Hippocratic are associated with procedural complications and frequently require sedation/muscle relaxants which have their own complications and are associated with longer stay and monitoring requirement in the emergency department. We describe a stepped care approach to shoulder dislocation reduction in the prone position involving four steps and two new manipulation methods taking into consideration the pathological deforming forces in a dislocated shoulder and addressing them in a stepwise fashion. This method does not require sedation/muscle relaxants in the majority of cases, is easy to learn, relatively painless, associated with shorter stay in the emergency department and has fewer complications.
authors: Emergency Department, Macclesfield District General Hospital, Macclesfield, UK. shahbazmy@gmail.com
authors: S M Y
authors: SM
authors: Ahmed
authors: J
authors: J
authors: Singh
authors: M
authors: M
authors: Nicol
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D016684:Prone Position; D012399:Rotation; D012783:Shoulder Dislocation / Q000517:prevention & control*