J Korean Orthop Assoc.  2013 Dec;48(6):471-474. 10.4055/jkoa.2013.48.6.471.

Reduction of Anterior Shoulder Dislocations by Acromion Upholding Method (Shin's Method): Technical Note

• Shin DI
• Shin DJ
• Choi S
• Park JH

• KMID: 2185282
• DOI: http://doi.org/10.4055/jkoa.2013.48.6.471

Abstract

The most common form of joint dislocation is anterior shoulder dislocation. There are a number of available techniques to reduce, but which have a possibility to be happened many kinds of complications like brachial plexus injury, axillary nerve injury and fracture of the humerus. In addition, the drugs we use for the reduction have potential side effects such as cardiovascular complications and respiratory arrest. We are trying to introduce new reduction technique aimed at minimizing the complications and increasing the success rate, which was used in 23 cases and all of them were successfully reduced without complications.

Keyword

shoulder; acromion; shoulder dislocation; reduction method

MeSH Terms

Acromion*
Brachial Plexus
Dislocations
Humerus
Joints
Shoulder Dislocation*
Shoulder*

Figure

• 

  Figure 1 A patient is placed supinely on the table and a physician stands by the dislocated shoulder. The physician hold a pose to lock up the humerus supracondyle of affected arm between his body and arm, then grasp posterolateral side of patient's arm with his hand.

• 

  Figure 2 To support the acromion with the opposite hand, the physician rotate his body and reduce the dislocated shoulder.

Reference

1. Cutts S, Prempeh M, Drew S. Anterior shoulder dislocation. Ann R Coll Surg Engl. 2009; 91:2–7.

2. Stimpson LA. An easy method of reduction dislocation of the shoulder and hip. Med Record. 1900; 57:356.

3. Yuen MC, Yap PG, Chan YT, Tung WK. An easy method to reduce anterior shoulder dislocation: the Spaso technique. Emerg Med J. 2001; 18:370–372.

4. Milch H. The treatment of recent dislocations and fracture-dislocations of the shoulder. J Bone Joint Surg Am. 1949; 31A:173–180.

5. Danzl DF, Vicario SJ, Gleis GL, Yates JR, Parks DL. Closed reduction of anterior subcoracoid shoulder dislocation. Evaluation of an external rotation method. Orthop Rev. 1986; 15:311–315.

6. McNamara RM. Reduction of anterior shoulder dislocations by scapular manipulation. Ann Emerg Med. 1993; 22:1140–1144.

7. Chung CH. Closed reduction techniques for acute anterior shoulder dislocation: from Egyptians to Australians. Hong Kong J Emerg Med. 2004; 11:178–188.

8. 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; 17:349–352.

9. Berkenblit SI, Hand MB, MacAusland WR. Reduction of skiing-related anterior shoulder dislocation using Kocher's method without traction. Am J Orthop (Belle Mead NJ). 2000; 29:811–814.

10. Cunningham NJ. Techniques for reduction of anteroinferior shoulder dislocation. Emerg Med Australas. 2005; 17:463–471.