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FARES method for reduction without medication of first episode of traumatic anterior shoulder dislocation

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Abstract

Purpose

The aim of this study is to demonstrate the efficiency of (FARES) method for reduction of first-episode anterior shoulder dislocation, as well as its safety, reliability, and quick easy reproducibility by inexperienced physicians without any use of medications.

Methods

This was a prospective study of 28 patients with first episode of anterior shoulder dislocation that underwent closed reduction using FARES method by junior orthopaedic residents without use of any analgesic, muscle relaxant, or anesthesia. Only two attempts of reduction were allowed for each patient. The time needed for reduction was recorded, and the patients were asked to grade their pain according to a visual analog scale from 0 to 10.

Results

Reduction was achieved after one attempt in 21 patients (75%) and after two attempts in three additional patients (total 85.7%). The mean time needed for reduction was 62.66 seconds, and the mean visual analog scale for pain evaluation was 5.29.

Conclusion

FARES method is a fast, reliable, and safe method for reduction of a first episode of anterior shoulder dislocation and can be easily performed by inexperienced physicians and junior residents.

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Authors and Affiliations

  1. Division of Orthopaedics and Trauma Surgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon

    Ali Hassan Chamseddine, Ibrahim M. Haidar, Oussama M. El Hajj & Amer C. Abdallah

  2. Division of Orthopaedics and Trauma Surgery, Sahel General Hospital, University Medical Centre, Beirut, Lebanon

    Ali Hassan Chamseddine, Ibrahim M. Haidar, Oussama M. El Hajj, Hadi K. Zein, Ali M. Bazzal, Abdullah A. Alasiry & Nader A. Mansour

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  1. Ali Hassan Chamseddine
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  2. Ibrahim M. Haidar
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  3. Oussama M. El Hajj
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  4. Hadi K. Zein
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  5. Ali M. Bazzal
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  6. Abdullah A. Alasiry
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  8. Amer C. Abdallah
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Correspondence to Ali Hassan Chamseddine.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Chamseddine, A.H., Haidar, I.M., El Hajj, O.M. et al. FARES method for reduction without medication of first episode of traumatic anterior shoulder dislocation. International Orthopaedics (SICOT) 43, 1165–1170 (2019). https://doi.org/10.1007/s00264-018-4131-4

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  • DOI: https://doi.org/10.1007/s00264-018-4131-4

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