Reduction of Acute Anterior Dislocation with the FARES Method.
expert_opinion · Level V
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- Record sourced from PubMed, PMID 31321136.
- Also identified by DOI 10.2106/JBJS.ST.K.00043 and PMC identifier 6554075.
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Abstract
The FARES (Fast, Reliable, and Safe) method is a new way to reduce acute anterior glenohumeral dislocations that combines the application of gentle longitudinal traction, vertical oscillation movements, and abduction and external rotation of the arm. Place the patient supine on a stretcher, with his/her elbow extended, and advise him/her to hold the stretcher with the opposite hand. Convince the patient that his/her cooperation is necessary for a better outcome. Holding the patient's hand with both of your hands, with his/her elbow extended and forearm in neutral rotation, start the procedure at 30° of shoulder abduction. Applying gentle longitudinal traction to keep the arm extended, add gentle vertical oscillating movements. Gradually abduct the arm to 90° and then gradually externally rotate the arm to achieve full external rotation. The dislocation is usually reduced once 120° to 150° of shoulder abduction has been achieved. In our previously published prospective randomized study, the FARES method was compared with the Hippocratic and the Kocher methods<sup>12</sup>. IndicationsContraindicationsPitfalls & Challenges.