Volume 29, Issue 160, June 2025

Effectiveness of Closed Reduction Techniques for Anterior Shoulder Dislocation in the Emergency Department: Systematic review

Mazi Mohammed Alanazi^1♦, Nada Abdulmohsen Shaman Almutairi², Fawaz Hindi Alotaibi²

¹Saudi and Jordanian Board Emergency Medicine, Head of Emergency Research Unit, Emergency Department, First Health Cluster, Riyadh, Saudi Arabia
²Saudi Board Emergency Medicine Resident, Emergency Department, First Health Cluster, King Saud Medical City, Riyadh, Saudi Arabia

^♦Corresponding author
Mazi Mohammed Alanazi; Saudi and Jordanian Board Emergency Medicine, Head of Emergency Research Unit, Emergency Department, First Health Cluster, Riyadh, Saudi Arabia

ABSTRACT

Background: The most frequent major joint dislocations seen in emergency rooms are anterior shoulder dislocations. The dislocation is often caused by falls at home or sports accidents. We aimed to determine the most effective closed reduction technique for anterior shoulder dislocations in the emergency department. Method: Original research that assessed closed reduction techniques using a different mechanism of action in patients with anterior shoulder dislocations who were 16 years of age or older were included. Reduction success rates should be documented in studies. Study was conducted according to PRISMA standards. Three reviewers independently searched the PubMed, Embase, and Scopus electronic databases between 2014 and 2024. Result and conclusion: The chair approach is less painful and appropriate in emergency situations. Additionally, aided self-reduction is a pleasant, easy, and very effective method that works well in emergency situations. Compared to Kocher's approach, the Spaso maneuver is more effective and well-tolerated. The Chair approach, the Spaso maneuver, Prakash's method, and aided self-reduction procedures were all easy to use, had low discomfort levels, and had excellent success rates. Due to higher power requirements and patient discomfort, traditional traction-based techniques (Kocher and Matsen) were less effective.

Keywords: Closed reduction approach, anterior shoulder dislocation, emergency room

Medical Science, 2025, 29, e83ms3590

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DOI: https://doi.org/10.54905/disssi.v29i160.e83ms3590

Published: 16 June 2025