Table of Contents
Advances in Orthopedic Surgery
Volume 2016, Article ID 9301869, 6 pages
http://dx.doi.org/10.1155/2016/9301869
Research Article

Reducing Shoulder by Vertical Traction: A One-Man Method for Shoulder Reduction

1Department of Orthopaedics, B & J Hospital, GMC Srinagar, Kashmir 190005, India
2GMC Srinagar, Kashmir, India

Received 31 July 2015; Revised 18 February 2016; Accepted 20 March 2016

Academic Editor: Shyu-Jye Wang

Copyright © 2016 Hayat Ahmad Khan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fifty percent of joint dislocations reported to the emergency department are of shoulder joint. Various techniques are used to reduce the shoulder and Spaso technique is the least known to the orthopaedic residents which is a simple one-man vertical traction method of shoulder reduction. We evaluated the effectiveness of vertical traction method for anterior shoulder dislocation by orthopaedic residents. Sixty consecutive patients of anterior glenohumeral dislocation attending the emergency department of our hospital were taken up for the study. The reduction was done using Spaso technique. Right shoulder was dislocated in 40 patients and 31 patients had recurrent shoulder dislocation. In 55 patients, shoulder was reduced without the use of any anaesthesia. In patients where no anaesthesia was used, the time of traction ranged from 45 seconds to 5 minutes, while under anaesthesia the time of traction ranged from 1 to 4 minutes. Twenty-one patients had associated greater tuberosity fracture which did not affect the method of reduction and all of them were reducible. No complication was reported, and all the patients were satisfied with the method. In conclusion vertical traction method is a good technique for reducing anterior shoulder dislocation with an easy learning curve among the residents and no complication has been reported so far.