An easy method to reduce anterior shoulder dislocation: the Spaso technique

Objective-To introduce the Spaso technique for reducing anterior shoulder d islocation by reporting the success rate of the Spaso technique performed b y junior emergency medicine residents. Design-Retrospective case series. Setting Urban accident and emergency department. Participants-Patients with anterior shoulder dislocations. Interventions-The Spaso technique was applied by the emergency medicine res idents to reduce anterior shoulder dislocation. Results-The emergency medicine residents applied the Spaso technique to red uce 16 cases of anterior dislocated shoulder during the study period. The S paso technique was successful in 14 of 16 cases. The overall success rate w as 87.5% (95% CI 60.4, 97.8%). No complications were noted. Conclusion-A new method has been introduced for reduction of anterior shoul der dislocation by reporting the experience of junior residents. The Spaso technique is simple, effective and able to be performed by single operator. Although the sample size was small, the result of the study could provide background information for planning a properly designed randomised controll ed trial to evaluate the Spaso technique.