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How To Reduce Anterior Shoulder Dislocations Using Traction Countertraction
Indications for Traction Countertraction
Anterior dislocation of the shoulder Reduction should be attempted soon (eg, within 30 minutes) after the diagnosis is made. Reduction should be attempted immediately if an associated neurovascular deficit or skin tenting (due to a displaced bone fracture, or, less commonly, a fracture-dislocation, with potential for skin penetration or breakdown) is present. If a neurovascular deficit is suspected, a less forceful method is preferred. If an orthopedic surgeon is unavailable, closed reduction can be attempted, ideally using minimal force; if reduction is unsuccessful, it may need to be done in the operating room under general anesthesia. Open dislocations require surgery, but closed reduction techniques and immobilization should be done as interim treatment if the orthopedic surgeon is unavailable and a neurovascular deficit is present. 