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How To Reduce Anterior Shoulder Dislocations Using Traction Countertraction
Tips and Tricks for Traction Countertraction
Wrapping the sheets around the operators’ hips (instead of the waist) prevents back strain. Tying the sheet using a proper square knot decreases the chance of the sheet untying during the procedure. Adequate sedation and pain control are key. Gentle external rotation is sometimes required to achieve the reduction. In patients who return with increased pain within 48 hours after a reduction, hemarthrosis is likely (unless the shoulder has again dislocated). Aspirate the blood from the joint space (see How To Do Shoulder Arthrocentesis ). 