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Original ArticleOpen Access
Efficacy of Gentle Traction, Abduction and External Rotation Maneuver under Sedative-Free for Reduction of Acute Anterior Shoulder Dislocation: Retrospective Comparative Study
Harnroongroj T 
,
Wangphanich J ,
Harnroongroj T
,
Wangphanich J ,
Harnroongroj T Background: Reduction technique of acute anterior shoulder dislocation is always performed under sedation or general
anesthesia in order to permit successful reduction such as traction counter-traction (TCT). However, the patients take risks
of sedation or anesthesia. There are several techniques of reduction that reduce the dislocation without using sedation or
anesthesia such as Milch technique, gentle traction, abduction and external rotation (TAE) technique and scapular manipulation.
In the present study, the authors compared efficacy of reduction of acute anterior shoulder dislocation by using TAE without
sedation and TCT techniques under conscious sedation.
Objective: To compare efficacy of TAE without sedation and TCT techniques under conscious sedation for reduction of acute
anterior shoulder dislocation.
Material and Method: Between 2001and 2010, the authors reviewed medical records and radiographs of 76 patients who
sustained one or more episodes of acute anterior shoulder dislocation and divided into two groups. Group 1 used the
technique of TAE without sedation. Group 2 used the technique of TCT under conscious sedation. Group 1 and 2 consisted of
32 and 44 patients, 24 and 33 males, eight and 11 females, average age 39.13 (17-71) and 34.77 (18-76) years old, 24 and
34 right sides, eight and 10 left sides, 21 and 24 from sport injuries and 10 and 18 non-sport injuries respectively. Successful
reduction, post-reduction complication and patients’ satisfaction score of 0 to 10 of both groups were evaluated and p < 0.05
were considered for statistical significant differences.
Results: The successful reduction of group 1, 2 were 90.63% (29/32) and 100% (44/44) with 95% Confidence interval
74.98 to 98.02% and 93.42 to 100% respectively. The statistical analysis showed no significant difference of both groups
(p = 0.071). There was no post-reduction complication of both groups. The patients’ satisfaction score of group 1, 2 were 9.38
(8-10) and 7.94 (3-10). The statistical analysis showed patients’ satisfaction score of group 1 were significantly higher than
group 2 (p = 0.007).
Conclusion: TAE technique under sedative-free for reduction of acute anterior shoulder dislocation is effective, simple, and
safe.
Keywords: Gentle traction, Abduction, External rotation, Sedation, Sedative-free, Anterior shoulder dislocation, Efficacy,
Patients’ satisfaction
anesthesia in order to permit successful reduction such as traction counter-traction (TCT). However, the patients take risks
of sedation or anesthesia. There are several techniques of reduction that reduce the dislocation without using sedation or
anesthesia such as Milch technique, gentle traction, abduction and external rotation (TAE) technique and scapular manipulation.
In the present study, the authors compared efficacy of reduction of acute anterior shoulder dislocation by using TAE without
sedation and TCT techniques under conscious sedation.
Objective: To compare efficacy of TAE without sedation and TCT techniques under conscious sedation for reduction of acute
anterior shoulder dislocation.
Material and Method: Between 2001and 2010, the authors reviewed medical records and radiographs of 76 patients who
sustained one or more episodes of acute anterior shoulder dislocation and divided into two groups. Group 1 used the
technique of TAE without sedation. Group 2 used the technique of TCT under conscious sedation. Group 1 and 2 consisted of
32 and 44 patients, 24 and 33 males, eight and 11 females, average age 39.13 (17-71) and 34.77 (18-76) years old, 24 and
34 right sides, eight and 10 left sides, 21 and 24 from sport injuries and 10 and 18 non-sport injuries respectively. Successful
reduction, post-reduction complication and patients’ satisfaction score of 0 to 10 of both groups were evaluated and p < 0.05
were considered for statistical significant differences.
Results: The successful reduction of group 1, 2 were 90.63% (29/32) and 100% (44/44) with 95% Confidence interval
74.98 to 98.02% and 93.42 to 100% respectively. The statistical analysis showed no significant difference of both groups
(p = 0.071). There was no post-reduction complication of both groups. The patients’ satisfaction score of group 1, 2 were 9.38
(8-10) and 7.94 (3-10). The statistical analysis showed patients’ satisfaction score of group 1 were significantly higher than
group 2 (p = 0.007).
Conclusion: TAE technique under sedative-free for reduction of acute anterior shoulder dislocation is effective, simple, and
safe.
Keywords: Gentle traction, Abduction, External rotation, Sedation, Sedative-free, Anterior shoulder dislocation, Efficacy,
Patients’ satisfaction
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