Fares E Sayegh1, Eustathios I Kenanidis2, Kyriakos A Papavasiliou3, Michael E Potoupnis4, Stavros Pellios1, John M Kirkos5, George A Kapetanos6. 1. "Papageorgiou" General Hospital, Ring-Road, North Efkarpia, 546 03 Thessaloniki, Greece. 2. 7 Anoikseos Street, 570 10 Thessaloniki, Greece. E-mail address: stathiskenanidis@gmail.com. 3. 3 Natalias Mela Street, 546 46 Thessaloniki, Greece. 4. 65 Olinthou Street, 543 51 Thessaloniki, Greece. 5. 138 Al. Papanastasiou Street, 542 49 Thessaloniki, Greece. 6. 8 25th Martiou Street, 552 36 Panorama, Thessaloniki, Greece.
Abstract
INTRODUCTION: The FARES (Fast, Reliable, and Safe) method is a new way to reduce acute anterior glenohumeral dislocations that combines the application of gentle longitudinal traction, vertical oscillation movements, and abduction and external rotation of the arm. STEP 1 POSITION THE PATIENT: Place the patient supine on a stretcher, with his/her elbow extended, and advise him/her to hold the stretcher with the opposite hand. STEP 2 BRIEF THE PATIENT: Convince the patient that his/her cooperation is necessary for a better outcome. STEP 3 HOLD THE ARM: Holding the patient's hand with both of your hands, with his/her elbow extended and forearm in neutral rotation, start the procedure at 30° of shoulder abduction. STEP 4 APPLY TRACTION AND ADD OSCILLATIONS: Applying gentle longitudinal traction to keep the arm extended, add gentle vertical oscillating movements. STEP 5 ABDUCT AND EXTERNALLY ROTATE THE ARM: Gradually abduct the arm to 90° and then gradually externally rotate the arm to achieve full external rotation. STEP 6 ACHIEVE REDUCTION: The dislocation is usually reduced once 120° to 150° of shoulder abduction has been achieved. RESULTS: In our previously published prospective randomized study, the FARES method was compared with the Hippocratic and the Kocher methods12. WHAT TO WATCH FOR: IndicationsContraindicationsPitfalls & Challenges.
INTRODUCTION: The FARES (Fast, Reliable, and Safe) method is a new way to reduce acute anterior glenohumeral dislocations that combines the application of gentle longitudinal traction, vertical oscillation movements, and abduction and external rotation of the arm. STEP 1 POSITION THE PATIENT: Place the patient supine on a stretcher, with his/her elbow extended, and advise him/her to hold the stretcher with the opposite hand. STEP 2 BRIEF THE PATIENT: Convince the patient that his/her cooperation is necessary for a better outcome. STEP 3 HOLD THE ARM: Holding the patient's hand with both of your hands, with his/her elbow extended and forearm in neutral rotation, start the procedure at 30° of shoulder abduction. STEP 4 APPLY TRACTION AND ADD OSCILLATIONS: Applying gentle longitudinal traction to keep the arm extended, add gentle vertical oscillating movements. STEP 5 ABDUCT AND EXTERNALLY ROTATE THE ARM: Gradually abduct the arm to 90° and then gradually externally rotate the arm to achieve full external rotation. STEP 6 ACHIEVE REDUCTION: The dislocation is usually reduced once 120° to 150° of shoulder abduction has been achieved. RESULTS: In our previously published prospective randomized study, the FARES method was compared with the Hippocratic and the Kocher methods12. WHAT TO WATCH FOR: IndicationsContraindicationsPitfalls & Challenges.
Authors: Krishna Kiran Eachempati; Aman Dua; Rajesh Malhotra; Surya Bhan; John Ranjan Bera Journal: J Bone Joint Surg Am Date: 2004-11 Impact factor: 5.284
Authors: Fares E Sayegh; Eustathios I Kenanidis; Kyriakos A Papavasiliou; Michael E Potoupnis; John M Kirkos; George A Kapetanos Journal: J Bone Joint Surg Am Date: 2009-12 Impact factor: 5.284