reduction techniques

Management

1. Reduction under IV / conscious sedation

- assistant applies traction in slight flexion

- second person corrects lateral displacement by manipulating olecranon medially

- flexion to 90^o

2. Post reduction assess stability

Most common form of shoulder instability

- young males

- M:F = 2:1

Indirect ER and abduction moment on arm

- disruption of anterior stabilisers

Initial injury

- severe pain in shoulder