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Reduction Technique Effective for Shoulder Dislocation

New FARES technique found superior to conventional Hippocratic and Kocher techniques

FRIDAY, Dec. 18 (HealthDay News) -- For the reduction of an anterior shoulder dislocation, the new FARES (Fast, Reliable, and Safe) method is significantly more effective, faster, and less painful than conventional methods, according to a study in the Dec. 1 issue of The Journal of Bone & Joint Surgery.

Fares E. Sayegh, M.D., of the "Papageorgiou" General Hospital in Thessaloniki, Greece, and colleagues randomly assigned 154 patients to one of three study groups: FARES method, Hippocratic method, or Kocher method.

The researchers found that FARES was associated with a significantly higher rate of successful reductions (88.7 percent) than either the Hippocratic or Kocher method (72.5 and 68 percent, respectively). They also found that the mean duration of the FARES procedure was significantly shorter (2.36 minutes) than for the Hippocratic and Kocher methods (5.55 and 4.32 minutes, respectively) and resulted in a significantly lower mean visual analog pain scale (1.57 versus 4.88 and 5.44, respectively).

"Furthermore, the FARES method can be performed by physicians with limited experience after a brief training session, is quite simple, does not require the presence of any assistants, appears to be safe, and has not been accompanied by any short-term complications," the authors conclude.

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