SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Closed reduction techniques for acute anterior shoulder dislocation: a systematic review and meta-analysis.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Clinical practice on treatment of primary traumatic anterior shoulder dislocation: a multidisciplinary guideline.Acta orthopaedica · 2026Guideline
- Efficacy of supervised self-reduction vs. physician-assisted techniques for anterior shoulder dislocations: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Systematic Review and Meta-Analysis of Locked Posterior Dislocation of the Shoulder Treated with Shoulder Arthroplasty: Improved Outcomes for Total Shoulder Arthroplasty are Associated with Increased Age.Orthopaedic surgery · 2023Pooled it
- Effects of reduction technique for acute anterior shoulder dislocation without sedation or intra-articular pain management: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Pooled it
- FARES and Spaso method for anterior shoulder dislocation: a prospective randomized control study demonstrating the benefit of a combined approach.Scientific reports · 2025Trial
- Tang's method is an effective new treatment for anterior shoulder dislocation.Scientific reports · 2025Trial
- Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial.Joint diseases and related surgery · 2023Trial
- Closed reduction of acute posterior shoulder dislocation via intra-articular anesthesia: a case report and technical note.JSES reviews, reports, and techniques · 2026Article
- Management of a first-time shoulder dislocation in the athlete: From ER to OR.Bulletin of the Hospital for Joint Disease (2013) · 2025Review
- Traumatic Anterior Shoulder Dislocation: Epidemiology, Diagnosis, and Treatment.Deutsches Arzteblatt international · 2025Review
- Article
- Spontaneous Reductıon Occurrıng Durıng Natural Sleep ın Anterıor Shoulder Dıslocatıon Cases: A Serıes of Four Cases.Orthopedic reviews · 2025Article
- The Impact of the Position of the Humeral Head Relative to the Glenoid on Iatrogenic Fractures During Shoulder Dislocation Reduction.Medicina (Kaunas, Lithuania) · 2024Article
- Extensive skin laceration on the forearm due to closed reduction of a dislocated shoulder. A case report.Trauma case reports · 2024Article
- Effectiveness of the Cunningham technique for shoulder dislocation reduction and its role in providing analgesia and muscle relaxation as an adjunctive method.Clinics (Sao Paulo, Brazil) · 2024Article
- The clinical diagnosis and treatment of the shoulder terrible tetrad: a case report and literature review.Journal of surgical case reports · 2023Article
- Han's technique: a new reduction technique for acute anterior shoulder dislocation.Archives of orthopaedic and trauma surgery · 2023Article
- In-Season Management of Shoulder Instability: How to Evaluate, Treat, and Safely Return to Sport.Current reviews in musculoskeletal medicine · 2023Review
- Closed shoulder reduction by glenohumeral joint distraction. A technical note.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- The effect of shoulder muscle succinylcholine injection on the foreleg raising power: Sion's local paralysis.Heliyon · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnterior shoulder dislocations are the most common type of joint dislocation with the majority treated with closed reduction. Reduction methods can be grouped into their principle mode of action: traction-countertraction, leverage and scapular manipulation. The best method has yet to be identified and our aim was to find the most effective, safe and least painful method of closed reduction for acute anterior shoulder dislocations.
methodsA search of the online databases of CENTRAL, MEDLINE and Embase was performed to identify randomised control trials (RCTs) comparing closed reduction methods for anterior shoulder dislocations. A systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
resultsTwelve eligible RCTs were included with a total of 1055 patients. Our meta-analysis showed traction-countertraction methods are marginally less painful than leverage methods by 0.86 points on the VAS scale but leverage methods are quicker by 20 s. Amongst traction-countertraction methods, the Spaso technique was the least painful and quickest, albeit with no difference in overall success rate. A meta-analysis was not possible for comparisons involving scapular manipulation due to the paucity of studies, but within two studies, scapular manipulation was significantly less painful than both leverage and traction-countertraction methods by 1.5 and 2.3 points (VAS), respectively.
conclusionTraction-countertraction methods are less painful but slower than leverage methods with no difference in complication rates. However, there was no difference in overall reduction success rate between any of the groups. LEVEL OF EVIDENCE: I.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.