FARES Method to Reduce Acute Anterior Shoulder Dislocation: A Case Series and an Efficacy Analysis

Abstract

All 9 cases were reduced successfully regardless of the reduction methods used. FARES method was found to be popular in the studying emergency department. Six out of the 9 cases were using the FARES method at their first attempt (the rest two case using Spaso; one using traction-counter traction). No pre-medication was needed in all FARES' cases. In all 6 cases using the FARES method, the shoulder could be reduced within 2 minutes. Conclusions: Our experience concords with overseas' in which the FARES method is efficacious and fast. (Hong Kong j.emerg

Success outcome of reduction in anterior shoulder dislocation by FARES method

“…Our study showed that the duration of reduction by FARES method was quick when compared to duration of reduction by other methods in review of literature. 2,8,9 The amount of pain experienced by patients in FARES method of reduction measured with VAS pain scale was less when compared to other methods in review of literature. 2,8,9 Age is an important factor affecting both the duration of reduction and pain experienced by patient during reduction by FARES method.…”

“…8 The case series study published by LCH Tsoi and MCK Wong with only 9 patients in study also showed that there was higher success rate in FARES method. 9 Beattie et al in randomized control study compared Kocher method with Milch method and showed the success rate by Kocher method was 77% and Milch method was 75%. The success rate achieved by both the methods was very less than the success rate achieved by FARES method in literature reviews.…”

“…The result of our study showed that the success rate that can be achieved by single attempt of FARES method (92.54%) was higher when compared to other methods of reduction in review of literature. 2,8,9 There was no need of sedation or analgesic to perform FARES method. Our study showed that the duration of reduction by FARES method was quick when compared to duration of reduction by other methods in review of literature.…”

“…2,8,9 A randomized study published in 2009 compared FARES method with Hippocratic and Kocher method, and showed that FARES method of shoulder reduction yielded higher success rate than other methods (FARES 88.7% compared to Hippocratic 72.5% and Kocher 68%). 2 The study also showed that, by FARES method the duration of reduction was quicker(2.36 ± 1.24 mins) and the pain felt during reduction(1.57±1.43) on visual analogue scale was milder.…”

“…2 In 2012, LCH Tsoi and MCK Wong published a case series and an efficacy analysis of FARES method in acute anterior dislocation of shoulder. 9 There are only few studies that have shown the efficacy of Fares method. 2,8,9 The aim of our study was to assess the success rate and safety of FARES method in reduction of anterior shoulder dislocation, to know duration of reduction, the intensity of pain experienced by patients during reduction and the factors affecting both.…”