Division of Orthopaedics and Trauma Surgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Division of Orthopaedics and Trauma Surgery, Sahel General Hospital, University Medical Centre, Beirut, Lebanon.
Int Orthop. 2019 May;43(5):1165-1170. doi: 10.1007/s00264-018-4131-4. Epub 2018 Aug 29.
The aim of this study is to demonstrate the efficiency of (FARES) method for reduction of first-episode anterior shoulder dislocation, as well as its safety, reliability, and quick easy reproducibility by inexperienced physicians without any use of medications.
This was a prospective study of 28 patients with first episode of anterior shoulder dislocation that underwent closed reduction using FARES method by junior orthopaedic residents without use of any analgesic, muscle relaxant, or anesthesia. Only two attempts of reduction were allowed for each patient. The time needed for reduction was recorded, and the patients were asked to grade their pain according to a visual analog scale from 0 to 10.
Reduction was achieved after one attempt in 21 patients (75%) and after two attempts in three additional patients (total 85.7%). The mean time needed for reduction was 62.66 seconds, and the mean visual analog scale for pain evaluation was 5.29.
FARES method is a fast, reliable, and safe method for reduction of a first episode of anterior shoulder dislocation and can be easily performed by inexperienced physicians and junior residents.
本研究旨在展示 FARES 方法在减少首次发作的前肩脱位方面的效率，以及其安全性、可靠性和易于快速复制性，无需使用任何药物。
这是一项对 28 例首次发作的前肩脱位患者的前瞻性研究，这些患者由初级骨科住院医师在不使用任何镇痛、肌肉松弛或麻醉的情况下，采用 FARES 方法进行闭合复位。每位患者仅允许进行两次复位尝试。记录复位所需的时间，并让患者根据视觉模拟量表（0 到 10）对疼痛程度进行评分。
21 例患者（75%）在一次尝试后复位，另外 3 例患者（总计 85.7%）在两次尝试后复位。复位所需的平均时间为 62.66 秒，疼痛评估的平均视觉模拟量表评分为 5.29。
FARES 方法是一种快速、可靠且安全的首次发作前肩脱位复位方法，即使是经验不足的医生和初级住院医师也能轻松进行。
