The FARES (Fast, Reliable, and Safe) method is a new way to reduce acute anterior glenohumeral dislocations that combines the application of gentle longitudinal traction, vertical oscillation movements, and abduction and external rotation of the arm.
Step 1: Position the Patient
Place the patient supine on a stretcher, with his/her elbow extended, and advise him/her to hold the stretcher with the opposite hand.
Step 2: Brief the Patient
Convince the patient that his/her cooperation is necessary for a better outcome.
Step 3: Hold the Arm
Holding the patient’s hand with both of your hands, with his/her elbow extended and forearm in neutral rotation, start the procedure at 30° of shoulder abduction.
Step 4: Apply Traction and Add Oscillations
Applying gentle longitudinal traction to keep the arm extended, add gentle vertical oscillating movements.
Step 5: Abduct and Externally Rotate the Arm
Gradually abduct the arm to 90° and then gradually externally rotate the arm to achieve full external rotation.
Step 6: Achieve Reduction
The dislocation is usually reduced once 120° to 150° of shoulder abduction has been achieved.
In our previously published prospective randomized study, the FARES method was compared with the Hippocratic and the Kocher methods12.
What to Watch For
Pitfalls & Challenges