5) An innovative traction-free drugless approach to reduce anterior shoulder dislocation: Axillary massage technique

Case Report: This case report demonstrates, in video format, a unique method of anterior shoulder dislocation reduction termed the Islek technique. This innovative approach utilizes no traction or medication but uses a single clinician massaging the axilla with the thumb while the other hand is on the shoulder massaging the trapezius. Reduction time is generally short (less than five minutes) and without a need for sedation or pain control. Overall, case reports provide opportunities for emergency physicians to expand their knowledge base as well as procedural competence.⁵

Dr. Gausche-Hill is Editor in Chief of JACEP Open.

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