Cunningham shoulder reduction
 | This article may be too technical for most readers to understand. (September 2014) |
Cunningham shoulder reduction is a method of shoulder reduction that utilizes bicipital massage and the patient's own cooperation. The method is one of several techniques used for shoulder reduction.[1][2][3]
Mechanism
Shoulder subluxation is a common complication of trauma or misuse and is often anterior[3] indicating movement of the humeral head anteriorly out of the glenoid fossa. The Cunningham technique involves massaging the bicipital muscle in the mid humerus, with the patient's affected arm adducted, and the elbow flexed, while the physician massages the biceps. At the same time the patient is told to move the shoulder superiorly (up), and posteriorly (back) to allow the humeral head to relocate back into the glenoid fossae.[1]
Patient is often given pain management prior to the procedure to allow tolerance of the procedure. Uncooperative patients or patients with arthritis or joint deformities are often more difficult to relocate and other methods of shoulder reduction can be utilized.
Sources
- ^ a b Neil Cunningham, MBBS, FACEM. "Cunningham Technique". Shoulderdislocation.net.
{{cite web}}: CS1 maint: multiple names: authors list (link) - ^ Walsh, R; Harper, H; McGrane, O; Kang, C (2012). "Too good to be true? Our experience with the Cunningham method of dislocated shoulder reduction". The American journal of emergency medicine. 30 (2): 376–7. doi:10.1016/j.ajem.2011.09.016. PMID 22100465.
- ^ a b Cunningham, NJ (2005). "Techniques for reduction of anteroinferior shoulder dislocation". Emergency medicine Australasia : EMA. 17 (5–6): 463–71. doi:10.1111/j.1742-6723.2005.00778.x. PMID 16302939.