Flexion Adduction External Rotation (FADER) method for reduction of anterior shoulder dislocation: a study of 30 cases

Abstract

Objective: To assess the success rate of Flexion Adduction External Rotation (FADER) technique in reducing anterior shoulder dislocation and to report our experience. Methods: A prospective study included 30 patient, with 21 male and 9 female associated with acute anterior dislocation of shoulder treated by FADER in a medical college attached hospital. Results: The FADER technique was used to reduce 30 cases of anterior dislocation shoulder during the study period. 27 cases were first time dislocations and 3 cases second time recurrent dislocations. Fracture of greater tuberosity was present in 2 cases. Reduction is achieved in first attempt in 28 cases, in second attempt in 1 case, and 1 case was reduced under general anaesthesia. No complications were noted. Overall success rate was 96.6% Conclusion: we report the successful use of FADER technique for reduction of traumatic anterior shoulder dislocations, mainly without traction, exhaustion, second assistant, anaesthesia, sedation and uncomfortable position. We believe that FADER may also be applied by inexperienced physicians, as it is simple, easily understood and reproducible with success Keywords: Anterior, Shoulder, Dislocation, FADER, Reduction.