The purpose of this study was to determine the optimal set of closed reduction techniques for anterior shoulder dislocation in the emergency room without the need for anesthesia or injection of lidocaine. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed in this investigation. Three reviewers independently searched the electronic databases: PubMed CENTRAL, Embase, and PubMed between the years 2015 and 2024. The dispute among the reviewers over eligibility was resolved through discussion. After the discovered records were first sorted by title and abstract, potentially relevant articles were examined in their entirety. Five publications totaling 330 patients—two randomized controlled trials, comparative studies, retrospective descriptive studies, and retrospective cohort studies—were considered in this review. The following reduction techniques were employed: Kocher, Spaso, external rotation, modified external rotation, and scapular manipulation. Most of the included methods of shoulder joint reduction showed good results without sedation or anesthesia in the initial effort.
Key words: Closed reduction, shoulder dislocation, emergency room, anesthesia, systemic review.
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