Emerg Med J 18:370-372 doi:10.1136/emj.18.5.370
  • Original Article

An easy method to reduce anterior shoulder dislocation: the Spaso technique

  1. M-C Yuen,
  2. P-G Yap,
  3. Y-T Chan,
  4. W-K Tung
  1. Accident and Emergency Department, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong Special Administrative Region
  1. Correspondence to: Dr Yuen (yuen_mc{at}
  • Accepted 26 September 2000


Objective—To introduce the Spaso technique for reducing anterior shoulder dislocation by reporting the success rate of the Spaso technique performed by junior emergency medicine residents.

Design—Retrospective case series.

Setting—Urban accident and emergency department.

Participants—Patients with anterior shoulder dislocations.

Interventions—The Spaso technique was applied by the emergency medicine residents to reduce anterior shoulder dislocation.

Results—The emergency medicine residents applied the Spaso technique to reduce 16 cases of anterior dislocated shoulder during the study period. The Spaso technique was successful in 14 of 16 cases. The overall success rate was 87.5% (95% CI 60.4, 97.8%). No complications were noted.

Conclusion—A new method has been introduced for reduction of anterior shoulder dislocation by reporting the experience of junior residents. The Spaso technique is simple, effective and able to be performed by single operator. Although the sample size was small, the result of the study could provide background information for planning a properly designed randomised controlled trial to evaluate the Spaso technique.


  • Funding: none.

  • Conflicts of interest: none.

  • Contributors

    M C Yuen is the senior medical officer of the Accident and Emergency Department of Kwong Wah Hospital. W K Tung is the chief of services and consultant of the department. P G Yap and Y T Chan are residents of the department. W K Tung initiated the idea of writing this short report. M C Yuen designed the study, collected the data, reviewed the literature, and wrote up the report. P G Yap and Y T Chan assisted in data collection. M C Yuen is the guarantor of this report.

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