Cunningham shoulder reduction

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]

An example of the Cunningham technique

Mechanism

Shoulder disclocation is a common complication of trauma or misuse and is often anterior.[3] In this condition the humeral head has moved 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 (close to their body), and the elbow flexed. 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]

The 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.

References
  1. Neil Cunningham, MBBS, FACEM. "Cunningham Technique". Shoulderdislocation.net.CS1 maint: multiple names: authors list (link)
  2. 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.
  3. Cunningham, NJ (2005). "Techniques for reduction of anteroinferior shoulder dislocation". Emergency Medicine Australasia. 17 (5–6): 463–71. doi:10.1111/j.1742-6723.2005.00778.x. PMID 16302939.
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