FARES Versus Traction-Countertraction for Acute Anterior Shoulder Dislocation

NCT07757594 | Not Yet Recruiting

• 1 other identifier: 155/2026/HĐ-ĐHYD
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Anterior shoulder dislocation is a common orthopedic emergency that requires prompt reduction to relieve pain and restore joint function. Several techniques have been described for closed reduction, but the optimal method remains uncertain. The FARES (Fast, Reliable, and Safe) technique is a relatively new reduction method that may provide faster reduction with less pain compared with the conventional traction-countertraction technique. This randomized controlled trial aims to compare the effectiveness and safety of the FARES technique and the traction-countertraction technique for the reduction of acute anterior shoulder dislocation in adult patients. Eligible participants will be randomly assigned to receive reduction using either the FARES technique or the traction-countertraction technique. The study will evaluate the success rate of reduction, pain experienced during the procedure, time required for reduction, and procedure-related complications. The findings of this study may provide evidence to guide the selection of reduction techniques for patients with acute anterior shoulder dislocation in the emergency department.

Conditions

Acute Anterior Shoulder Dislocation

Keywords

Anterior shoulder dislocation; Closed reduction; FARES technique; Traction-countertraction technique; Emergency department

Outcome Measures

Primary Outcomes (1)

• Successful reduction at the first attempt

  Proportion of participants achieving successful reduction using the assigned technique without requiring an alternative reduction method.

  During the initial reduction procedure

Secondary Outcomes (6)

• Time to successful reduction

  During the reduction procedure

• Pain intensity during reduction procedure

  Immediately after completion of the reduction procedure

• Number of reduction attempts

  During the reduction procedure

• Procedure-related complications

  During the reduction procedure and immediate post-reduction assessment

• Factors associated with successful reduction

  From baseline assessment until completion of the reduction procedure

Study Arms (2)

FARES Technique

EXPERIMENTAL

Participants assigned to this arm will undergo closed reduction of acute anterior shoulder dislocation using the FARES (Fast, Reliable, and Safe) technique.

Procedure: FARES Technique

Traction-Countertraction Technique

ACTIVE COMPARATOR

Participants assigned to this arm will undergo closed reduction of acute anterior shoulder dislocation using the conventional traction-countertraction technique.

Procedure: Traction-Countertraction Technique

Interventions

FARES Technique PROCEDURE

Closed reduction of acute anterior shoulder dislocation using the FARES (Fast, Reliable, and Safe) technique.

FARES Technique

Traction-Countertraction Technique PROCEDURE

Closed reduction of acute anterior shoulder dislocation using the conventional traction-countertraction technique.

Traction-Countertraction Technique

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥18 years.
• Conscious and cooperative patients.
• Anterior shoulder dislocation confirmed by shoulder radiographs (anteroposterior view and Y-view).
• Time from injury to reduction \<24 hours.
• Simple anterior shoulder dislocation or anterior shoulder dislocation associated with greater tuberosity fracture only.
• Patient agrees to participate in the study and provides informed consent.

You may not qualify if:

• Other injuries of the same upper extremity.
• Neurovascular deficits before reduction.
• Polytrauma, hemodynamic instability, or medical conditions contraindicating immediate reduction.
• Previous surgery of the affected shoulder.

Sponsors & Collaborators

• Ngoc Quyen Le: lead

Study Sites (1)

Hospital for Traumatology and Orthopaedics

Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam

Location

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Ngoc Quyen Le, MD, PhD

CONTACT

+84903818438; ngocquyenbs76@ump.edu.vn

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: This is an open-label study because the reduction technique cannot be masked to participants or investigators.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Participants will be randomly assigned in a 1:1 ratio to receive closed reduction using either the FARES technique or the traction-countertraction technique.

Study Record Dates

• First Submitted: July 25, 2026
• First Posted: August 11, 2026
• Study Start: August 1, 2026
• Primary Completion (Estimated): April 1, 2027
• Study Completion (Estimated): April 1, 2027
• Last Updated: August 11, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

VN (1)