Cunningham shoulder reduction. , 1889 Cushing, Thomas, 1821.

Cunningham shoulder reduction. H. & Feary, J. The church Robert Reed established at Manor Cunningham (Donegal Co, Ireland) had at one time, it is said, a thousand communicants, and his children and g-children were in thepulpit for 150yrs. The patient is positioned sitting upright with the shoulders back and chest out facing the practitioner. Therefore, it Anterior shoulder dislocation post reduction showing classic complicatoins. Therefore, the reduction procedure is focused on the relaxation of the biceps brachii muscle by massage. C. His second shoulder technique based on the “zero position” is outlined in this website. Thorough knowledge of the shoulder's anatomy as well as classification of dislocations, anesthetic techniques, and reduction maneuvers is crucial for early management of acute shoulder dislocation. Inappropriate use of traction Aug 3, 2019 · Posterior Dislocation - Clinical Neil Cunningham 5. 1503 d: 1528 2 John Cunningham b: 1529 d: 1602 + Sarah Wallace b: ABT. Nov 19, 2020 · Too busy in the clinic to reduce your patient's shoulder? Read this short article on how to perform a scapular manipulation. [2] A number of techniques exist, with some preferred due to fewer complications or easier execution. To increase success, procedural sedation or intra-articular local anesthetic can be used for reduction. If one technique fails, physicians can switch to another technique without having to reposition the patient, thus avoiding additional pain. Given the lack of comparative studies on various reduction techniques, the choice of technique is based on physician preference. shoulderdislocation. 5,6 Several Oct 20, 2013 · Shoulder Reduction Techniques The premise of all shoulder relocation techniques is that the shoulder wants to return to its anatomical position; however, it is being kept from doing so by a combination of muscle spasms, pain, and broken bones. They are nicely reviewed at ShoulderDoc. The Cunningham technique employs gentle pulling and massage motions targeted at the muscles and has emerged as a promising method for Oct 8, 2019 · Shoulder dislocations are a common presentation to the emergency department and one of the most frequent types of joint dislocations. net) Posted By Julian Marsden on March 29, 2019 Reduction techniques must distract the humeral head away from the lip and then return the humeral head into the fossa. This technique can be performed with minimal assistance, making it valuable in settings where resources are limited and it prioritizes patient comfort. Shoulder dislocations account for almost 50 % of all major joint dislocations and are mainly anterior. Cunningham Technique: This technique encourages muscle relaxation which may allow the humeral head to return to normal position without additional manipulation. [3] In cases where closed reduction is not successful, surgery may be needed. This is a great, drug free way to reduce a shoulder, invented by Neil Cunningham. Explore the Video 271-2: Anterior Shoulder Reduction: Cunningham Technique learning module on AccessEmergency Medicine. His father, GEORGE CUNNINGHAM, a native of Scotland, came to Aug 20, 2002 · His father, Robert Reed / Reid, graduated in Edinburgh, and was a minister of high standing in Scotland, but was called to Ireland. Journal of Shoulder and Elbow Surgery, 134-137 (2005). He was appointed in 1897 to foreign service & served in various capacities in the foreign service for about 50 years, mostly in China, where he was twice decorated for services to the Chinese government. A successful reduction relies on choosing the correct technique. CUNNINGHAM, David to Jane Cunningham -issued May 30, 1798, Bondsman: Francis Cunningham, witness:Joseph Greer, Knox Co. Oct 5, 2016 · This post reviews the glenohumeral (shoulder) dislocation in detail with a focus on multiple reduction techniques. [2] This is distinct from anteroinferior May 10, 2024 · Shoulder reduction is a procedure in which a dislocated shoulder is returned to its anatomical position. Apr 22, 2015 · Shortened version, original length 3min45. Jan 5, 2010 · CUNNINGHAM, David to Prissy Dennis- Jan 13, 1798, Surety: Miles Cunningham, Blount Co. Learn how emergency clinicians are rethinking pain control and joint reduction methods. Famous for the 'Spaso technique' for the reduction of shoulder dislocations (1988) Apr 4, 2020 · Further Reading: Additional FOAM Resources: ALiEM – Cunningham ALiEM – Park Maneuver ALiEM – Pre-reduction films ALiEM – Recurrent Dislocation ALiEM – Legg Maneuver ALiEM – Stimson Technique ALiEM – Ultrasound guided injection Brown EM Blog – POCUS for dislocation Core EM – Shoulder Dislocation Emergency Medicine Cases emDocs – US for dislocation and reduction emDocs Justin Yuan, MD Shoulder dislocations are one of the most common musculoskeletal injuries seen in the ED. May 27, 2025 · FARES method (shoulder reduction) Spaso technique (shoulder reduction) Cunningham method (shoulder reduction) The great Spaso Me: “Spaso can I film you doing your shoulder reduction technique and back slabs?” Spaso: “Why?” Me: “So I can put it on LITFL and all the new doctors can learn from the videos once they come across from Brexit. Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. Arthroscopic observation of capsulolabral reduction after shoulder dislocation. AccessEmergency Medicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine. 1531 3 Joseph Cunningham b: 1568 d: 1637 + Nancy Mary Jun 30, 2011 · Cunningham; the eldest son of Major Cunningham, was a well-read young lawyer who was in the office of Charles t. The following is not meant to serve as a comprehensive guide to the care of In 2003, Cunningham described a new technique for anterior dislocation reduction that is fast, painless, and drug-free. Methods Patients were treated with different reduction maneuvers, including various forms of traction and external rotation, in the Explore awake shoulder reduction as a sedation-free technique. ” Aug 15, 2023 · Reducing a dislocated shoulder requires an understanding of how the shoulder is dislocated. You can also supplement any technique with ultrasound-guided intraarticular lidocaine for improved pain control. By Cathy Farrell November 25, 2008 at 06:37:35 History of Allegheny county, Pennsylvania Chicago : A. I rarely do pre-reduction films for the recurrent dislocator. com, the new GenForum! Sep 10, 2002 · By Angela Burton September 10, 2002 at 06:17:43 In reply to: Re: Cunninghams from Ireland Emilee Cochran 3/08/00 Emilee, I'm not sureif you're still looking for this, but here'sthe info I've found: 1 Alexander Cunningham b: 1498 d: 1579 + Mary Robinson b: ABT. The age range of patients is wide, although it is most common in young adults and rare in children. A pediatric and EM intern and an emergency medicine resident team up to demonstrate multiple techniques Feb 1, 2025 · In 2003, Cunningham described a new technique for anterior dislocation reduction that is fast, painless, and drug-free. Pain is caused by muscle spasms in the rotator cuff, which also causes the biceps to contract, thus maintaining the dislocation. It is designed for true anterior /subcoracoid glenohumeral dislocations in patients who can fully adduct their humerus. Dr Umar Elahi Jul 24, 2019 · Incrementalization of the Cunningham Technique for Anterior Shoulder Reduction By Richard M. T Jun 25, 2013 · Myriad techniques exist to reduce shoulder dislocations, which includes scapular rotation, Hennepin, Snowbird, Cunningham, and Legg maneuvers. 01K subscribers Subscribe Subscribed shoulder dislocation reduction by Cunningham technique. 647 “DAVID H. As Neil mentions in his definitive talk about shoulder dislocation and reduction, there may be times when you elect not to use this technique, but in patients with minimal pain/spasm, who can get their arm into the adducted position, it’s […] Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. , Goodchild, L. It is based on the theory that the humeral head remains outside the glenoid fossa due to tension in the long biceps tendon. A. Oct 24, 2012 · CUNNINGHAM, David-son of Sir John Cunningham of Robertland sh 1729 to VA or MD CUNNINGHAM, George-son of Cunningham of Bandallish” assistant storekeeper, sh. This is a demonstration of the scapula manipulation method of relocating a dislocated shoulder. Studies have found that delays from presentation to first reduction attempt and failed attempt at initial reduction are associated with lower rates of overall reduction success. It is a technique that is often not fully understood. Nov 19, 2020 · In this article on shoulder reduction, learn how to perform the FARES technique in the emergency room. Objective The aim is a comparative retrospective study of different reduction maneuvers without anesthesia to reduce the dislocated shoulder. Shoulder reduction is indicated for all confirmed shoulder dislocations. , 1889 Cushing, Thomas, 1821. Arun Sayal and Dr. [7] If performed correctly most patients do not require analgesia for the performance of this technique. Cates, Sr. May 27, 2025 · In 2010, he mentioned the Cunningham technique for reducing anterior shoulder dislocations. Anterior dislocations are the most common ranging from 95-97%. Reduction achieved Nov 16, 2018 · The Cunningham Technique is a no-sedation technique of reducing (some) anterior shoulder dislocations. This phenomenon is principally caused by the humeral biceps. Mar 4, 2003 · THE CUNNINGHAMS OF CUB CREEK by John Goodwin Herndon, Haverford, Pennsylvania from Genealogies of Virginia Families – from The Virginia Magazine of History and Biography The story of Cub Creek may be said to commence 11 April 1738 when the Donegal Presbytery (Lancaster, Penna. Prompt reduction is essential to alleviate symptoms and restore function. Oct 27, 2020 · Cunningham Shoulder Technique A video and description of Neal Cunningham's method of reduction for anterior shoulder dislocations This page includes the following topics and synonyms: Shoulder Relocation Maneuvers, Dislocated Shoulder Reduction, Shoulder Dislocation Management, Procedures for Shoulder Dislocation, Post-Reduction Management of Shoulder Dislocation. Shoulder dislocation are common injuries, it occurs when the humerus separates from the glenoid fossa of the scapula. Jul 12, 2001 · Hello, I too am new at this. Deficits of the axillary nerve are the most frequent nerve deficits with anterior shoulder dislocations. [2] This is distinct from anteroinferior Oct 10, 2018 · Cunningham Shoulder Technique A video and description of Neal Cunningham's method of reduction for anterior shoulder dislocations Chris Nickson October 10, 2018 Oct 10, 2018 · A video and description of Neal Cunningham's method of reduction for anterior shoulder dislocations Introduction: The Cunningham reduction method for anterior shoulder dislocation offers an atraumatic alternative to traditional reduction techniques without the inconvenience and risk of procedural sedation and analgesia (PSA). This video demonstrates teaching progression from Cunningham to ER to Forward Elevation in a 47 yo patient who fell mountain biking and sustained a primary anterior dislocation. This article will help you choose the simplest and quickest technique for your patient. The patient should sit with their back straight, shoulders back, and their hand on your shoulder. Over the past decade he has 32 Hart, W. But, for those of us who aren’t shoulder whisperers, here’s the Spaso technique. Normally, closed reduction, in which the joint is manipulated externally without surgery, is used. Jul 6, 2023 · Spaso Miljesic (1946 - ) Croatian, Nurse Specialist. I am looking for information regarding the origin of the name Cunningham in Jamaica. Nov 25, 2008 · CUNNINGHAM FAMILY - Allegheny Co. The Cunningham technique employs gentle pulling and massage motions targeted at the muscles and has emerged as a This is a relocation of a shoulder using the Cunningham Technique. Jan 1, 2024 · Shoulder dislocation, particularly anterior dislocation, is a common orthopedic injury often presenting in emergency care settings, characterized by significant pain and muscle spasms. The pediatric emergency room at St. The aim of this systematic review is to identify the most successful principle of closed reduction techniques for an acute anterior shoulder dislocation in the emergency department without the use of sedation or intra-articular lidocaine injection This is a protocol for a Cochrane Review (Intervention). Abstract Introduction: The Cunningham technique has been shown to be an effective and simple method to reduce a dislocated shoulder. This manuscript can be regarded as a clinical guide how to perform a closed reduction maneuver, including several technical tips and tricks to optimize the success rate and to avoid complications. co. You can expect difficulty with very Feb 11, 2020 · Why do we miss posterior shoulder dislocations so often? What physical exam maneuvers increase suspicion for posterior shoulder dislocation? What are the subtle findings on x-ray we should look for in patients with suspected posterior shoulder dislocation? What is the preferred first line reduction technique for posterior shoulder dislocation? The pediatric emergency room at St. - If shoulder remains dislocated, examiner holds forearm with firm downward pressure and instructs the patient to shrug the shoulders. Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. As Neil mentions in his definitive talk about shoulder dislocation and reduction, there may be times when you elect not to use this technique, but in patients with minimal pain/spasm, who can get their arm into the adducted position, it’s worth a shot if it avoids a potentially unnecessary procedural sedation Sep 2, 2011 · The extensive mobility of the glenohumeral joint lends itself to frequent injury, particularly anterior shoulder dislocations. The Cunningham technique employs gentle Shoulder dislocation produces muscular spasm which continues to pull the humeral head in a medial direction. Dale Dantzer we answer questions such as: why do we miss orthopedic injuries in general? Where do we go wrong when it comes to ordering and interpreting extremity x-rays? How do we know we have adequate shoulder x-ray views? How can we Mar 19, 2025 · The Cunningham technique is a method for shoulder relocation and it focuses on muscle relaxation to reduce pain. Shoulder reduction is the process of returning the shoulder to its normal position following a shoulder dislocation. Oct 19, 2018 · How to perform Cunningham's zero position reduction with in situ explanation On River Shoulder Reducing "Cunningham Technique"This video I used the Cunningham technique on a Kayaker that sustained a shoulder dislocation on the river. Levitan, MD, FACEP | on July 24, 2019 | 6 Comments Tweet Share Apr 3, 2022 · Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. The patient’s arm remains adducted (against the body) while the hand placed on the practitioner’s shoulder (right dislocation Mar 1, 2023 · Introduction Anterior shoulder dislocations are commonly seen in the emergency department for which several closed reduction techniques exist. Mar 4, 2003 · THE CUNNINGHAMS OF CUB CREEK by John Goodwin Herndon, Haverford, Pennsylvania from Genealogies of Virginia Families – from The Virginia Magazine of History and Biography The story of Cub Creek may be said to commence 11 April 1738 when the Donegal Presbytery (Lancaster, Penna. It is typically per How to perform the Cunningham Technique Jul 24, 2019 · This is such a gentle technique that I do not routinely X-ray patients before reduction, assuming the patient is cognitively intact, the injury is obviously isolated, and the mechanism of injury is unlikely to have caused a fracture. Thanks to the Cunningham Kocher's Technique Demonstration - learn how to perform this 1870 technique perfectly Shoulder Dislocation 7. Patients were MeSH terms Emergency Service, Hospital* Humans Manipulation, Orthopedic / methods* Shoulder Dislocation / therapy* Orthopedic, Trauma Shoulder Dislocation (Cunningham Method) Cunningham Technique for relocating a dislocated shoulder (Source: www. Many emergency physicians have developed substantial expertise in the care of these patients. & Kelly, C. There are many techniques to Founded by Professor Lennard Funk, ShoulderDoc provides clear, evidence-based information on shoulder injuries, treatments, and recovery. For fu Animation showing how to use the Cunningham technique to overcome the static and dynamic forces acting across the shoulder joint in dislocation Jul 18, 2024 · Shoulder dislocation, particularly anterior dislocation, is a common orthopedic injury often presenting in emergency care settings, characterized by significant pain and muscle spasms. In addition, repeated attempts at reduction may in-crease muscle spasm and further lessen the likelihood of a successful reduction (9). In this 10 minute video we show you how to reduce a dislocated shoulder 10 different ways. G. Repeated attempts at reduction may also increase neurovascular injuries (9). In the beginning of 2013 doctors at the emergency department in Landspitali University Hospital (LUH) in Reykjavik were instructed in the Neil Cunningham is an Emergency Physician at St Vincent’s Hospital Melbourne. S. Pre 1776, sett. The aim is a comparative retrospective study of different reduction maneuvers without anesthesia to reduce the dislocated shoulder. Unsuccesfull attempt tot relocate by EMS at the scene using Ketamine. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine. . ) approved the supplication of John Caldwell “in behalf of himself and many families of our persuasion who are Oct 6, 2013 · Research Cunningham in the Surnames forums on Genealogy. The ability to reduce the shoulder depends on many factors which include whether the patient can Adduct or Abduct, how painful the dislocation is. Feb 10, 2022 · In this video, we cover some of the common techniques used to reduce anterior shoulder dislocations in the Emergency Department: Traction/ Counter-traction technique – 00:19 Milch technique – 01:02 FARES technique – 01:45 Cunningham technique – 02:42 Davos technique – 03:30 Instructors: Dr Ibraheem Al Zaabi and Dr Mohamed Jaber In collaboration with: Khalifa University, […] Mar 26, 2021 · In this EM Cases main episode podcast Commonly Missed or Mismanaged Shoulder Injuries – Approach and Glenohumeral Dislocations with Dr. Billy didn’t show me this one, Spaso did. Walker decided to give the Cunningham technique a try to avoid tying up a nurse with a procedural sedation. 8K subscribers Subscribed 1. CUNNINGHAM, farmer, post office Perrysville, was born March 10, 1817, on the old homestead in Huntingdon (now Blair) Co. In this video, from our Emergency Procedures Masterclass (Part 2), we'll take a look at how the Cunningham technique works and why it won't work for every patient, as well as provide a step-by-step account of how to perform this procedure. J. Make careful note of the positioning of the patient during the procedure, which is key to get this method to work. Blog Orthopaedics The Davos Technique for Shoulder relocation Patients with shoulder dislocations are not an uncommon presentations to the Emergency Department. ” This video shows a dislocated shoulder being reduced by the Cunningham Technique. If the dislocated shoulder remains out of place after this step, examiner repeats steps 2-4. • The goal … May 21, 2018 · Posted on May 21, 2018 and filed under Orthopedics and tagged shoulder reduction milch FARES external rotation scapular manipulation stimson cunningham traction-counter traction. 7th anterior dislocation. Luke's-Roosevelt was swamped, and when a 16-year-old boy came in after having been pushed and fallen onto his shoulder, Dr. This technique is based on the hypothesis that muscle spasm is the main force that moves the humeral head away from the glenoid cavity in anterior dislocations. More than 50 reduction techniques have May 27, 2025 · FARES method (shoulder reduction) Spaso technique (shoulder reduction) Cunningham method (shoulder reduction) The great Spaso Me: “Spaso can I film you doing your shoulder reduction technique and back slabs?” Spaso: “Why?” Me: “So I can put it on LITFL and all the new doctors can learn from the videos once they come across from Brexit. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. [2] This is distinct from anteroinferior Oct 19, 2018 · How to switch between Cunningham and Kocher's techniques May 28, 2015 · Background Shoulder dislocations account for almost 50 % of all major joint dislocations and are mainly anterior. Mar 3, 2002 · But in Lummie Cunningham’s notes she writes that ‘He (William Roe Cunningham) was nephew of Captain Samuel Barron, commander of Fort George and cousin of Captains James and Richard Barron’. The method is one of several techniques used for shoulder reduction. For more detail on this technique and to learn about Dr Cunningham's reduction techniques for every Explore the Video 271-2: Anterior Shoulder Reduction: Cunningham Technique learning module on AccessMedicine. Notice the lack of traction. Within three minutes, the patient's shoulder was back in place. uk. quote from: pg. , Handoll, H. Studies have found that delays from the time of injury and emergency department arrival to reduction attempt are associated with higher rates of failed reduction (9,10). 5,6 Jan 26, 2022 · In this video, we cover some of the common techniques used to reduce anterior shoulder dislocations in the Emergency Department:Traction/ Counter-traction te This is a great, drug free way to reduce a shoulder, invented by Neil Cunningham. Feb 24, 2023 · An anterior shoulder dislocation has a major impact on the patient and places high demands on emergency department (ED) facilities. , Pa. [2] This is distinct from anteroinferior Jul 18, 2024 · Abstract Background: Shoulder dislocation, particularly anterior dislocation, is a common orthopedic injury often presenting in emergency care settings, characterized by significant pain and muscle spasms. The Cunningham technique is a relatively quick and painless way to reduce a shoulder—but only for the right patient. They often resolve within several months, sometimes soon after the shoulder reduction. Patient was feeling Dec 1, 2016 · In this review article we present a complete overview of the techniques, that have been described in the literature for closed reduction for shoulder dislocations. The bony Bankart lesion is new, as evidenced by lack of cortex on the superior part of the fragment, and is presumed to be caused by glenohumeral ligaments pulling the humerus towards the glenoid as the shoulder dislocates, causing a fracture even without significant The Cunningham Technique to reduce an anterior shoulder dislocation is shown here. Warner Co. Cunningham technique Cunningham technique The Cunningham technique was originally published in 2003 and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. , Hanchard, N. They account for more than 50% of major joint dislocations with an incidence of 17/100,000. Sep 8, 2022 · Cunningham shoulder reduction is a method of shoulder reduction that utilizes bicipital massage and the patient’s own cooperation. P. I am Jamaican living in the U. Many reduction techniques are available, including the Milch, Kocher, Stimson, and Bosley techniques. Fortunately, there are many successful reduction techniques reductions and methods that will work. [2] This is distinct from anteroinferior Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. 3K Apr 1, 2020 · Shoulder dislocations are a common presentation to the emergency department and one of the most frequent types of joint dislocations. Any information would be helpful. [4] This is a video of the Kocher's method of relocating a dislocated shoulder, performed on a patient by Dr Neil Cunningham. He has a special interest in shoulder dislocations, having published a novel reduction method known as the Cunningham Technique, and has presented nationally and internationally on this topic. 33 G, H. The objectives are as follows: To compare the effects of different methods of closed reduction of acute anterior shoulder dislocation. Whether you're a patient seeking guidance, a therapist supporting rehabilitation, or a clinician enhancing your knowledge, this platform offers up-to-date resources, surgical insights, and tools to help you connect with leading shoulder specialists across Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. The dislocation is often very painful, and the primary treatment is a timely closed reduction. The patient’s shoulder must be adducted for this to work; in other words, the elbow is close to the body. There are times when the Cunningham technique won’t work. Aug 12, 2015 · Anterior shoulder dislocation is the most common large joint dislocation encountered in the emergency department (ED). Note the scar to the anterior part of the shoulder due to previous operation. 2oi vxaie bajtgge4 rdtk gv pfgt nuksx fty tq4q 0lgtd