UMEM Educational Pearls

Shoulder Dislocation Reduction

Do you have a chronic dislocated that frequents your ED? Are you interested in teaching them a way to relocate their shoulder without looking like Mel Gibson from Lethal Weapon,, then the newly described GONAIS method might be what you are looking for.

This technique has the patient grab the top of a chair with the hand on the affected side, and then slowly equating, effectively bringing the hand and arm above their head. Once in the full squat position the patient can step backwards which should reduce the shoulder. If not they can use the opposite hand to apply pressure to push the humerus backward and reduce the location.

The full article can be found at


Gonai S, Kamio Y, Matsuoka T, Harunari M, Saito Y, Takuma K. A new autoreduction method for anterior shoulder dislocation: the GONAIS method. Am J Emerg Med. 2015 Jun 14. pii: S0735-6757(15)00492-1. doi: 10.1016/j.ajem.2015.05.053. [Epub ahead of print]