Openly Teaching Closed Reductions of the Shoulder, Finger, and Patella

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This presentation is a replay from VATEC 2019, offering a second chance to experience the event's valuable content and insights.


Abstract:
New educational standards include formalized instruction on joint reduction techniques. This marks a significant shift in current theory and practice which has generally questioned whether or not joint reduction was within an ATs scope of practice. Now, athletic training programs nationwide will openly teach closed reduction techniques. As educators add joint reduction techniques to their educational toolkits, many will need to develop new expertise in this area. Thus, the purpose of this session is to present various reduction techniques for 3 commonly dislocated joints: the glenohumeral, interphalangeal and patellofemoral joints. This information will be presented from the perspective of an athletic trainer with standing orders from a supervising physician which permit closed joint reduction under certain criteria. Where available research evidence supporting each technique will be reviewed (e.g. success rate, time to complete, pain), enabling the attendee to differentiate between various techniques based on patient outcomes. In addition to clinical indications and contraindications, this breakout session will address practical considerations (e.g. clinician biomechanics, utility on-the-field). Participants will practice selected reduction technique in a hands-on environment, and case-scenarios will be utilized to apply material from the breakout session. When applicable, the session will emphasize methods for teaching the selected joint reduction techniques within athletic training education.

Objectives:

  • Participants will identify common closed joint reduction techniques for the glenohumeral, interphalangeal and patellofemoral joint., 
  • Participants will compare and contrast common closed joint reduction techniques utilizing evidence from the research literature., 
  • Participants will select an appropriate closed joint reduction technique for a particular scenario., 
  • Participants will demonstrate mock closed joint reduction techniques.

Level:
Essential

Domains:
Domain 3: Critical Incident Management

CEUs:
0.75 Category A

Keywords: joint reduction, glenohumeral, interphalangeal, patellofemoral, closed joint reduction, techniques

On-Demand (Enhanced Access) Course Expiration:
Courses registered for after February 5, 2025, must be completed by December 31, 2025, at 11:59 p.m. CST.
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Cynthia Wright, PhD, ATC

Dr. Cynthia Wright is a professor at Whitworth University. She received her BA in Athletic Training from Whitworth University, Master’s degree at Texas State University, and PhD in Rehabilitation and Movement Science at Virginia Commonwealth University. Dr. Wright teaches a variety of graduate athletic training and undergraduate health science courses and has diverse research interests. Clinically, Dr. Wright has worked as an athletic trainer in a physician practice, collegiate, and high school settings. Outside of work, you’re likely to find Dr. Wright recreating outside in the beautiful Pacific Northwest.

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