How to reduce anterior shoulder dislocations using traction-countertraction

[Vania]

Traction-countertraction is often used to reduce anterior shoulder dislocations. The most commonly used traction-countertraction method requires one or more assistants, physical force, and occasionally, endurance. Procedural sedation and analgesia (PSA) usually is needed.
Traction-countertraction is no longer a first-line method for reduction but is still somewhat popular, owing mainly to its high success rate, safety, operator comfort, and mostly, tradition. It remains a reliable alternative technique.
(See also Overview of Shoulder Dislocation Reduction Techniques, Overview of Dislocations, and Shoulder Dislocations.)