Spaso reductions and immobilisation

Spaso shoulder reduction technique

  • Anterior shoulder dislocation
  • Posterior shoulder dislocation
Spaso shoulder reduction technique

Volar Backslab

  • Volar plate avulsion fractures
  • Phalangeal fractures
  • Metacarpal fractures
Volar Backslab Application Video

Thumb Spica

  • 1st Metacarpal fracture
  • Scaphoid fracture (in some shops)
Thumb Spica Application Video

Below Elbow Backslab / Colles / Smith fracture

  • Scaphoid fracture (in our shop)
  • Buckle fracture involving the volar surface
  • Distal radius fracture (Colles and Smith)
Below Elbow Backslab Application Video / Colles Reduction
Below Elbow Backslab Application Video / Smith Reduction

Below Knee Backslab

  • Multiple metatarsal fractures
  • Base of 5th fractures that are not avulsion fractures
  • Weber A+B ankle fractures
  • Bi / Tri-malleolar fractures
  • Calcaneal, Tarsal, cuboid, cuneiform fractures
Below Knee Backslab Application Video

Additional Resources
Vimeo showcase
Further reading

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.”

Spaso: “I don’t do websites, but I do want a video of me doing my technique properly, someone did a video on that ‘you tube’ thingy and they got it wrong.”

Me: “No problem, we’ll set the universe back into its natural order.”

Spaso: “Great, I can then die a happy man.”

Me: “So I’ll email you a time and date…… or phone?”

Spaso: “I don’t do emails or phones.”

Me: “…….umm….. I’ll blow a horn?”


Dr Neil Long BMBS FACEM FRCEM FRCPC. Emergency Physician at Kelowna hospital, British Columbia. Loves the misery of alpine climbing and working in austere environments (namely tertiary trauma centres). Supporter of FOAMed, lifelong education and trying to find that elusive peak performance.

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