Khitish Mohanty Remaining 51 patients had one attempt of the reduction under sedation in emergency department, three cases were not successful. Importantly, no propagation of fracture occurred in those cases and no injury to surgical neck was noted on the radiographs taken after the failed manipulation. These three patients required a general anaesthesia, and a closed reduction was successful in all three cases. There was no difference in size of tuberosity fragment, fracture commination or patient age between those reduced under sedation and those reduced under anaesthesia Khitish Mohanty. There were 33 patients with an anterior shoulder dislocation and a fracture of a surgical neck of a humerus Khitish Mohanty. In 28 cases, there was an additional greater tuberosity fracture, and in further four cases, there were fractures of both greater and lesser tuberosities. Eleven of those patients had an attempt of reduction undertaken under sedation in emergency department.