What is Kocher method?

In the Kocher method of reducing a dislocated shoulder joint, the affected arm is pulled in the direction of the arm’s longitudinal axis, followed by external rotation of the limb. The arm is then adducted until a pop is heard or felt, signifying that the shoulder has relocated back to its normal position.

How do you fix an anterior shoulder dislocation?

Techniques commonly used to reduce anterior shoulder dislocations include the following [34, 35, 36, 37, 38, 39] :

1. Stimson maneuver.
2. Scapular manipulation.
3. External rotation.
4. Milch technique.
5. Spaso technique.
6. Davos technique.
7. Traction-countertraction.

How do you reduce anterior inferior shoulder dislocation?

To reduce an inferior shoulder dislocation, extend the arm at the elbow and then apply overhead traction in the longitudinal direction of the humerus, an assistant may also apply cephalad pressure over the humeral head to help guide it into the joint.

Which method is safest for reducing an anterior shoulder dislocation?

The double traction method is distinctive compared to other manual relocation maneuvers in that the patient’s arm is kept at the same position throughout the whole procedure. This maneuver is an easy and safe reduction method for anterior shoulder dislocations, even for non‐orthopedic surgeons.

What is the Stimson technique?

In the Stimson technique (hanging weights technique), the patient is prone on the stretcher with weights attached to the affected arm, which hangs from the side of the stretcher. Intra-articular anesthetic or other analgesia is required.

How can you tell the difference between anterior and posterior shoulder dislocation?

Shoulder dislocations are usually divided according to the direction in which the humerus exits the joint:

1. anterior >95% subcoracoid (majority) subglenoid (1/3) subclavicular (rare)
2. posterior 2-4% 2
3. inferior (luxatio erecta) <1%

What is the fastest way to heal a dislocated shoulder?

Lifestyle and home remedies

1. Rest your shoulder. Don’t repeat the specific action that caused your shoulder to dislocate, and try to avoid painful movements.
2. Apply ice then heat. Putting ice on your shoulder helps reduce inflammation and pain.
3. Take pain relievers.
4. Maintain the range of motion of your shoulder.

Why anterior dislocation of shoulder is common?

Anterior Shoulder Dislocation It is the most common dislocation and is caused by the arm being positioned in an excessive amount of abduction and external rotation. In this position, the inferior glenohumeral complex serves as the primary restraint to anterior glenohumeral translation.

Which of the following is the most common complication associated with an anterior shoulder dislocation?

The most common complication of an acute shoulder dislocation is recurrence. This complication occurs because the capsule and surrounding ligaments are stretched and deformed during the dislocation. Age is the most important indicator for prognosis; dislocations recur in approximately 90% of teenagers.

Why is anterior shoulder dislocation most common?

How do you stop an anterior dislocation?

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.

How do you fix a dislocated shoulder without surgery?

Doctors recommend using a sling or brace to immobilize the affected arm and shoulder for four to six weeks to allow the muscles and other soft tissues to rest and heal. During the first 2 days, applying an ice pack to the shoulder 3 times a day for 15 to 20 minutes may reduce swelling and ease pain.

How to reduce an anterior shoulder dislocation-YouTube?

Here we describe a two-step reduction as a variant of the method desscribed by Nho et al in 2006 for inferolateral dislocations. In this technique, the inferior dislocation is converted to an anterior dislocation (step 1), which is subsequently reduced (step 2). This knowledge is for medical personnel only.

Can a Kocher’s technique reduce a dislocated shoulder?

Also, you won’t be able to reduce your patient’s dislocated shoulder! That’s not Kocher’s! The first manoeuvre of Kocher may well reduce the shoulder, especially when combined with the first analgesic position due to the glenoid rim moving backwards and removing the obstruction to the returning head.

When to use self reduction for shoulder dislocation?

Early reduction is recommended to be performed when dislocation has occurred, so to reduce the amount of muscle spasm that must be overcome and minimise the amount of stretch and compression of neurovascular structures (4). Self reduction can be performed by the patient as noted by studies carried out by Parvin in…

How to reduce dislocation in the upper arm?

Move arm so it is adducted and elbow flexed at 90 degrees and have patient’s hand rest on operator’s upper arm or shoulder o Apply gentle traction downwards while massaging trapezius, deltoid, and biceps until reduction occurs but typically no sound or “clunk” is felt. o https://www.youtube.com/watch?v=MkdCGV_MOCM Stimson

https://www.youtube.com/watch?v=2wiIlT6_YLM