Reduction of skiing-related anterior shoulder dislocation using Kocher's method without traction

Autor: S I, Berkenblit, M B, Hand, W R, MacAusland
Rok vydání: 2000
Předmět:
Zdroj: American journal of orthopedics (Belle Mead, N.J.). 29(10)
ISSN: 1078-4519
Popis: We evaluated the use of Kocher's original method (without humeral traction) for reduction of acute anterior glenohumeral dislocation in 28 alpine skiers and snowboarders at a single ski area during the 1995-1996 ski season. In all cases, reduction was begun within 1 hour of the acute injury. The Kocher method alone was successful in 23 (82%) patients. Of the patients having a successful reduction by means of the original Kocher technique, the mean reduction time was less than 5 minutes, and 9 (39%) of the reductions were achieved in less than 1 minute. Only 1 patient experienced discomfort significant enough to require analgesia, and no patients required sedation. The complication rate was minimal, with 1 patient developing hyperesthesia in the axillary nerve distribution; no fractures of the humerus or glenoid resulted from the reduction technique.
Databáze: OpenAIRE