Kocher's Technique Demonstration - learn how to perform this 1870 technique perfectly
* 환자 상태: Subcoracoid injury only and intack Great tuberosity of shoulder
(View Youtube. Shoulder Dislocation)
Analgesic Position 1
- This is the position at which the stretch on the capsule is reduced, and the operator takes over control of the affected limb, allowing the patient to reduce their spasm.
- A stretched capsule provides a nasueating visceral type of pain and a move to the analgesic position results in a marked reduction of pain and disress.
- It is achieved by a combination of humeral adduction, a 'hold', and voluntary retroversion of the scapula.
Hold
takes control of limb and reduces visceral pain from stretch.
Troubleshooting shoulder relocation - for a reduction algorithm go to dislocation.com.au
Kocher's method of relocating a dislocated shoulder. For full detail go to dislocation.com.au
Position - fully adduct humerus, "chest out", shoulder back, relax"
Manoeuvre 1 - with wrist supinated, externally rotate until resistance is felt
Manoeuvre 2 - move the humerus forward in the sagittal plane
Manoeuvre 3 - internally rotate
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