어깨 탈구 및 정복 - Kocher's Technique

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

https://youtu.be/WUWVQkwiC7g

Kocher's method of relocating a dislocated shoulder. For full detail go to dislocation.com.au

https://youtu.be/jD0eAuctHoo

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