Rowley
To understand it get a couple of bones and try it out using whichever
technique you use
The scap manip technique , instead of pulling the humeral head over the
glenoid and aggravating all those large shoulder muscles, slips the
glenoid under the humeral head
I best visualized showing some students with the shoulder girdle of dave
the department skeleton
Shane Curran
Whose preferred technique was scapular manipulation, but has decided
that with appropriate use of propofol the technique doesn't really
matter
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Rowley Cottingham
Sent: 27 January 2006 00:54
To: [log in to unmask]
Subject: Re: Post reduction x-rays for anterior shoulder dislocation
Here's a hint. If you see a doctor either ask for a towel or take a shoe
off, run a mile or offer to take over.
Traction forms no part of any sensible way to reduce the shoulder. The
one
I'd really like to try but can't get my head round is scapular rotation.
That seems nicest by far.
Best wishes
Rowley.
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Doc Holiday
Sent: 25 January 2006 08:31
To: [log in to unmask]
Subject: Re: Post reduction x-rays for anterior shoulder dislocation
>Kocher's manoeuvre consists of the patient slowly actively externally
>rotating their shoulder, flexing to 90 degrees, then internally
rotating.
>It is difficult to imagine how this could cause a significant fracture.
--> I believe a couple on this list have REPORTED seeing #'s, hence no
--> need
to imagine...
>The technique of applying traction, flexing the elbow to 90 degrees and
>using the forearm as a lever to forcibly produce external rotation was
not
>described by Kocher.
--> I neve said it was DESCRIBED by him. I was not there, so I have no
--> idea
what he said. I DO, however, know the Kocher method I was shown as a
junior
and see people doing now. I have NEVER taught anyone this method, so I
will
accept no blame for them doing it this way. You will not believe how
rare it
is to see it done the way you (and, as you say, Kocher) describe it
above
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