Shoulder Reductions

elbow technique (new!)
Screen Shot 2019-07-19 at 10.02.36 AM

self-reduction
Screen Shot 2019-07-19 at 10.11.15 AM.png

scapular rotation: scapular tip pushed medially, acromion inferiorly (open-book)
Screen Shot 2019-07-19 at 10.03.07 AM

vertical pull (Spaso): lift arm vertically, fully externally rotate, and pull toward ceiling
Screen Shot 2019-07-19 at 10.02.05 AM

external rotation (Kocher): slowly rotate externally with humerus parallel to torso, then maintain externally rotate until cross midline
Screen Shot 2019-07-19 at 10.06.58 AM

lateral extension (Milch): while externally rotated and providing traction on the humerus, slowly extend laterally until above 90′
Screen Shot 2019-07-19 at 10.18.35 AMScreen Shot 2019-07-19 at 10.18.45 AMScreen Shot 2019-07-19 at 10.18.53 AM

traction-countertraction: tie sheets so that traction is pulled on humerus while body in place
Screen Shot 2019-07-19 at 10.20.21 AM.png

passive traction (Stimson): apply weight to extremity while pt prone (for young healthy pts only)
Screen Shot 2019-07-19 at 10.23.53 AMScreen Shot 2019-07-19 at 10.32.51 AM

oscillating method (Fares): while keeping traction, oscillate up and down while slowly extending laterally. Best if kept extremity in external rotation.
Screen Shot 2019-07-19 at 10.25.43 AMScreen Shot 2019-07-19 at 10.25.52 AMScreen Shot 2019-07-19 at 10.26.09 AM

up-close-and-personal (Cunningham): pt’s hand on your ipsil shoulder, put downward pressure on their elbow. With free hand, massage biceps and rotator cuff muscles.
Screen Shot 2019-07-19 at 10.33.54 AM

 

POSTERIOR dislocation traction-countertraction:
Screen Shot 2019-07-19 at 10.37.26 AM

INFERIOR dislocation traction-countertraction:
Screen Shot 2019-07-19 at 10.39.11 AM.png

 

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