Generally speaking, if an accident occurs in life and causes the shoulder joint to be dislocated, timely reduction treatment is required, otherwise it will affect the movement of the limbs. The more common and common treatment is manual reduction, such as the foot pedal method, Koch method, etc. 1. Hippocrate's method The patient lies on his back, the surgeon is on the affected side, holds the wrist of the affected limb with both hands, places the heel in the armpit of the affected side, and uses steady and continuous traction with both hands, pushing the humeral head outward with the heel while rotating and adducting the upper arm to reduce the position. A sound can be heard when resetting. 2. Kocher's method This method is easier to succeed when the muscles are relaxed. Do not use excessive force to prevent the humeral neck from being subjected to excessive torsional force and causing fractures. Technique steps: Hold the wrist with one hand, bend the elbow to 90 degrees to relax the biceps, hold the elbow with the other hand, continue to pull, slightly abduct, gradually rotate the upper arm outward, then adduct so that the elbow is along the midline of the chest wall, and then internally rotate the upper arm, now it can be repositioned. And noises can be heard. 3. Traction massage The injured person lies on his back, one assistant covers the chest with a sheet and pulls it toward the healthy side, the second assistant covers the affected limb with a sheet through the armpit and pulls it outward and upward, the third assistant holds the wrist of the affected limb, pulls it downward and rotates it outward and adducts it inward, and the three assistants pull slowly and continuously at the same time. The surgeon uses his hand under the armpit to push the humeral head outward and reduce it into position. Two people can also do traction reduction. |
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