Kocher's painless reduction of anterior dislocation of the shoulder: a prospective randomised trial.
Forty-five patients with an anterior dislocation of the shoulder were randomised into one of two treatment groups and manipulation performed using Kocher's original method (without traction). A successful reduction was achieved in 80.9% of patients administered Entonox only and in 100% of patients sedated intravenously. No statistical significance was found in the pain scores between the two groups. The study shows that Kocher's original method is a reliable technique for reducing anterior dislocation of the shoulder and a successful outcome can be expected using nitrous oxide only, obviating the need for intravenous sedation and analgesia in the majority of patients.
Uglow
M G
MG
Southampton General Hospital, UK.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019162:Anesthetics, Combined; D018686:Anesthetics, Intravenous; D006801:Humans; D008349:Manipulation, Orthopedic / Q000379:methods*; D008874:Midazolam; D008875:Middle Aged; D009020:Morphine; D009609:Nitrous Oxide; D010100:Oxygen; D010147:Pain Measurement; D011446:Prospective Studies; D012783:Shoulder Dislocation / Q000628:therapy*; D016896:Treatment Outcome
D019162:Anesthetics, Combined; D018686:Anesthetics, Intravenous; C001147:Entonox; D009020:Morphine; D009609:Nitrous Oxide; D008874:Midazolam; D010100:Oxygen