title: Reduction of skiing-related anterior shoulder dislocation using Kocher's method without traction.
abstract: We evaluated the use of Kocher's original method (without humeral traction) for reduction of acute anterior glenohumeral dislocation in 28 alpine skiers and snowboarders at a single ski area during the 1995-1996 ski season. In all cases, reduction was begun within 1 hour of the acute injury. The Kocher method alone was successful in 23 (82%) patients. Of the patients having a successful reduction by means of the original Kocher technique, the mean reduction time was less than 5 minutes, and 9 (39%) of the reductions were achieved in less than 1 minute. Only 1 patient experienced discomfort significant enough to require analgesia, and no patients required sedation. The complication rate was minimal, with 1 patient developing hyperesthesia in the axillary nerve distribution; no fractures of the humerus or glenoid resulted from the reduction technique.
authors.affiliation: Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.
authors.forename: S I
authors.initials: SI
authors.lastname: Berkenblit
authors.forename: M B
authors.initials: MB
authors.lastname: Hand
authors.forename: W R
authors.initials: WR
authors.lastname: MacAusland
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008875:Middle Aged; D012783:Shoulder Dislocation / Q000209:etiology / Q000628:therapy*; D012865:Skiing / Q000293:injuries*