AI Article Synopsis
- Shoulder dislocation is the most prevalent large joint dislocation, and traditional reduction methods like Kocher's and Hippocratic techniques may pose significant risks despite their continued use in practice.
- Recent advancements in imaging and surgery highlight the dangers associated with these outdated methods, emphasizing the need for better awareness among non-specialists.
- The article reviews the clinical presentation of shoulder dislocations, assesses various reduction techniques, their risks and success rates, and suggests contemporary, safer methods for trainees to adopt.
Article Abstract
Shoulder dislocation is the most common large joint dislocation in the body. Recent advances in radiological imaging and shoulder surgery have shown the potential dangers of traditional reduction techniques such as the Kocher's and the Hippocratic methods, which are still advocated by many textbooks. Many non-specialists continue to use these techniques, unaware of their potential risks. This article reviews the clinical and radiographic presentation of dislocation; some common reduction techniques; their risks and success rate; analgesia methods to facilitate the reduction; and postreduction management. Many textbooks advocate methods that have been superceded by safer alternatives. Trainees should learn better and safer relocation methods backed up by the current evidence available.
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| http://dx.doi.org/10.1136/bjsports-2012-091300 | DOI Listing |
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