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Various non-operative reduction techniques are employed. They have certain principles in common, including gentle in-line traction, reduction or abolition of muscle spasm, and gentle external rotation. They all strive to avoid inadvertent injury. Two of them, the Milch and Stimson techniques, have been compared in a randomized trial. [3]
Shoulder dislocation is a common complication of upper limb trauma (arm pulled while in abduction or direct impact to shoulder) resulting with the humeral head sitting anteriorly out of the glenoid fossa. Technique is as follows: [2] Step 1 Sit patient up (without slouching, towel or pillow down spine) and place into analgesic position. ‘Hold ...
The Spencer technique (also known as the "7 stages of Spencer") is an articulatory technique used in Osteopathic medicine to help relieve restriction and pain at the shoulder. [1] Although variations exist, normally 7 steps are included. [2] Indications for the Spencer technique include adhesive capsulitis. [3] The following is a common ...
Shoulder reduction may be accomplished with a number of techniques including traction-countertraction, external rotation, scapular manipulation, Stimson technique, Cunningham technique, or Milch technique. [1] [3] Pain can be managed during the procedures either by procedural sedation and analgesia or injected lidocaine into the shoulder joint ...
Post-reduction x-rays confirm successful joint alignment and can identify any injuries that may have been caused during the reduction procedure. [ 17 ] If initial X-rays are normal but additional injury is suspected, there may be a benefit of obtaining stress/weight-bearing views to look for injury to ligamentous structures and/or need for ...
The Latarjet operation, also known as the Latarjet-Bristow procedure, is a surgical procedure used to treat recurrent shoulder dislocations, typically caused by bone loss or a fracture of the glenoid. The procedure was first described by French surgeon Dr. Michel Latarjet in 1954. [1]
Modern variations of the procedure may use additional fixation methods to better stabilize the distal clavicle end as the original construction is rather weak compared to the unharmed shoulder. Even with these modifications, the modern surgeries do not match intact coracoclavicular ligament strength in cadaveric testing. [ 3 ]
The hardening of the shoulder joint capsule is central to the disease process. This is the result of scar tissue around the joint capsule. [14] There also may be a reduction in synovial fluid, which normally helps the shoulder joint, a ball and socket joint, move by lubricating the gap between the humerus and the socket in the shoulder blade.
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