Painless reduction of shoulder dislocation by Kocher's method

Efficacy of the assisted self-reduction technique for acute anterior shoulder dislocation

“…Most investigators agree that the main problem in treating shoulder dislocations arises by the muscular contraction which accompanies all shoulder dislocations making the reduction difficult and painful [4,5,9,10,[12][13][14][15][16].…”

“…The traction, described in a large number of technique raises several problems: the pain caused by the traction increases the muscle contracture making the reduction trying and poorly tolerated by patients [4,5,9,10,[12][13][14][15][16][17]; it increases the risk of procedural complications such as humeral neck fractures (mainly in osteoporotic bones), brachial plexus and axillary nerve damage [4,5,7,9,10,[12][13][14][15][16][17][18]. Although unusual, the literature describes occasional risks for the operator: Pimpalnerkar et al [19] observed the case of a resident orthopaedic who suffered a total pectoralis major tendon rupture while tractioning a dislocated shoulder.…”

“…The ''original'' traction-free Kocher's method [11] to perform the reduction of a shoulder dislocation has been recently reviewed by many authors with excellent results regarding the success rate and the control of the pain [12][13][14][15][16]. Some authors speculated that it can be self performed by patients under the guide of the physician, in this way, it can be considered an ''assisted self-reduction'' technique and it results both effective and simple to perform [12,13].…”

Estudo transversal sobre os diferentes métodos de tratamento das luxações traumáticas glenoumerais: a cross-sectional study

“…Existe um grande número de técnicas para redução da luxação anterior do ombro. Além disso, foram também feitas inúmeras variações de técnicas clássicas que foram descritas por Kocher (13,14) , Milch (15) , Stimson (16,17) e Bosley (18) . Em nosso estudo a técnica mais utilizada foi a de tração e contratração, também muito empregada em outros países (9) , seguida pela de Kocher.…”

A simple and universal method for reduction of dislocation of the shoulder

“…Of the two popular methods of reduction of anterior dislocation, Kocher's procedure is not recommended for routine use because of the potential complications [2]. The modified Kocher's method recently described by Thakur et al [3], is not always successful. The Hippocratic method [1] is the most commonly used.…”