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  • Title: Reduction of skiing-related anterior shoulder dislocation using Kocher's method without traction.
    Author: Berkenblit SI, Hand MB, MacAusland WR.
    Journal: Am J Orthop (Belle Mead NJ); 2000 Oct; 29(10):811-4. PubMed ID: 11043967.
    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.
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