The Forward Elevation Maneuver For Reduction Of Anterior Dislocations Of The Shoulder

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Journal of Orthopaedics

Dislocations of the shoulder account for almost 45% of all dislocations with almost 90% being the anterior subtype.1 A chronic unreduced shoulder dislocation is a rare entity in orthopaedics, with only few cases being reported in the literature.2 Rowe and Zarins used 3 weeks to define chronicity because closed reduction is seldom possible after

Bradley C. Carofino, M.D.

Progress to light weights (5-10lbs) of forward elevation in scapular plane. Phase V (Lifetime) I hope you are satisfied with your shoulder. It has been my pleasure being your surgeon. I recommend stretching your shoulder 3-5 times per week to maintain good joint health and to

Disorders of the Upper Extremity

Dislocations of the AC joint result from a direct fall onto the anterior shoulder. Management of this condition is determined by the extent of the dislocation. Specific treatment for this problem is covered in Chapter 9. AC Joint Arthritis With advancing age, there is an increased risk of AC joint arthritis, which may be interpreted as shoulder

Karen M. Myrick, DNP, APRN, ANP-BC, FNP-BC, APRN Nurse

Elevate shoulder to 90 degrees, flex elbow to 90 degrees, and place forearm in neutral Support arm and then internally rotate humerus Pain during this maneuver is a positive test indicating possible inflammation or rotator cuff tear Hawkins Impingement Sign

Intermediate outcomes following percutaneous fixation of

reduction maneuver, a small (1 to 2-cm) portal incision was made, through which a blunt elevator was introduced to manipulate the fragments. This re-duction portal is located inferior to the anterolateral corner of the acromion at the level of the surgical neck. After an adequate reduction was confirmed

Dr. JS Kirsten Louis Leipoldt Medical Centre Room 333

Chronic anterior traumatic dislocations Reduction and analgesia Dislocated for several days. Difficulties and complications with reduction. Commonly in elderly people or altered mental status. Soft bone. Humeral head firmly impaled on glenoid. Careful for Kocher maneuver.

A Case Report & Literature Review Dislocation and Instability

The patient had no further shoulder dislocations over the next year but did have symptoms of instability for 6 to 8 months. She gradually improved active and passive ROM to 120° of forward flexion, 30° of external rotation, and 90° of abduction. DisCussion Dislocation after arthroscopic capsular release has not been reported in the literature.

Original Contributions

e Abstract The Spaso technique consists of forward flex-ion, external rotation, and gentle traction for the reduction of anterior shoulder dislocations with the patient in the supine position. The aim of this prospective study was to assess clinical efficacy of the Spaso technique and to evaluate its complications.


Reduction Techniques: Traction-countertraction Stimson maneuver Scapular manipulation External rotation Milch technique Spaso technique Signs of Successful Reduction: Palpable or audible clunk Return of rounded shoulder contour Relief of pain Increase in range of motion

Proximal Humerus Fractures

Apr 02, 2016 dislocations Some 3-part fractures CRPP Contraindications CRPP Contraindications CRPP Technique Proper patient positioning is essential. Use regular table not beach chair Preoperative trial reduction Plan maneuver and position c-arm properly Have all Pins (2.5 mm terminal thread pins) Have all screws (4.0 AO cannulated)

Research Article Reducing Shoulder by Vertical Traction: A

scapular manipulation and Milch maneuver [, , ]. e forward elevation for reduction of anterior shoulder dislocations in an accident

Glenohumeral Dislocation

The shoulder typically is in the position of adduction, flexion, and internal rotation. Electric shock or convulsive mechanisms may produce posterior dislocations owing to the greater muscular force of the internal rotators (latissimus dorsi, pectoralis major, and subscapularis muscles) compared with the external rotators of the shoulder

Anterior Dislocation of the Shoulders With Bilateral Brachial

Reduction of anterior dislocation of the shoulder can be achieved after adequate analgesia and sedation by a number of methods, the more com- monly performed being the forward elevation maneuver, 9 Stimson's method, 14 and Kocher's maneuver. The incidence of reported neuro- logic sequelae after anterior disloca-

Arthroscopic Acromioclavicular Fixation With Suture Tape

Fig 1. Right shoulder of patient in the beach chair position. Portals are skin incisions marked preoperatively: posterior portal (A) as a viewing portal, anterior portal (B) as a working portal, lateral portal (C) as a viewing portal, and anterior acromioclavicular joint portal (D) as a working portal for acromioclavicular fixation. Fig 2.

Treatment of Neglegted Sternoclavicular (SC) Dislocation with

the shoulder girdle.1 Anterior sternoclavicular dislocations outnumber posterior dislocations by a ratio of 20:1, due in part to the greater strength of the posterior sternoclavicular ligament over its anterior counterpart.2 In fact, posterior sternoclavicular dislocations are so rare that approximately 100 cases have been

Reduction of anterior dislocation of the shoulder: the Spaso

shoulder dislocation reduction, JACEP 1979:8:528-31, 5, McNamara RM, Reduction of anterior shoulder dislocations by scapular manipulation, Ann Emerg Med 1993:22:1 140-4. 6, Janecki CJ, Shahcheragh GH, The foi^ard elevation maneuver for reduction of anterior dislocations of the shoulder, Clin Orthop 1982:164:177-80,

外傷性肩関節脱臼に対する挙上整復法の - JST

The forward elevation maneuver for reduction of dislocations of the shoulder by H. Ito, Y. Shirai, K. Ii, M. Yokouchi, M. Ishikawa T. Shibasaki and T. Sawaizumi Department of Orthopaedic Surgery, Nippon Medical School. Methods of reduction of anterior dislocations of the shoulder have commonly used the Kocher or Hippocratic maneuvers.


pression, encountering 44 locked anterior and 17 locked posterior dislocations. These injuries frequently are associated with seizures or ma- jor trauma. Seizures are the causative factor in one third of all locked posterior dislocations and half of locked anterior dislocation^.^ Half of all dislocations associated with seizures are anterior.