Hippocratic Shoulder Reduction
Shoulder reduction is the process of returning the shoulder to its normal position following a shoulder dislocation. Normally, closed reduction, in which the relationship of bone and joint is manipulated externally without surgical intervention, is used. A variety of techniques exist, but some are preferred due to fewer complications or easier execution. In cases where closed reduction is not successful, open (surgical) reduction may be needed. X-rays are often used to confirm success and absence of associated fractures. The arm should be kept in a sling or immobilizer for several days, prior to supervised recovery of motion and strength.
Note: The Hippocratic method for shoulder reduction, though “classic,” is not a commonly used technique. Increases risk of axillary nerve injury. Many other safer and more effective techniques available, including reduction under sedation.
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