Shoulder Dislocation Reduction

[0aiwas0]

i thought this is kochers method, am i wrong

[tatarjr49]

Hey Doc, ex american football player here, my both shoulders are dislocating constantly(300+ times so far) and I learned to live with that.

What I'm wondering is I usually relocate them by trapping the dislocated shoulders' elbow under my pecs(which are muscley/bumpy) to create a natural leverage point, than pull on the elbow, hence creating room for the shoulder head which now slides back into its socket. At least thats what I hope I'm doing. Will this cause me trouble down the road?

[sameotoko]

@tatarjr49 it will. you're risking either a Bankart or SLAP injury. Both are avulsions of the labrum, which is the cartilage surrouding the glenoid cavity of the capula to give it depth, albeit in distinct geographical locations. You're also risking fracture of the bony rim of the glenoid when reducig the dislocation, although less likely. There's also the risk of a Hill-Sachs lesion, which I believe you already have and is the cause of your frequent dislocation. email me so I can tell you more

[anthonyoshea3308]

@sameotoko I dislocated my shoulder in an car accident about 5 years ago(age 18), it then dislocated a further 4 times that same year. i was told my case was borderline as to whether surgery or physiotherapy was the best option to treat injury properly. i done several months of physio which stopped the dislocating. my shoulder feels about 99% normal but they said based on x-rays the a/c joint isint alligned normally and it could be a problem when im an old man. Should i get it looked at again?

[anthonyoshea3308]

@anthonyoshea3308 the reason i asked is my shoulder kind of stops at a 90 degree angle if i was lifting a weight downwards from over the height of my head (like a high shelf), but if i was to lift it up again lean slightly forward and move my elbows closer together i could bring it down easily, should i be worried about this?

[realitytev]

When I tore my labrum my arm was all the way out and I had to carry it. I couldntp put it back in my self an the doc did this to put it back in. Hurt like hell and I was like him. But I bonly had the first half happen. Now it pops out when ever it feels like it an I jus relaxas much as I can, step on my fingers to stretch it out and it goes in by its self. Freakin sucks

[ciokoye]

He look like he bout to die lol

[lordkpe]

ESTA ES LA MANIOBRA DE KOCHER ^^

[Alan89486]

I dislocated my shoulder seven times and popped back in, first was terrible , during a fight and it stayed like that for a good 5minutes

Then soccer, soccer , soccer and one day at the park playing volleyball with some people I reached out back and bam that's when it hit me hard, ambulance,hospital I got 8 injections of morphine and then the strong injection I forgot what it was and yeah they came an hour or two later and put it back, wow I'll never forget the pain, but I was telling my broth

[Prodribbler360]

His a man

[espartano1234567]

shittt!!! that boy should be under anesthesia

[SuperDeepFeel]

i think this method called "Kocher's method"

[oniez87]

@SuperDeepFeel

Yes, its definitely kocher method.

[silatk]

@SuperDeepFeel Not Kocher it is actually a modified technique but not Kocher. The beggining could be identified as such but not the rest of the technique.

[sameotoko]

Stimson's deffinitely. No patient can reduce their own shoulder dilocation on the first event. If they do, they've suffered it a number of times and there is a ropture of the anterior glenohumeral ligaments and joint capsule, which accounts for the joint laxitude. Have the patient lie on their belly with the arm hanging at the side of a table and attach about 10-12 lbs to tje wrist. Leave it there and wait for the joint to reduce

[smitty121981]

@sameotoko

you stated that "No patient can reduce their own shoulder dilocation on the first event." but actually I was able to the very first time. However, since you and all other doctors apparently think this is impossible, I was not given proper treatment (no one believed it actually dislocated) and the problem became horrible (recurrent) and I saw around 10 doctors and physical therapists until finally 4 years later I found a doctor willing to treat it with a Bankart repair.

[Oviner123]

That kid needs some nutrition!

[TheNixon5000]

That's a great technique!! Looks very safe for the patient. There's not much force used. Like it!! Thumbs up!!!

[TeknikZMaasterZ]

i taught that i had dislocated shouilder but it was broken haha xddd

[kobesoft]

solo el que ha sentido ese dolor deberia de opinar.. es terrible, peor q el de una frac

[DrugstoreCFH]

Where's the MORPHINE????

[sameotoko]

@alphabex..... did you read that I AM the one performing the maneuver and that I uploaded this video several years ago?

[MarcosdeMarcia]

que maricon para el dolor este wey

[KazumiSarahy]

Shit, this was a related video to Blitz the League 2? He's not out for any more plays now.

[sameotoko]

@elizabethclarisa no, the stimson maneuver is done with the patient lying on their stomach and the arm hangin down at the side of the table, with weight. And i'm a doctor

[xBreakxSilencex]

@sameotoko Is the stimson maneuver okay to do?

[sameotoko]

@xBreakxSilencex It is, but it has its own very specific indications. For one, I tend to reserve it for ver old patients. Kocher's maneuver poses a risk for a spiroid fracture o fthe proximal humeral shaft in these patients. The hypocratic maneuver can result in avulsion of the greter tuberosity of the humerus and sometimes neurological damage from pressure to the axilar nerve. Stimson's is less traumatic, but also less likely to work.

[xBreakxSilencex]

@sameotoko I just took a wilderness first aid course, and what was suggested for shoulder dislocations was either to use the stimson maneuver or have the patient pull his arm himself. Which do you suggest I should try first?

[hypertune483]

I remember when they put my shoulder back in I heard and felt a CLUNK and I was told it would instantly feel better...no it was sore for a long time. It has been 4 1/2 months and it still hurts sometimes.

[poncekid56]

I think something is messed up with my shoulder haha, if I move it a certain way it pops and I can feel the joint move. Sometimes when I reach for something it feels like my arm is about to pop out. I haven't broken the bone or had any dislocations

[predador84]

Mel Gibson does it faster...

[dislocateDshoulder89]

I dislocated my shoulder 4 months, three weeks ago, and it hasnt got better since, my shoulder now, cracks, snaps, clicks, and goes unstalbe whenever doing any simple task. all the stability i had before is long gone, all the power i had in my shoulder is long gone, i now cant even reach out to any over position, i can move the head of my humures at will, this injury is worst than death, when you die, you dont move ur shoulder, when you dislocate it, you DONT move it too.

[Miee05]

What is the difference between Kocher method?

[laursanta]

put it back in yourself

[heroinharold]

I've dislocated my shoulder 10 times and I'm 22, just shattered my opposite arms elbow. life is peachy

[davfritz]

brave patient, smart doctor

[James92802]

Having gone through that -- I don't know what else that doctor can do but that was fantastic...... This should be required viewing for US Army doctors.

[TDSUSERS]

Dont you hate thoes people who come outta no were and say "This doesnt hurt! i Dislocated my shoulder too and i Pushed it back in my self!"

[Raidan988]

@TDSUSERS the first time is painful or course. after the 10th time you say to yourself, "aw crap, again. *sigh*" it also depends on how to dislocate it. When I dislocate throwing a football or something its pretty painful, but if im lifting or swinging my arms and it dislocates its just uncomfortable

[TDSUSERS]

@Raidan988

LOL distlocate throwing a football? Drink some milk

[bangyourehead]

i pull my arm back in myself.

when u are having this problem

just pul ur arm up and it will pop back in

sometimes this doesnt work then u have to go to the dokter

[bangyourehead]

now thats!!! a top dokter right there!

here in focking holland they just pull on ur arm as hard as they can and they dont do shit here fock holland hate this fuck hole my sholder dislocated 16 times and they dont do any focking shit about it fock thisa!@

[betitopark]

my nephew can twist his thumb backwards

[sameotoko]

@betitopark good for him

[sonnyafrica1]

i recently dislocted my shoulder and really upset about it, its much like of being hadicapped, im doomed,

anyway, if you dislocated your shoulder just send me a message, i really want to benefit from your experience, as already worried about it, the internet stories are crazy, you read how many times people re dislocate their shoulderss..

share me the experience, im over

[videogamerskater91]

@sonnyafrica1 i have a dislocation problem on my left shoulder from skating and it hurts like hell i dislocated it today and yesterday it happened today bcus i was laying on my side and holding my head up with my left hand then crackkk my shoulder pops out the pain is so emmence. ive been skating for 11 years and i think i just jepordized it with my shoulder problems. ive dislocated it over 20 times.

[futb0lista7777777]

@sonnyafrica1 i bet your better it happened to me and i know how you feel..however i was extremely upset b/c i enjoy working out..& b/c of my shoulder i couldnt workout for mre than a month..hope your better!

[jigglypuuu69]

hahahah pussy

[fhdjskalg]

How to put it back YOURSELF with MINIMUM pain?

1st: Take several deep breaths and relax to slow your heart and relax your muscle around shoulder

2nd: Find a bench or table or anything that you can lay your chest on.

3rd: Put your dislocated side of your hand pointing down to the ground. Let it hang downward by its own weight.

4th: Keep breathing and relaxing. Your shoulder will get back in a few minutes.

That way you can put back in yourself with less pain and less damage on ligament and bone.

[sameotoko]

@fhdjskalg That's the hipocratic meneuver, and it does a LOT of damage....

[elizabethclarissa]

@sameotoko no, it is called the stimson technique, and according to my readings it is ok. Done by doctors too. But a doctor wud usually put 5-10 pounds of weight around the wrist of the patient as the arm is hanging.

Again, it is simple, with minimal trauma and almost no pain.

[MrPsychic8472]

@elizabethclarissa Assuming you're in that position to begin with. I'm allergic to morphine so they tried that way on me, I couldn't roll off my back to get into that position.

[silentnite1313]

@fhdjskalg i sit on the ground, pull my knee up, interlace my fingers around my knee, then slowley lean back and extend my knee at the same time. its dangerous to do. but ive done it in the middle of a football game and kept playing. worst decision of my life.

[turgore]

@fhdjskalg that works only for posterior !!!

[evimd]

Es eso para anterior o posterior dislocacion?

[soytomikka]

Me da nervios mirar esto. Ya me ha pasado y es horrible. Ya nome animo nadar;;; yo tirar cosas con fuerza?.. ya me da panico!.

[LaGaleriaDeQueen]

que alegria cuando ya te sientes que el hueso está en su lugar y ya pasará el dolor

yo tuve una luxacion de rótula, creo que es peor que una luxacion de hombro, ya que la sangre se agolpa en las piernas y no puedes caminar a menos que te ayudan 2 personas (es solo mi punto de vista)

[tlc1456]

Didi it hurt?

[peacekeeper86]

kocher's method

[thatstaininyourdraws]

LOL that dude was shitting it he was thinking ( this motherfucker is going to pull on my fucking arm so hard Fuck!!!!) LOL

[chechemusic]

de verdad q se lo doloroso q es, me sucede en ambos brazos

[NSWxoxo]

he's a cutie1

[U2thatube18]

dude if u stuck ur toung out u so could hav licked ur elbow!!! haha

[romangodofwar]

ohhhh aha, that would be soo painful aha

[ternoster]

maniobra de kocher????

[chestacity4lyf]

did the docter just like..move his shoulder and it just moved back into place. i thought there was a sharp movement of the bone and a pop

[kinghangabar1]

this is less risky. If you just pull, you could get it right, or you could tear a ligament.

[JHung7200]

basically they recreate the injury and just do it backwards.

[LOLimajeepithink]

I have something painful going on in my collar bone area on my left shoulder. Whenever i relax it or sort of drop it down it hurts badly, was doing curls when it happened, anyone know if this is a tear or maybe i pulled a muscle somehow. Been doing curls for a long time and never felt this before. Its very annoying as i have to have my left hand in my pockets so that the shoulder does not hurt...wierd ass injury.

[bobboasowt]

i dislocated my shoulder tonite at a gig

i was panicking like fuck and ran outside

5 minutes my sholder was just hangin down

then i messed bout with it a bit n it just fell back in

felt fucking awfull and now it aches like mad

So i searched videos haha

xxx

[oyeizjaimito]

man something similar happened to me, were you moshing? cause thats how mine happened lol

[israfales85]

hey yo me luxe o fisure un hombro o algo asi cual es la diferencia. se me callo levantando pesas....

[Trommelweiber]

nice smooth job, well executed. you have great skill....

[ryandp04]

How do you know the difference between a rotator cuff tear and a shoulder dislocation? I use to do lots of over head weights now my shoulder hurts pretty bad, i can't even work out anymore!

[desdavis]

that sounds like a tear, a dislocation is quiet visible and all function of the arm goes very week,i have done both my shoulders a number of times now and it usaully occurs from impact,but i have instant relief when my shoulder's back inits just like a few minutes of hell when it's out.rotator cuff's do get punished when you do weights so stretch well warm up hard and if its real bad you probably need to get off to a specialist.

[JHung7200]

doctors usually take xrays

[shinymcbubbles]

actually...i had surgery for my shoulder and it failed. my shoulder is always out of place and my posture is terrible. I have a different bone structure than most people....I am 6 foot 4 inches tall and i weigh 140 pounds. If anyone has remedies for posture or shoulder pain please contact me!!!

[VelvetJnsn]

They've just started recently giving PRP injections (Platelet Rich Plasma) for cartilage in knees and tendons in elbows, but I am wondering whether this would be applicable to the ligaments of a dislocated shoulder. I would suggest looking up PRP, since it's too much to go into here, and finding some doctors who might be amenable to looking into this further. No idea whether it would work, but I'm hopeful.

[fuffilu]

u should get in touch with a physiotherapist =)

[robdmhaze]

your 6foot 4 and 140 pounds, For god sake man eat something. maybe if you were not just skin and bones you might not have this problem.muscle and weight do actually do something good.

[robdmhaze]

140 is way to low for the height, no matter on any bone or body type.u should at least be 40 pounds more and 200 would not be out of the realm of norm for 6-4.

[aidanne07]

I know what to try if that happen's to someone in the future, you never know it just might be usefull.

[nomofica0]

NEVER do this if you're not trained to do so. You don't know entirely what you're doing, so DON'T DO IT. Chances are you will cause more damage in doing so.

Just because you see somebody drive a car doesn't mean you should get behind the wheel.

[aidanne07]

Calm down! calm down!

[dacamking]

what do you do when you are in magaluf at 6am and you dislocate your sholder? nearest doctor is 2 mile walk. i had a raandom lad pop mine back into place, but has come out twice since then. this hs only been a week,

[SpearofDestiny0]

Oh my God, i know how painful that is....it's the worst, the doctor's tried it on me one time, but mine was so bad, that i had to be knocked out, because this method wasn't working.

[Heliosx15005]

mexicano wey xD

[sameotoko]

merci beacoup

[jesusdeveracruz1]

es anterior o posterior?

[sameotoko]

Es anterior, para la posterior en realidad prefiero emplear la maniobra de Stimson

[AngeLuciferk]

Es la maniobra de kotcher?

[sameotoko]

no, es parecida, pero la maniobra de Kocher implica traccion y alternar entre rotacion interna y externa antes de abducir

[sabbarah]

oh my god! it is so simple

thanks very much for the video

[sameotoko]

it LOOKS simple....hahaha

[siverjt]

Excelente video!!! Grafica exactamente las descripciones de los libros.

Muchas Gracias!