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September 2011: Patient heal thyself! Teaching patients to reduce their own shoulders.
Patient Heal Thyself!
Have you ever wanted to teach your patients how to relocate their own shoulders? Well now you can!
The Boss-Holzach-Matter technique is an autoreduction technique that you can teach your patient to do, directly in the Emergency Department. For full instructions, click here (with thanks to Dr D Ceroni, who kindly gave permission to use the graphic and technique on our site).
It’s especially useful for recurrent spontaneous dislocators – you know the ones who dislocate with simple things like getting dressed or rolling over in bed! The last thing they want is to spend 5 hours in the ED waiting for the morphine and midazolam to wear off.
This simple-to-teach technique also has a patient handout that you can print out.
X-ray of the month
This year Dr Neil Cunningham gave a talk at the International Conference in Emergency Medicine, held in Dublin, Ireland. The talk was successful and well received, and the powerpoint presentation and talk are available on our Videos page, or on our Youtube channel. Unfortunately, the popularity led our hosting service to believe we had a virus and they shut the Shoulder Dislocation.net website down! After several months, we are pleased to report we are back up and running on a new dedicated server, thanks to Mike Cadogan and the team at Global Medical Education Project (GMEP). Anyway, we hope you enjoy the talk and presentation and look forward to the next year full of exciting updates.Read story
ShoulderDislocation.net has posted two new videos on our YouTube channel and Videos page. These videos are quite a bit different from the others - in that things didn't quite go as smoothly as we would have hoped. In both of these shoulder dislocations the relocation was proving to be a little difficult and might prompt abandonment of the techniques in favour of heavier sedation. The first video shows a patient with in whom the muscle spasm was unable to be overcome with simple positioning and a variety of manoeuvres. She eventually required sedation resulting an a quick reduction In the second video, the patient has a subglenoid dislocation, and the operator tries to get the patient to adduct the arm. Unfortunately this is difficult, so Neil talks the operator through a series of manoeuvres to manipulate the humerus into the correct position, including attempting Zero Position. Eventually the shoulder is relocated.Read story