History of closed reduction techniques and initial management for shoulder dislocations: From classical antiquity to modern times.

Shoulder Elbow · Jun 2022 · Review

van Spanning SH, Verweij LP, Verweij EE, van den Bekerom MP, Somford MP

Department of Orthopaedic Surgery, Shoulder and Elbow Unit, OLVG, the Netherlands

Shoulder & Elbow

SUMMARY — THE REDUCTIONThis historical review traces the evolution of shoulder dislocation reduction techniques from Hippocratic methods to modern anesthesia-era practice.
Abstract, as published

This review gives a summary of the records of shoulder dislocation management throughout history until the point that anaesthetics were introduced and modern medicine improved dislocation management exponentially. A dislocation is a mechanical injury that has been managed in different ways throughout history. The shoulder reduction methods described in Hippocrates Corpus have been described and adjusted throughout history by later physicians. For example, in ancient Greek, Hippocrates considered the ambe, a device used to reduce the shoulder, to be the most powerful tool. However, Cooper, a physician in the 19th century, considered it to be the last resort due to substantial damage to the ribs and discomfort of the patient. This review demonstrates that there were many physicians that contributed to shoulder dislocation management. These physicians paved the way for modern shoulder dislocation treatment strategies.

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