Traumatic first dislocation of the elderly patient without concomitant injury is treated conservatively.
Reduction
Traumatic dislocation must be reduced as soon as possible to minimize cartilage damage, after which an immobilizing dressing should be applied.
Habitual dislocations (dislocation that occurs repeatedly during physiologic movements without additional force) usually reduce (return to a (near) normal position or normal position) spontaneously.
Various approaches have been established:
According to Hippocrates: in this procedure, the foot of the attending physician is placed as a hypomochlion (support or fulcrum of a lever) in the axilla (armpit) of the affected side of the patient. Then, under strong traction and, if necessary, rotational movements, the reduction (bringing back to a (near) normal position or normal position) is made.
According to Arlt: Here serves as a hypomochlion a chair back.
according to Kocher: patient in supine position, upper body slightly erect, elbow in 90° flexion (bending). Reduction takes place in three steps:
Pull caudal (down) and adduction (pull towards the body axis),
External rotation (rotational movement of an extremity about its longitudinal axis in which the direction of rotation is outward when viewed from the front) and elevation (lifting the extremity),
