Reduction of anterior shoulder dislocations with use of a modified kocher maneuver

In a 15-month period, 26 patients with 31 anterior dislocations of the shoulder were seen. A modified Kocher maneuver was first attempted without the use of analgesics or muscle relaxants. This was successful 19 of 31 times (61%). With use of analgesics or muscle relaxants, 30 of 31 (97%) were successfully reduced without complications or fractures with use of this maneuver. In those dislocations seen within 24 hours, without fracture of the greater tuberosity or without failed prior surgery, the modified Kocher maneuver was successful without premedication in 19 of 24 (79%). One patient required general anesthesia.