Yes, well known reduction technique. But could never bring myself to sticking my socks covered foot into a patient's armpit. Not elegant with all the tugging and screams. Far easier to strap a heavy sandbag to the patient's arm and let it dangle and swing after a good shot of analgesia and muscle relaxant. Leg gravity do the work. Takes a little longer and has never failed.chriscole wrote:Glad he was pulling your leg.... but chucking a foot in the armpit and pulling the arm was/is a valid technique for shoulder reduction... known as the Hippocratic method.
Fractured Ribs
The information / discussion in the Cycling Health Forum is not qualified medical advice. Please consult your doctor.
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Re: Fractured Ribs
Postby sogood » Mon Jul 21, 2014 7:12 pm
RK wrote:And that is Wikipedia - I can write my own definition.
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Re: Fractured Ribs
Postby CKinnard » Mon Jul 21, 2014 7:57 pm
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Re: Fractured Ribs
Postby sogood » Mon Jul 21, 2014 9:17 pm
Ah yes, lots of memories of watching failed brute force reduction. Two guys, one sweaty and one screaming, making a scene. Not clever... LOL
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Re: Fractured Ribs
Postby anthcon » Tue Jul 22, 2014 7:03 am
Strapping the chest was not recommended to me but I believe that was due to the collapsed lung and there fear of infection. Good luck with managing the pain, the ribs are a head **** IMO. Everything you do pretty much causes pain.... Hope you heal well.
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Re: Fractured Ribs
Postby CKinnard » Tue Jul 22, 2014 9:47 am
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Re: Fractured Ribs
Postby CKinnard » Tue Jul 22, 2014 9:52 am
This guy seems to have un-spasming down to a fine art, no traction, no analgesiasogood wrote:Then just "un-spasm" it!
http://journals.lww.com/em-news/Fulltex ... ess.1.aspx" onclick="window.open(this.href);return false;
https://www.youtube.com/watch?v=d9HjtQr0c64" onclick="window.open(this.href);return false;
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Re: Fractured Ribs
Postby sogood » Tue Jul 22, 2014 10:48 am
I think it varies a lot out there. Some people with recurrent dislocation can even dislocate and relocate themselves, without any assistance. Some skinny and small individuals can be more easily handled for a reduction. Then there are those big guys with massive muscle bulges coming in with a dislocation... Good luck on getting anywhere with them without some serious help. The problem with some of the so called easy techniques is that, if they don't work the first time, the patient will be in further pain and the spasm would be even stronger. As for the technique being show, it's similar to the sandbag swing technique. Difference being, the sandbag technique with the patient lying prone and on the edge of the bed, the patient is in control and the relaxing of the muscles is gradual and caused by the weight of the sandbag. The doctor just need to facilitate the swing without any physical exertion.CKinnard wrote:This guy seems to have un-spasming down to a fine art, no traction, no analgesia
RK wrote:And that is Wikipedia - I can write my own definition.
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Re: Fractured Ribs
Postby CKinnard » Tue Jul 22, 2014 11:12 am
I've had a few mates over the years who were able to pop their shoulders back in, once they'd dislocated the 3rd time. Two got surgery because they'd pop with simple movement in bed, and the other gave footy away and seems to manage.
Is it roughly accurate 95% of dislocations are anterior, 5% posterior and a very small % frank inferior (as opposed to torn deltoids or cuff)?
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Re: Fractured Ribs
Postby Parker » Tue Jul 22, 2014 11:29 am
I have thrown up breakfast, coffee, but I did finally poo...
I'm starting to sip small amounts of water to see what happens, I'm keeping an eye on myself and will go to the doctor if the vomiting persists. So tired.
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Re: Fractured Ribs
Postby sogood » Tue Jul 22, 2014 11:36 am
It's in that ball park based on available statistics. To also note, shoulder joint is quite delicate. Once damaged, it's very hard to get it back to normal. Invariably it becomes a life-long issue. Health for longevity is not about how fast and how tough one is, but to keep fit whilst avoiding injuries.CKinnard wrote:Is it roughly accurate 95% of dislocations are anterior, 5% posterior and a very small % frank inferior (as opposed to torn deltoids or cuff)?
RK wrote:And that is Wikipedia - I can write my own definition.
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Re: Fractured Ribs
Postby ball bearing » Tue Jul 22, 2014 11:47 am
Just so. I had a gentle reminder of these facts yesterday when I came off on a gravel track.sogood wrote: Health for longevity is not about how fast and how tough one is, but to keep fit whilst avoiding injuries.
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Re: Fractured Ribs
Postby ball bearing » Tue Jul 22, 2014 11:58 am
Haha! I didn't realise that you were monitoring the content so closely. I actually fell on my side and bruised my hip and a couple of ribs. Happy?Parker wrote:Topic is ribs
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Re: Fractured Ribs
Postby Parker » Tue Jul 22, 2014 11:59 am
Yepball bearing wrote:Haha! I didn't realise that you were monitoring the content so closely. I actually fell on my side and bruised my hip and a couple of ribs. Happy?Parker wrote:Topic is ribs
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Re: Fractured Ribs
Postby sogood » Tue Jul 22, 2014 12:14 pm
Given that you've declared that your ribs weren't fractured and it was just muscle and soft tissue bruising, the initial topic has expired and thread drift followed naturally to related health issues.Parker wrote:Topic is ribs
If you care to bring it back to topic, here are two relevant images.
RK wrote:And that is Wikipedia - I can write my own definition.
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Re: Fractured Ribs
Postby ball bearing » Tue Jul 22, 2014 12:16 pm
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Re: Fractured Ribs
Postby sogood » Tue Jul 22, 2014 12:21 pm
RK wrote:And that is Wikipedia - I can write my own definition.
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Re: Fractured Ribs
Postby ball bearing » Tue Jul 22, 2014 12:24 pm
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Chest wall bruising and respiratory muscles
Postby sogood » Tue Jul 22, 2014 12:28 pm
Ouch!
RK wrote:And that is Wikipedia - I can write my own definition.
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Re: Fractured Ribs
Postby Parker » Tue Jul 22, 2014 2:14 pm
Well, when your all blocked up and need to poo, it hurty the ribs when your straining.ball bearing wrote:I thought that the topic had become about constipation.
Thanks So good, that helps explains the ribs better.... It was really helpful and I'm not just saying that
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Re: Chest wall bruising and respiratory muscles
Postby CKinnard » Tue Jul 22, 2014 2:57 pm
excellent schematics!sogood wrote:Also relevant for a bruised chest wall is the following schematic, showing how these muscles are used in breathing and other body movements.
my physio said something about rib pain being associated more so with intercostal nerve insult/inflammation, rather than actual bone breakage, hence even if there isn't a break, it can still be as painful as if there was.
he massaged it firmly a couple of months after injury and it hurt like hell, but seemed fine and unrestricted after. he said it was necessary to loosen the scars in the muscle that might also tug at the nerves.
when you look at those diagrams, it seems the nerves travel closely to the bone, and may be stretched nastily if the bone breaks, or even torn.
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Re: Fractured Ribs
Postby sogood » Tue Jul 22, 2014 3:14 pm
RK wrote:And that is Wikipedia - I can write my own definition.
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Re: Fractured Ribs
Postby Parker » Tue Jul 22, 2014 5:16 pm
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