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Neil Cunningham
Приєднався 4 лют 2015
Kocher's Technique Demonstration - learn how to perfectly perform this technique from 1870
Kocher's technique is widely misunderstood, this video shows you which patients you should (and shouldn't) use this for, how to set up for success, and the perfect technique. For more detail, more anatomical explanation, or even a full english translation of the original 1870 paper go to dislocation.com.au
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Відео
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PTFJ - proximal tibio fibular joint dislocation
Переглядів 40 тис.6 років тому
PTFJ - proximal tibio fibular joint dislocation
Can somebody help me out? Both of my knee do this, but the fibula goes to the inside I think. It pops back in place just by straightening my leg but it hurts like hell.
Jiu-jitsu Athlete here, this happens to me all the time and on both knees, for as long back as I remember. I usually just straighten my leg and it will pop back in, I've looked for years for a solution, I saw a knee specialist and he told me what I was experiencing couldn't happen because it was impossible. I told him he was wrong. I talked to my friend who was a sports medicine Dr. and he told me I could probably get surgery and have the bones screwed/fused together but that would cause other problems and limit my mobility. Does anyone have any exercises to strengthen and protect the joint and to reduce dislocation or any other solution?
I have the same problem. It hurts
gd it, i have to have this done soon i think lol
Thank you for the visual explanation at the end, really helped with understanding this
thank you
which one the external rotate doct? i dont see, u just did further internal rotate
@@fajriahrosandali once the humerus (upper arm) has been brought up to a horizontal level, the external rotation happens then
Thank you so much, finally got mine back in!
엄마
😮9ㅛ9
I'm grateful for this short video
Useful video Thank you
How long does this take to heal?
I have had this for years and im a physiotherapist myself, but no teaching or expert could help me and i basically cant do anything with lots of knee flexion or it pops out on both knees. The only thing that made it better was to properly stretch calve and ischio muscles for some years, which made it so the plop happens later and it snaps back easily. But still deep squat and sitting cross legged is usually not possible. Im still looking for a permanent fix for this issue outside surgery (bc there is no known surgery anyway) Now im in my 30s and trying to improve ankle mobility, but that takes alot of pressure and time to show progress. Hopefully someone finds a faster solution.
I fill band for you
I once had dislocated my fibula and had to figure this out on the fly, except as opposed to having someone guide it back in, I externally rotated my leg, inverted my foot, rested my lateral ankle on a bolster, and extended my leg, slowly untill it slid back into place. 5+ years later, I find this video, haha!
Hi nightcrawler, glad you were able to get your fibula back in, it's a pretty rare injury. Hopefully the published technique means that the next person doesn't have to be quite so creative!
I've now written up an auto-reduction technique, hopefully useful if this ever happens again. Cheers, Neil dislocation.com.au/fibula
This is very informative. Mille Grazie
It's amazing how well and professional you communicate and put your patients at ease. May God bless you mate 🙏🏽
The kind of relief that guy must be feeling now. Wow
I believe that the patient was a woman
Thx but i wish the camera guy took a better angle
My left hip was replaced in 2015. Still had lots of pain and found a year later that the spike that goes into the femur was loose and had to get a second replacement a year later (2016) with a thicker, longer spike (I call it a spike but it's the piece of metal that goes into the femur leg bone and has the ball attached). Because this second procedure was done so close in time to the first, it loosened all the muscles and tendons up. About 8 months later, I was sitting in my recliner and my hip popped out. My wife called emergency 911 and I got it reset at a nearby hospital but that was extremely painful. After about 12 more months, I was out on my moored boat (basically a boat tied to a permanent anchor in a bay). After working about 6 hours cleaning it up, I knelt down one last time and the hip popped out again but this time I'm in the middle of the harbor (thankfully I was not out at sea). This time it seemed to take 3 hours to coordinate the harbor patrol and ambulance and get to the hospital that I could see from the boat's mooring. Dislocating my hip was the most painful thing that has happened to me. I've always had very tight hamstrings that cramp frequently. With a dislocated hip, the hamstring would cramp for about 5 minutes, then go away for about 5 minutes, then back to cramping. When the cramping was happening, the pain was brutal. That last incident was 2018 and hopefully now that it's 2024, I'm out of the woods and everything that holds the hip in place has gotten back to normal. It's scary though because for the first time in 10 years, I have multiday offshore sailing trip planned for May.
I just used this for the first time to reduce an anterior shoulder dislocation on a stoic young man who didn’t want sedation and reduced it in about a minute in the ED. I used this video as a reference and also let him watch the actual reduction technique to coach him. It went perfectly and reduced in about a minute. I could feel his muscles start to twitch right before the reduction. Thanks for your work on this and sharing it.
Helped me out thanks bro
Thank you so much for this! I believe this is showing a way to resolve the dislocation!? I have been misdiagnosed some years after a lateral tibial plateau fracture and a torn medial meniscus - all of which I healed without surgeries. However for such a long time, I have been dislocating the proximal tibiofibular joint and I have been snapping it back into place. I stopped going to doctors because even after MRIs, they all just looked on the computer and said I had arthritis despite me pleading with them about a mechanical problem that felt like a dislocation!! Can anyone tell me the critical point of connection that would make it dislocate? Sometimes I think it happens if I spread my legs apart while sitting, but if I am conscious of that, it does not happen. Other times it happens while I am lying down sleeping. Whether I am sitting or lying down or walkng and turning, there must be a exact junction movement whether I am twisting or elevating or pivoting that I should be certain of and that I can try to avoid.===== which I am still unclear about!!!! If anyone can weigh in, I would be most obliged!!! Thank you again.
There is definitely a position that favours dislocation of the PTFJ if you have a tendency for this. It is hip and knee flexed, ankle inverted and weight applied to knee. Details here dislocation.com.au/fibula
@@neilcunningham7905 Thank you Neil! I am going to study the details of your link... I did come across what you sent me, and I did save it, but I really would have appreciated a doctor going over those details and the moves with me. It is absurd that after ME telling two doctors what I had 3 years ago, nobody, responded to me. They just look on a computer, and tell me I have arthritis, despite me saying, "what about the mechanical dislocation". I just recently went back to one of them again for a renewed response. He only smiled at me. Unbelievable!!! I am telling you this to emphasize how much it means that you took the time to pass this link on to me.
Que dolor, hasta mi me dolió 😢
I adjusted mine myself following this video, have been having sore knee after sitting in a deep squat for about a year, this one fixed it. You're a legend mate 🙌
That's great news kbaakash, hope the knee now fully recovered!
@neilcunningham7905 Yes, mate! I started doing some atg stuff, and I can now do some sissy and pistol squats, too.
@@kbaakash I've now written up an auto-reduction technique, hopefully useful if this ever happens again. Cheers, Neil dislocation.com.au/fibula
@neilcunningham7905 that's so kind of you, mate. I will check it out and share it with my folks.
@neilcunningham7905 The article was very detailed and clear. Awesome work.
Thanks for this - worked like a charm.
Awesome, i iwsh i heard the sound for some reason!!
I have quite stretchy joint tissue and the first time I dislocated my shoulder it just went back in. I learned how to fix it on the third time it happened. We had to drive down the hill to the hospital and I had to hold up my elbow in front of me and tried to keep it as still as possible and even asked my friend to help me when I got tired. And when we arrived I found out that it was so easy to fix😅 The doctor just raised my hand up slowly while letting my elbow hang in a relax manner and gently rub my shoulder and the it went back in just like that. And I use this method since then but the worst was when it happened in my sleep when I was alone. That was the real torture 😅
Hopefully you can get the shoulder in without pain next time
@@neilcunningham7905 Thank you very much. Though I prefer it doesn’t happen ever again😁
Doc the second pain is better than a20secound normal pain😂😂😂
Can you still use this technique if you’re married or in a relationship?
Yes, absolutely. But based on this comment I think you should use a chaperone for all procedures.
Thanks for clarifying. Based on your reply I think you should use a chaperone whilst writing all video titles.
Haha, nice one! That sounds safer for everyone @@r0ll3dd BTW your first line made me laugh all day, favourite reply on these videos so far.
@@neilcunningham7905 Glad you liked it!
Thnk you very much finnally found helpfull video i do it by my self ❤
Hi mahmud the reason to rotate the forearm outwardly (supination) is to maximise the shortening of the biceps. This reduces the stretch at the other end of the bicep (long head) which is one of the major forces keeping the joint out when in spasm.
Thanks for the reply I fear there’d be nerve damage if I mistakenly rotate the forearm inwardly(pronation) instead of outwardly(supination)
What happens if forearm is rotated inwardly
Zj,. Znxj,jxmx. In,n,n,,kxnx😂🎉😢😢😅❤ hzhsgzhzxdtcjx 😅😅😅
Good
Badly explained and we cannot see anything you are doing. Terrible video for teaching !! 😡😡
👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏👏
Do I have to press it inside with very much pressure? It seems to me, that I press it inside, and then after about 10 steps, it falls out again. But hey, the 10 steps didnt hurt anymore.
I finally had the occasion to reduce a shoulder like that and it worked in less than two minutes... great technique.
I fixed it by moving my arm this way by accident once (unpleasant shock) but have never managed to do it intentionally at a gentler pace :( EDIT: Oh shit I actually fixed it and it didn’t hurt as much as before
Wednesday 27th September Melissa golby 11,2992 happy birthday 🎂 🥳
did the patient know that his shoulder just got reduced by the legend himself :)
Can I find out your location
TQ doc😂❤
t's eaiser just to rotatate your arm out from that position, anyway, how do we stop this from happening? mine came off swimming, then when i fell down the stairs, and today again swimming.
If yours is coming out swimming it is much more likely to be an anterior/anteroinferior type. Might need an mri scan to see if you have joint damage, get checked out by your gp.
there's some joint damage and a hagel lesion (and labrum) am doing physio...@@neilcunningham7905
Great
Does the Nurse maid technique not work for this type of dislocation
Nursemaid’s elbow or radial head subluxation usually occurs in children under 6. It is a different type of injury so this technique is not designed for that. I’ll put a nursemaid’s elbow technique on the website dislocation.com.au Thanks, Neil
I’ve been dealing with this for two years.. numerous mri’s, X-rays, etc. multiple physical therapists.. no answers. I can no longer squat weigh bearing on this knee or it pops out. I can’t sit with my feet under me or it pops out, etc.. I’ve been an athlete my entire life and I’m at a loss. They swore it was my meniscus.. nope. Started working with a personal trainer.. thought it was an old lcl tear.. honestly it’s ruined my life. Hopefully I can get answers soon from this new Dr.. he had a surgery to keep this from reoccurring. When mine pops out my leg is locked in a 90 degree. I have someone else hold my heel and slowly straighten the leg back out. It does clunk right back in. Pain stops after it’s back in place. If you’re alone, it’s going to suck and be super painful.. but physically reach down and hold your calf to push your leg back straight. This might not be the correct way but I’ve been hiking and had to do this multiple times. Always follow up. For me I never get answers when I do follow up.. just take it easy bc it will feel unstable for a few days.
Best advice.
Same here! Also an athlete going for my second MRI. I have tried braces but ultimately would like surgery. I remember it happening to me as a child and now it occurs during BJJ/wrestling practice and comes out if I sit weird or if someone shoots a single leg on me
@@wendymarshall2132 there's no known surgery to fix this tbh
@@wendymarshall2132same with wrestling and BJJ. Luckily this only happens every few months for me (touch wood it doesn't get more frequent). I'm going to start with a focused S&C program to strengthen the connecting tendons, ligaments and muscle groups.
@@wendymarshall2132 hey,i am wrestler to and in the ground games its going to locking or when i going to make straight somesaults in the warmup its just happenening.it was 6 month ago happened and i tought it was meniscus tear until this day,i can deep squat with weights its not locking but i am sure that rn its discolated.normally 6 month ago it was like very heavy cramp in my leg but for now its effecting very little under my knee to my ankle,but it doesn't healed fully, can you get some progress from that injury or can you recovered fully heal if you can explain me it would be so good.because it was doomed me and theese times is darkest times for my life
I have the same thing I’m hoping it can be adjusted like this without no surgery 🙏
I just posted my story on mine. No answers yet.
me too!
seco el doc. no se demoro nada en colocar el hueso