Fig. 20.—Kocher's Method of reducing Sub-coracoid Dislocation—First Movement; Rotation of Arm away from Middle Line.
Fig. 21.—Kocher's Method—Second Movement; Elbow carried forward, upward, and towards the Middle Line.
Fig. 22.—Kocher's Method—Third Movement; Rotation of Arm towards Middle Line.
A method of reduction has been formulated by A. G. Miller, which we have found to be quite as successful as Kocher's method. The limb is grasped above the wrist and elbow, the forearm flexed to a right angle, and the upper arm abducted to the horizontal ([Fig. 23]). While an assistant makes counter-extension and fixes the scapula, the surgeon gradually draws the arm away from the body till the head of the humerus is felt to pass laterally. The humerus is then rotated medially by dropping the hand ([Fig. 24]), and the bone gradually glides into the socket.
