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From: Larry Koenig <paddlin_at_home.com>
subject: [Paddlewise] shoulder dislocation
Date: Tue, 25 Jan 2000 15:32:34 -0600
I dislocated my shoulder yesterday during a rather vigorous high brace
recovery on essentially flat water yesterday.  It had gone out before about
ten years ago on white water but had given me so very little trouble in the
interim that I'd essentially forgotten about it.  The maneuver that threw it
out yesterday was one I've done many times before without trouble and I'm not
sure what was different about yesterday.  Fortunately I was paddling with two
others folks and they were able to reduce it fairly quickly while we were
still in our boats. 


I'm wondering if anyone out there can direct me to info re rehabilitation.
It's quite disconcerting to have one's body fail so unexpectedly (and while
hanging  beneath one's boat at that).  I hope to  avoid surgery if possible
and hunk up sufficiently to keep my shoulder where it belongs.  As an ER
doctor I've reduced a lot of shoulders but what happens to em after that is
beyond me.  Any advice?


Larry Koenig


Baton Rouge, LA





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From: Fernando López Arbarello <uktkayak_at_interar.com.ar>
subject: Re: [Paddlewise] shoulder dislocation
Date: Tue, 25 Jan 2000 21:58:23 -0300
----- Original Message -----
From: "Larry Koenig" <paddlin_at_home.com>
Sent: Martes, 25 de Enero de 2000 06:32 p.m.



> I dislocated my shoulder yesterday during a rather vigorous high brace
> recovery on essentially flat water yesterday>
>
> I'm wondering if anyone out there can direct me to info re rehabilitation.


I  also dislocated my left shoulder while white water kayaking back in 1995.
I was in a canyon of a class IV river with no roads close enought to quit.
None of my friends or the guide acceeded to reduce it. I had to finish the
canyon in a raft wich took 3 hours and other three with the car to reach the
hospital. Once there doctor ordered to wait for other 6 hours to safely
apply me general anesthesia. The arm has been out of place for such a long
time it would be impossible to reduce other way, without producing more
injuries. He also said that we did the best, as none of us were doctors or
trained to reduce it.

Back in home I wanted to know how bad it was. I consulted many doctors, and
all of them said if I manage to avoid other dislocation in the next 2 years,
it wouldn´t probably get out again. So I hanged my kayaks high on the roof,
turned my vcr on, and spent the next 2 years watching any video about
kayaking I could get. Never happened again ..........

Wish you a find a better way !

Fernando López Arbarello
uktkayak_at_interar.com.ar

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From: Steve Cramer <cramer_at_coe.uga.edu>
subject: Re: [Paddlewise] shoulder dislocation
Date: Wed, 26 Jan 2000 10:00:14 -0500
Canoe Magazine had a good article in the March (?) May (?) 1991 (?)
issue called Dr Jobe's Shoulder Home Companion. It had a bunch of
shoulder rehab/strengthening exercises. I have it at home pinned to the
wall so I remember to do them. I'll try to get the exact reference.

Steve

Larry Koenig wrote:
> 
> I dislocated my shoulder yesterday during a rather vigorous high brace
> recovery on essentially flat water yesterday.  It had gone out before about
> ten years ago on white water but had given me so very little trouble in the
> interim that I'd essentially forgotten about it.  The maneuver that threw it
> out yesterday was one I've done many times before without trouble and I'm not
> sure what was different about yesterday.  Fortunately I was paddling with two
> others folks and they were able to reduce it fairly quickly while we were
> still in our boats.
> 
> I'm wondering if anyone out there can direct me to info re rehabilitation.
> It's quite disconcerting to have one's body fail so unexpectedly (and while
> hanging  beneath one's boat at that).  I hope to  avoid surgery if possible
> and hunk up sufficiently to keep my shoulder where it belongs.  As an ER
> doctor I've reduced a lot of shoulders but what happens to em after that is
> beyond me.  Any advice?
> 
> Larry Koenig
> 
> Baton Rouge, LA
> 
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> to be reproduced outside PaddleWise without author's permission
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