Can’t get that posterior hip location back into place? Don’t have enough collective muscle in the ED to just brute force the thing to where it belongs? Then leverage the power of simple mechanical advantage and utilize the Captain Morgan technique of hip reduction. Pop that femoral head back into the acetabulum by popping your bent leg up onto the patient’s gurney (as shown below). The patient’s hip and knee are bent to 90 degree angles and their knee placed over the physician’s knee. With slight upward force of the physicians calf, along with downward force on the ankle and lower leg rotation, an effective reduction can be achieved with relatively minimal force. Who knows where the name comes from.
Gregory W. Hendey MD and Arutho Avila PA-C The Captain Morgan Technique for the Reduction of the Dislocated Hip Annals of Emergency Medicine December 2011; 536- 540
