PLATE XVIII
The Americana
Ude-garami

- 01
Secure side-control or mount, chest heavy upon the patient's sternum, weight distributed so escape is unprofitable.
- 02
Isolate the near arm. Pin the wrist to the mat above the patient's own shoulder, elbow bent to a right angle, as though the limb were a hinge left ajar.
- 03
Slide your near hand beneath the patient's elbow, palm up, fingers threading to clasp your own wrist. This forms the figure-four, the frame from which all force shall travel.
- 04Precision point
Press the captured elbow flush to the floor before any rotation begins. The joint must not float; it is the fixed point about which the lever turns.
- 05
Keeping the elbow pinned, walk the patient's wrist in an arc toward their own head, tracing the shape of a key turning in an old lock.
- 06
Sink the hips low and drive your chest weight through the frame as the wrist completes its arc. The shoulder will register protest before the elbow does; heed it as the signal to hold, not to hasten.