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Comparison Between External Rotation Method and Milch Method For Reduction of Acute Anterior Dislocation of Shoulder

机译:外旋法与乳突法减少急性肩关节前脱位的比较

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Background: Anterior dislocation of shoulder account for more than 50% of dislocation that occur in our body. Several methods of reduction are described in literature which are painful or require anaesthesia. Aim: This study was undertaken to compare the External Rotation Method and Milch method for reduction of anterior dislocation of shoulder. Materials and Methods: There were total 52 patients with anterior dislocation of shoulder, distributed randomly into 2 groups. Reduction was done by External Rotation Method and Milch Method for each group and their outcome were compared. Statistical Analysis: The data was analysed by using SPSS for Windows (version 16.0) by applying the Chi-Square test. p-values of <0.05 was considered as significant. Results: Among each group of 26 patients, three patients required anaesthesia in External Rotation Method and eight patients required anaesthesia in Milch Method. There was no statistically significant difference in success rate between external rotation (88.46%) and Milch (69.23%) methods of reduction (p=0.09). Conclusion: Both methods of reduction can be used for reduction of anterior dislocation of shoulder without anaesthesia but external rotation method was found to be easier and less painful.
机译:背景:肩关节前脱位占我们体内脱位的50%以上。文献中描述了几种减轻疼痛或需要麻醉的方法。目的:进行这项研究以比较外旋法和米尔奇法在减少肩关节前脱位中的作用。材料与方法:共52例肩关节前脱位患者,随机分为2组。通过外旋法和米尔奇法对每组进行减少,比较他们的结果。统计分析:应用卡方检验,使用Windows SPSS(版本16.0)分析数据。 <0.05的p值被认为是显着的。结果:每组26例患者中,有3例采用外旋法进行麻醉,有8例采用米尔奇法进行麻醉。外旋法(88.46%)和米尔奇(69.23%)的降低方法之间的成功率没有统计学上的显着差异(p = 0.09)。结论:两种复位方法均可用于无需麻醉即可减轻肩关节前脱位,但发现外旋法更容易且疼痛更少。

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