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

Sapkota, Krishna; Shrestha, Bijaya; Onta, Pratyenta Raj; Thapa, Pabin

doi:10.7860/jcdr/2015/11850.5738

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…The success rate in their study was 88.46% by ERM and 69.23% in Milch method. 6 Gluer O et al compared four different methods (Spaso, Chair, Kocher and Masten) for anterior dislocation of shoulder and similar to our study did not conclude any statistical difference among them. 10 Our study corroborates the epidemiology of shoulder joint dislocations as described by previous studies.…”

Section: Discussionsupporting

confidence: 80%

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Comparison of Success Rate Between External Rotation Method and Milch Method for Reduction of Acute Anterior Dislocation of Shoulder Joint

Shair

Anwar

Kashif³

et al. 2021

Pak Postgrad Med J.

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Objective: To compare External Rotation Method with Milch method for reduction of acute anterior dislocation of shoulder joint. Study Design: Randomized controlled trial. Place and Duration: The Department of Orthopedic Surgery, Services Hospital Lahore, from May 2016 to December 2016. Materials and Methods: 110 patients of acute anterior dislocation of shoulder joint were randomly distributed into two groups. Reduction of shoulder joint was achieved with External Rotation Method in Group A while Milch method was employed in Group B and there outcomes were compared. Data was entered and analyzed using SPSS for windows (version 21). P-value < 0.05 was considered significant. Result: Statistical difference between success rate of External Rotation (72.7%) and Milch Method (74.5%), was insignificant (p=0.828) Conclusion: Though external rotation method is easy to perform, both methods can be used in reduction of acute anterior dislocation of shoulder joint.

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Section: Discussionsupporting

confidence: 80%

“…5 Milch method is also painless, safe and reliable method in which position of humerus helps to neutralize deforming muscle forces which helps in reduction. 6 The comparison of both methods in terms of efficacy and reliability has been done by only a few studies. The success rate and outcome of both methods were compared in this study.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Success Rate Between External Rotation Method and Milch Method for Reduction of Acute Anterior Dislocation of Shoulder Joint

Shair

Anwar

Kashif³

et al. 2021

Pak Postgrad Med J.

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“…[8,14] Similarly, the success rate for the ExR ranged from 78 to 100%. [22,23] Nonetheless, this study has some limitations. First, the patients with habitual GHD were included in the study.…”

Section: Table II the Characteristics Of Patients Among Reduction Groupsmentioning

confidence: 91%

Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial

et al. 2022

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Objectives This study aims to compare three glenohumeral dislocation (GHD) reduction techniques in terms of pain and reduction time and to offer clinicians an idea of the selection of the most appropriate technique. Patients and methods This multi-center, prospective, randomized clinical study included a total of 90 patients (55 males, 35 females; median age: 29 years; range, 22 to 41 years) who had isolated anterior GHD without complication between December 2019 and December 2021. The patients were divided into three equal groups (traction-countertraction [TCT], external rotation [ExR], and Cunningham) using the block randomization method, and reductions were performed. Pre-reduction, intra-reduction, and post-reduction Visual Analog Scale (VAS) scores, reduction times, success rates, and complication rates were analyzed. Results There was no statistically significant difference among the groups in terms of age (p=0.414), sex (p=0.954), pre-reduction VAS (p=0.175), and post-reduction VAS (p=0.204). The median intra-reduction VAS values in the TCT, the external rotation, and the Cunningham groups were 8 (range, 7 to 9), 5 (range, 4 to 7), and 4 (range, 2.75 to 5), respectively (p<0.001). The median reduction time and IQR were 105 (range, 82.5 to 120) sec for TCT, 270 (range, 232.5 to 300) sec for ExR, and 630 (range, 540 to 780) sec for Cunningham (p=0.001). Conclusion The fastest, but most painful technique is TCT, while the longest and the least painful technique is Cunningham. An inverse relationship is found between time and pain. Based on these findings, it seems to be reasonable to leave the choice of the ideal reduction technique to the clinician. The clinician should choose the technique to be used according to the conditions in the emergency department.

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“…No se utiliza tracción durante el procedimiento. Una vez que se logra la reducción, el brazo se gira internamente para llevar el antebrazo al pecho (9).…”

Section: Técnica De Rotación Externaunclassified

Manejo y tratamiento no quirúrgico de la luxación de hombro

Chaves

Artola

2020

Rev.méd.sinerg.

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El hombro es la articulación que más frecuentemente se luxa en el cuerpo humano. El tipo de luxación más común es la anterior, seguido de la posterior, mientras que la luxación inferior es la menos frecuente. Uno de los mecanismos más frecuentes de la luxación anterior es un traumatismo indirecto sobre el miembro superior con el hombro en abducción, extensión y rotación externa. Las caídas, convulsiones, y accidentes automovilísticos son los más frecuentes. El manejo inicial es funcional en la mayoría de los casos

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

Cited by 6 publications

References 9 publications

Comparison of Success Rate Between External Rotation Method and Milch Method for Reduction of Acute Anterior Dislocation of Shoulder Joint

Comparison of Success Rate Between External Rotation Method and Milch Method for Reduction of Acute Anterior Dislocation of Shoulder Joint

Which is the most appropriate anterior glenohumeral dislocation reduction technique among three different techniques? A prospective, randomized clinical trial

Manejo y tratamiento no quirúrgico de la luxación de hombro

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