MANAGEMENT OF ACUTE ANTERIOR INFERIOR DISLOCATION OF SHOULDER BY MILCH METHOD AT MIMS, MANDYA: A RETROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 40
Abstract
BACKGROUND Acute anterior inferior dislocation of shoulder is a common orthopaedic emergency affecting up to 60% of all major joint dislocation. 1-5 , most common is anterior inferior type. 6-7 ; variety of techniques has been described, Milch method in zero position is an effective method of closed reduction without admission/medication. METHODS This retrospective study was carried out at MIMS, Mandya, from Dec. 2014 to Feb. 2016. A total number of 30 patients aged from 22 to 60 were included in the study as per inclusion criteria with symptoms and signs of anterior dislocation and dislocation reduced by Milch. RESULTS Age range in our study was between 22 and 60 years; 26 were male (80%), 4 were female (20%), right sided 20 (60%), left sided 10 (30%). Post reduction few were given analgesic for a few days and were asked to remove immobiliser after 3 weeks and all were asked to undergo shoulder rehabilitation exercises. CONCLUSION Milch Techniques appears to be sound procedure and treating orthopaedician should be aware of other techniques when situation warrants
Authors and Affiliations
Pandarinath , Manjappa Gowda, Amaradeep
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