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米尔奇(Milch)技术与科赫尔(Kocher)技术治疗急性肩关节前脱位的比较

A comparison of the Milch and Kocher techniques for acute anterior dislocation of the shoulder.

作者信息

Beattie T F, Steedman D J, McGowan A, Robertson C E

出版信息

Injury. 1986 Sep;17(5):349-52. doi: 10.1016/0020-1383(86)90161-0.

DOI:10.1016/0020-1383(86)90161-0
PMID:3533776
Abstract

Two methods of reduction for anterior dislocation of the shoulder were compared in 111 patients. Milch's technique was found to be atraumatic and relatively painless. Greater success with Milch's technique was experienced in patients under 40 years of age in whom the dislocation had been present for less than 4 hours. Milch's technique should be tried initially in patients fulfilling these criteria. In other cases Kocher's technique should be used first, especially in those of heavy build.

摘要

对111例肩关节前脱位患者的两种复位方法进行了比较。发现米尔奇技术无创且相对无痛。在40岁以下、脱位时间少于4小时的患者中,米尔奇技术的成功率更高。符合这些标准的患者应首先尝试米尔奇技术。在其他情况下,应首先使用科赫尔技术,尤其是体型较胖的患者。

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