[1]李琳,李峰,陈华.肩胛固定旋复法治疗肩关节前脱位[J].中医正骨,2016,28(09):59-62.
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肩胛固定旋复法治疗肩关节前脱位()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年09期
页码:
59-62
栏目:
临床报道
出版日期:
2016-09-20

文章信息/Info

作者:
李琳1李峰2陈华2
1.湖北中医药大学,湖北 武汉 430060; 2.湖北省中医院,湖北 武汉 430074
关键词:
肩脱位 正骨手法 肩胛固定旋复法
摘要:
目的:观察肩胛固定旋复法治疗肩关节前脱位的临床疗效和安全性。方法:2014年9月至2016 年3月,采用肩胛固定旋复法治疗闭合性肩关节前脱位患者28例。男19例,女9例。年龄17~62岁,中位数37岁。左侧11例,右侧17例。原发性脱位20例,复发性脱位8例。合并肱骨大结节撕脱骨折5例,所有患者均无臂丛神经损伤。喙突下脱位25例,盂下脱位3例。伤后至整复时间1~39 h,中位数3 h。23例单纯脱位者,以前臂吊带悬吊固定患肩于内收内旋位3~4周; 5例合并肱骨大结节撕脱骨折者,3例行经皮空心钉固定术治疗,2例予以超肩超肘石膏托固定患肩于内收内旋位3~4周。固定期间和固定解除后行患肢功能锻炼。观察复位成功、肩关节疼痛改善及并发症发生情况,复位后3个月按照Neer肩关节评分标准评价疗效。结果:所有患者均一次复位成功。复位时间32~110 s,中位数65 s。肩关节疼痛视觉模拟评分由复位前(7.7±0.3)分降至复位后(2.6±0.1)分。所有患者均获随防,随访时间4~12个月,中位数10个月。均无医源性骨折、臂丛神经损伤等并发症发生。23例单纯脱位者,22例疗效评价为优,1例在剧烈活动中肩关节再次脱位; 5例合并肱骨大结节撕脱骨折者,疗效评价4例优、1例良。结论:采用肩胛固定旋复法治疗肩关节前脱位,复位成功率高,能够缓解肩关节疼痛,促进肩关节功能恢复,并发症少,值得临床推广应用。

参考文献/References:

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备注/Memo

备注/Memo:
2016-07-25收稿 2016-08-02修回
基金项目:湖北省中医院院内科研项目(JDZX2014Y27)
李峰 E-mail:690683196@qq.com

更新日期/Last Update: 1900-01-01