[1]赵纯,荣海波,蒋小明.顺势复位法治疗肩关节前脱位[J].中医正骨,2016,28(08):47-49.
点击复制

顺势复位法治疗肩关节前脱位()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年08期
页码:
47-49
栏目:
临床报道
出版日期:
2016-08-20

文章信息/Info

作者:
赵纯荣海波蒋小明
四川省骨科医院,四川 成都 610041
关键词:
肩脱位 肩关节 舒筋整复手法 顺势复位法
摘要:
目的:观察顺势复位法治疗肩关节前脱位的临床疗效和安全性。方法:2015年11月至2016年2月,采用顺势复位法治疗闭合性肩关节前脱位患者72例,男39例、女33例。年龄l6~90岁,中位数41岁。左肩脱位28例,右肩脱位44例。喙突下型脱位31例,盂下型脱位39例,锁骨下型脱位2例。病程2~24 h,中位数7 h。观察患者肩关节复位和功能改善情况及并发症发生情况。结果:71例无麻醉下复位成功,其中67例1次复位成功,4例2次复位成功; 1例因对疼痛敏感,在臂丛神经阻滞麻醉下1次复位成功。复位成功后3个月,按照Neer肩关节功能评定标准评价疗效,优64例、良6例、可2例。均无骨折、神经损伤等并发症发生。结论:采用顺势复位法治疗肩关节前脱位,复位成功率高,有利于肩关节功能的恢复,并发症少,值得临床推广应用。

参考文献/References:

[1] Robinson CM,Shur N,Sharpe T,et al.Injuries associated with traumatic anterior glenohumeral dislocations[J].J Bone Joint Surg Am,2012,94(1):18-26. [2] Canale ST.坎贝尔骨科手术学[M].卢世壁,译.9版.济南:山东科学技术出版社,2001:2096-2099. [3] 王亦璁.骨与关节损伤[M].3版.北京:人民卫生出版社,2002. [4] 董旺超,王培民.肩关节脱位复位方法的研究进展[J].现代中西医结合杂志,2011,20(13):1687-1688. [5] Willemsen UF,Wiedemann E,Brunner U,et al.Prospective evaluation of MR arthrography performed with high-volume intraarticular saline enhancement in patients with recurrent anterior dislocations of the shoulder[J].AJR,1998,170(1):79-84. [6] Gusmer PB,Potter HG,Schatz JA,et al.Labral injuries:accuracy of detection with unenhanced MR imaging of the shoulder[J].Radiology,1996,200(2):519-524. [7] 郑卓肇,范家栋,谢敬霞.肩关节脱位:MR以及MR关节造影评价[J].中国医学影像技术,2002,18(9):927-929. [8] 高云山,曹贻训,王鹏池,等.肩关节前脱位足踩复位法的设计及应用[J].中医正骨,1993,5(1):8-9. [9] hoi E,Sashi R,Minagawa H,et a1.Position of immobilisation after dislocation of glenohumeral joint.A study using magnetic resonance imaging[J].J Bone Joint Surg Am,2001,83-A(5):661-667. [10] ltoi E,Hatakeyama Y,Kido T,et al.A new method of immobilisation after traumatic anterior dislocation of the shoulder:a preliminary study[J].J Shoulder Elbow Surg,2003,12(5):413-415. [11] Miller BS,Sonnabend DH,Hatrick C,et al.Should acute anterior dislocation of the shoulder be immobilised in external rotation?A cadaveric study[J].J Shoulder Elbow Surg,2004,13(6):589-592. [12] 郭振平,李占国,刘一,等.陈氏正骨手法治疗肩关节脱位的优势及特色[J].中医正骨,2015,27(8):67-68. [13] Shin SJ,Yun YH,Kim DJ,et al.Treatment of traumatic anterior shoulder dislocation in patients older than 60 years[J].Am J Sports Med,2012,40(4):822-827. [14] Van TA,Rosa F,Heffernan G,et al.Long term result after traumatic anterior shoulder dislocation:what works best?[J].musculoskeletal surgery,2011,95(suppl 1):65-70. [15] Lin CL,Hong CK,Jou IM,et al.Suture anchor versus screw fixation for greater tuberosity fractures of the humerus-a biomechanical study[J].J Orthop Res,2012,30(3):423-428. [16] Matsuhashi T,Hooke AW,Zhao KD,et al.Effect of humeral head rotation on bony glenohumeral stability[J].Clin Biomech(Bristol, Avon),2013,28(9):961-966. [17] 张均锦,陆春.肩关节脱位手法复位临床研究现状[J].医学综述,2015,21(13):2407-2408.

相似文献/References:

[1]唐剑邦,吴宇峰,高大伟,等.切开复位肱骨近端锁定钢板内固定治疗 陈旧性肩关节后脱位合并肱骨近端骨折[J].中医正骨,2015,27(10):49.
[2]郭振平,李占国,刘一,等.陈氏正骨手法治疗肩关节脱位的优势及特色[J].中医正骨,2015,27(08):67.
[3]李家福,张峰,姚先杰,等.肩关节后脱位1例[J].中医正骨,2011,23(06):76.
[4]李健,江和训,张秀娟,等.先离后合法整复肩关节前脱位[J].中医正骨,2016,28(02):65.
[5]赵明宇,杨超凡,赵启,等.“筋滞骨错”理论指导下手法治疗黏连期肩凝症[J].中医正骨,2016,28(04):57.
[6]林俊宏.拔伸顶压法治疗老年肩关节脱位合并肱骨外科颈骨折[J].中医正骨,2016,28(06):31.
[7]张国文.肱骨近端锁定接骨板内固定治疗肱骨近端骨折[J].中医正骨,2016,28(08):50.
[8]宁源,孙风凡,童培建.电针联合康复锻炼在肩袖损伤术后康复中的应用[J].中医正骨,2018,30(01):29.
 NING Yuan,SUN Fengfan,TONG Peijian.Application of electroacupuncture and rehabilitation exercises to postoperative rehabilitation of rotator cuff injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):29.
[9]张 华.手牵足蹬复位法联合中药外敷治疗肩关节脱位[J].中医正骨,2018,30(08):77.
[10]刘凯,尚如国,梁志超,等.老年肱骨近端骨折后肩关节功能恢复的影响因素分析[J].中医正骨,2018,30(09):39.
 LIU Kai,SHANG Ruguo,LIANG Zhichao,et al.Analysis of factors influencing shoulder function recovery after proximal humeral fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):39.
[11]徐平,陈选宁,张汉庆,等.椅背屈肘复位法与手牵足蹬复位法治疗肩关节前脱位的疗效比较[J].中医正骨,2018,30(12):9.
 XU Ping,CHEN Xuanning,ZHANG Hanqing,et al.A clinical comparison of chair-back-bent-elbow reduction versus Hippocrates reduction for treatment of anterior dislocation of shoulder joints[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(08):9.

更新日期/Last Update: 1900-01-01