| 外旋牵引指推法治疗老年人肩关节前脱位 |
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Received:February 23, 2014
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| 期刊信息：《中国骨伤》2014年27卷，第6期，第522-524页 |
| DOI：10.3969/j.issn.1003-0034.2014.06.019 |
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| 目的： 探讨一种治疗老年人肩关节前脱位的复位方法。方法： 自2011年10月至2012年6月，采用外旋牵引指推法治疗老年人肩关节前脱位27例，男7例，女20例；年龄65～86岁，平均77岁；病程1 h～1 d.患者呈方肩畸形，Dugus征阳性，X线片示肩关节前脱位。术后采用Dugus位固定，3周后去除外固定行患肩功能锻炼。按肩关节损伤的功能评定标准进行疗效评定。结果： 患者均1次复位成功，25例获随访，时间为术后3个月，术后未出现再次脱位。按肩关节损伤的功能评定标准进行评定，优 22例，良 2 例，中 1 例。结论： 外旋牵引指推法治疗老年人肩关节前脱位具有简便、易行、痛苦小、可避免医源性损伤等优点，适合推广。 |
| [关键词]:骨牵引复位法 肩关节 脱位 手法,骨科 老年人 |
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| Extorsion traction and pushing manipulation with fingers for the treatment of anterior shoulder dislocation in elderly |
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| Abstract:Objective: To investigate a manipulating therapy for treatment of anterior shoulder dislocation in elderly. Methods: From October 2011 to June 2012,27 elderly patients with anterior shoulder dislocation were treated by extorsion traction and pushing manipulation with fingers,including 7 males and 20 females aged from 65 to 86 years old with an average of 77. The course of disease ranged from 1 h to 1 d. The shoulder manifested square deformity,Dugus signs showed positive,and X-ray displayed anterior shoulder dislocation. Dugus fixation was applied for and removed external fixation at 3 weeks after operation and carried out shoulder functional exercise. Functional evaluation standard on shoulder joint injuries was used for evaluate clinical outcomes. Results: All patients were gained reduction for the first time,and followed up at 3 months after operation,no dislocation occurred. According to functional evaluation standard on shoulder joint injuries,22 cases got an excellent result,2 cases good,and 1 case moderate. Conclusion: Extorsion traction and pushing manipulating therapy for treatment of anterior shoulder dislocation in elderly,which has advantages of simple,convenient,less painful,and can avoid iatrogenic injury,is feasible to widespread. |
| KEYWORDS:Skeletal tracting reposition Shoulder joint Dislocations Manipulation,orthopedic Aged |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郗海涛,黄海晶,辛景义.外旋牵引指推法治疗老年人肩关节前脱位[J].中国骨伤,2014,27(6):522~524 |
| 英文格式: | XI Hai-tao,HUANG Hai-jing,XIN Jing-yi.Extorsion traction and pushing manipulation with fingers for the treatment of anterior shoulder dislocation in elderly[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(6):522~524 |
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