外旋法复位治疗急性肩关节前脱位  

Acute anterior shoulder dislocation reduction with external rotation method

作　　者：廖博[1] 张勇[1] 郑联合[1] 丁勇[1] 马保安[1] 

机构地区：[1]第四军医大学唐都医院全军骨科中心,陕西西安710038

出　　处：《现代生物医学进展》2010年第1期103-104,共2页Progress in Modern Biomedicine

摘　　要：目的:本研究主要报道我们在治疗肩关节前脱位中采用的外旋法复位。方法:在2005年7月到2007年10月之间,我们采用外旋复位法对来我院急诊科进行治疗的31例肩关节前脱位患者进行了治疗。我们对这些患者分别从脱位的类型、复位的效果、术前麻醉的实施、复位操作的难易以及并发症上给予了相应的评估。结果:31个患者中,29例成功复位,其中25例没有要求给予术前麻醉,在这25例中,平均手法复位时间少于2分钟。只有5例病人复位后诉在复位过程中有严重的疼痛。运用此方法有两例病人没有复位成功,后来在麻醉下给予成功复位。本试验中首次复位成功率达到89%。没有人发生任何并发症。结论:在治疗急性肩关节前脱位中,外旋复位法是一个安全和可靠的方法,基本上不需要进行术前麻醉和镇静止痛的操作,此方法基本上能在无疼的状况下进行。Objective：This study was operated to report our experiences of using the external rotation method in the reduction of acute anterior shoulder dislocation.Methods：Between July 2005 and Oct.2007,ERM was applied to 31 patients with traumatic anterior shoulder dislocation to orthopaedic surgery center of our Hospital.We evaluated the type of dislocation,the effectiveness of the procedure,the need for premedication,the ease of performing the reduction,and complications.Results：Of the 31 patients,29 had a successful reduction.No premedication was required in 25 patients who had a successful reduction,and the average time required for reduction in 25 was less than 2 min.Only five patients reported severe pain during the process of reduction.The method was not successful in two patients in whom the reduction was achieved under narcosis.We experienced a success rate of 89% at the first attempt.None of the patients encountered any complication.Conclusions：ERM for the reduction of acute anterior dislocation of the shoulder is a safe and reliable method,mainly without requirement for any premedication,which can be performed relatively painlessly for anterior shoulder dislocations.

关 键 词：急性肩关节脱位 外旋法 复位 

分 类 号：R681.7[医药卫生—骨科学]