外旋牵引指推法治疗老年人肩关节前脱位  

Extorsion traction and pushing manipulation with fingers for the treatment of anterior shoulder dislocation in elderly

作　　者：郗海涛[1] 黄海晶[2] 辛景义[2] 

机构地区：[1]天津中医药大学研究生院,天津300193 [2]天津医院创伤骨科,天津300211

出　　处：《中国骨伤》2014年第6期522-524,共3页China Journal of Orthopaedics and Traumatology

摘　　要：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。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 e- valuate clinical outcomes. Results： All patients were gained reduction for the first time, and followed up at 3 months after oper- ation ,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.

关 键 词：骨牵引复位法 肩关节 脱位 手法 骨科 老年人 

分 类 号：R684.7[医药卫生—骨科学]