吴门医派骨伤手法治疗肩关节前脱位  

Treatment of anterior glenohumeral dislocations with manual reduction of WU medical school

作　　者：陆斌杰 陆桢[1] 沈晓峰[1] LU Bin-jie;LU Zhen;SHEN Xiao-feng(Department of Orthopaedics,Suzhou Hospital of Traditional Chinese Medicine,Suzhou 215009,Jiangsu,China)

机构地区：[1]苏州市中医医院骨伤科,江苏苏州215009

出　　处：《中国骨伤》2019年第12期1165-1167,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨吴门医派骨伤手法治疗肩关节前脱位的技巧、机制及临床疗效。方法:自2016年1月至2017年12月,采用吴门医派骨伤手法治疗肩关节前脱位181例,男71例,女110例;年龄19~94(61.1±16.3)岁;其中盂下型68例,喙突下型93例,锁骨下型20例。拆除外固定后行Constant评分来评估患肢功能。结果:157例1次复位成功,23例2次复位成功,无血管、神经损伤或医源性骨折发生,拆除外固定后Constant评分75~100(92.1±4.3)分。168例获随访,时间12~24(16.1±3.2)个月,随访期间无复发性肩关节脱位发生。结论:吴门医派骨伤手法治疗肩关节前脱位复位成功率高、并发症率低,操作规范、简单易学,值得推广。Objective:To investigate the technique,mechanism and clinical efficacy of manual reduction of WU medical school in the treatment of anterior glenohumeral dislocations.Methods:From January 2016 to December 2017,181 patients with anterior glenohumeral dislocations were treated with our manual reduction,including 71 males and 110 females,ranging in age from 19 to 94 years old,with a mean age of(61.1±16.3)years old;68 cases of subglenoid type,93 cases of subcoracoid type and 20 cases of subclavian type.Constant score was used to evaluate limb function while the external fixation was removed.Results:One hundred and fifty-seven patients achieved reduction at the first attempt and 23 patients achieved at the second time.There was no vascular damage,nerve damage or iatrogenic fracture accmpanied.The Constant score ranged from 75 to 100,with a mean score of 92.1±4.3.One hundred and sixty-eight patients were followed up,and the duration ranged from 12 to 24 months,with an average of(16.1±3.2)months,no recurrent dislocation occurred during the follow up period.Conclusion:The manual reduction of WU medical school in the treatment of anterior glenohumeral dislocations has high success rate and low complication rate,which is scientific,safe,standardized,easy to learn and worth promoting.

关 键 词：肩脱位 手法 骨科 肩关节 

分 类 号：R684.7[医药卫生—骨科学] R274.21[医药卫生—外科学]