【摘要】 目的:改进创伤性肩关节前脱位的治疗方法,降低再脱位的发生率。方法:本组病例33例,保守治疗:手法闭合复位后,患肩固定于外旋20°~30°位3周;关节镜手术治疗:全麻下,行关节镜检,采用缝合锚修复Bankart损伤或肩袖撕裂。结果:UCLA评分15~35分,(34.0±1.7)分。优30例,良3例,可2例,差0例;31例恢复正常生活、工作及运动,满意率93.9%(31/33)。结论:创伤性肩关节前脱位复位后患肩固定于外旋20°~30°位或早期行关节镜手术治疗,疗效确切,可减少再脱位的发生。更多还原

【Abstract】 Objective: To improve the treatment of traumatic anterior shoulder dislocation in order to decrease the rate of recurrence.Methods: Thirty-three patients were enrolled in the study and treated with non-operative or arthroscopic management respectively.In non-operation group,immobilization for 3 weeks with the arm in 20°～30° external rotation was carried out after manipulative closed reduction.While in arthroscopy group,Bankart lesion or rotator cuff tear was treated with suture anchor technique with arthroscopy under general anesthesia.Results: The UCLA scores ranged from 15 to 35 and the average score was(34.0 ±1.7).Thirty cases got excellent effect,3 cases were effective,2 cases were fair and none ineffective.Thirty-one patients recovered to normal life,work and movement.The satisfaction rate was 93.9%(31/33).Conclusion: Immobilization with the arm in external rotation or early arthroscopic management was effective in reducing the rate of recurrence after initial anterior dislocation of the shoulder.更多还原