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创伤性肩关节后脱位7例诊治体会
Diagnosis and treatment of 7 cases of post-traumatic shoulder dislocation
【摘要】 目的:总结肩关节后脱位的诊断和治疗方法。方法:回顾性分析自2000年6月~2012年10月青海大学附属医院收治7例肩关节后脱的诊疗过程。结果:臂丛麻醉下,经手法整复外展架固定后,X线片证实脱位已复位,肩关节解剖关系恢复正常。随访6~24个月,无复发性脱位,肩部无疼痛及压痛,功能恢复良好。结论:肩关节后脱位容易造成误诊和漏诊。骨科医师应加强对该病的认识,充分掌握该病的诊断要点,详细查体,仔细阅读X线片,有异常及时行CT检查,争取做到早期诊断,不漏诊不误诊,才能确保良好的临床疗效。
【Abstract】 Objective:To summarize the diagnosis and treatment of post-traumatic shoulder dislocation.Methods:A retrospective analysis from June 2000 to October 2012 Qinghai University Affiliated Hospital of 7 cases of post-traumatic shoulder dislocation the treatment process.Results:Brachial plexus anesthesia,after the manipulative reduction fixation,X-ray confirmed dislocation has been reset,shoulder anatomy back to normal.Followed up for 6 to 24 months,no recurrent dislocation,no shoulder pain and tenderness,good functional recovery.Conclusion:Posterior shoulder dislocation easily leads to misdiagnosis and missed diagnosis.Orthopedic surgeons should strengthen awareness of the disease,fully grasp the diagnosis points,detailed examination,carefully read the X-ray,anomalies to timely CT examination,strive to achieve early diagnosis,not missed and not misdiagnosed to ensure good clinical efficacy.
【Key words】 Posterior shoulder dislocation; Misdiagnosis; Missed diagnosis; Early diagnosis;
- 【文献出处】 中医临床研究 ,Clinical Journal of Chinese Medicine , 编辑部邮箱 ,2014年01期
- 【分类号】R684
- 【下载频次】67