悬垂踩踏整复法结合外展外旋位固定治疗初发性肩关节脱位40例

目的:探讨悬垂踩踏法整复肩关节脱位的机理,并比较内收内旋与外展外旋两种固定法的效果。方法:采用悬垂踩踏法整复初发性肩关节脱位80例,并随机分对照组及治疗组各40例,分别采用内收内旋法与外旋外展法固定,随访其肩关节功能测定结果及复发情况。结果:两组治疗后关节评分及疗效比较,差异无统计学意义(P>0.05)。对照组复发率27.5%,治疗组复发率5.0%,两组比较,差异有统计学意义(P<0.01),且治疗组在并发肩关节病亦低于对照组(P<0.01)。结论:悬垂踩踏整复法治疗初发性肩关节脱位符合解剖及生物力学原理,复位后外旋固定法较内旋固定复发率低,且利于关节功能恢复。

Study on the improved stimson with immobilization of external expansion and rotation in treatment primary traumatic anterior shoulder dislocation

Objective: To explore improved stimson used in curing the primary traumatic anterior shoulder dislocation while analysis its mechanism,and compare the effect of two immobilization methods of shoulder dislocation reduction.Methods:80 patients with primary traumatic anterior shoulder dislocation successfully received a manual reduction with the improved stimon methods.All the cases were divided into two groups,Two methods for immobilization(external expansion and internal adduction rotation)were used.Shoulder function and recurrence rates were analyzed.Results:The UCLA score reflecting joint function showed no significant difference between the two groups(P>0.05).Recurrence rate of interna1 and external immobilization was 27.5% and 5%,respectively(P<0.01).Conclusion:The improved stimson methods are easy and flexible for the reduction of the adult shoulder dislocation,It follows the shoulder anatomy and principle of biomechanics.External rotation immobilization maybe more effective for the recovery of joint function and had lower recurrence rate comparing with internal′s for shoulder dislocation treatment in emergency departments.