创伤性肩关节后脱位7例诊治体会

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。

Diagnosis and treatment of 7 cases of post-traumatic shoulder dislocation

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.