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中华关节外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (03) : 405 -408. doi: 10.3877/cma.j.issn.1674-134X.2024.03.015

临床经验

休息位复位技术治疗肩关节前脱位50例
夏文波1,(), 冯左基1, 胡建强1   
  1. 1. 266500 山东省青岛市黄岛区中医医院
  • 收稿日期:2023-11-10 出版日期:2024-06-01
  • 通信作者: 夏文波

Resting position manipulative reduction technique in treatment of anterior shoulder dislocation for 50 cases

Wenbo Xia1,(), Zuoji Feng1, Jianqiang Hu1   

  1. 1. Qingdao Huangdao District Hospital of Traditional Chinese Medicine, Qingdao 266500, China
  • Received:2023-11-10 Published:2024-06-01
  • Corresponding author: Wenbo Xia
引用本文:

夏文波, 冯左基, 胡建强. 休息位复位技术治疗肩关节前脱位50例[J]. 中华关节外科杂志(电子版), 2024, 18(03): 405-408.

Wenbo Xia, Zuoji Feng, Jianqiang Hu. Resting position manipulative reduction technique in treatment of anterior shoulder dislocation for 50 cases[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(03): 405-408.

目的

观察休息位复位技术治疗肩关节前脱位临床疗效。

方法

选取青岛市黄岛区中医医院2019年6月至2023年5月肩关节前脱位患者50例,采用休息位复位技术复位,观察其临床疗效并记录复位时间。

结果

采用休息位复位技术治疗肩关节前脱位,复位过程患者痛苦小、牵引力量小,安全有效,临床疗效显著。平均复位时间(62±24)s。

结论

休息位复位技术治疗肩关节前脱位手法轻柔、安全有效,推广前景广阔。

Objective

To observe the clinical efficacy of resting position maneuver technique in the treatment of anterior shoulder dislocation.

Methods

A total of 50 patients with anterior shoulder dislocation from June 2019 to May 2023 were selected and reduced by resting position manipulative reduction technique to observe their clinical efficacy.

Results

The resting position manipulative reduction technique was used to treat anterior shoulder dislocation, which was safe and effective, and the clinical effect was remarkable. The reset time was (62±24) s on average.

Conclusion

The resting position reduction technique is gentle, safe and effective in the treatment of anterior shoulder dislocation, and has broad prospects.

图1 复位前左肩正位X线片,示左肩关节脱位
Figure 1 X-ray image at anterioposterior view of left shoulder before resetting, showing left shoulder dislocation
图2 复位后左肩正位即刻X线片,示左肩复位
Figure 2 X-ray film immediately after reduction,showing the joint in good position
图3 牵引患肢前屈上举
Figure 3 Doctor pulled the affected limb forward and upward
图4 外展外旋外展上举135°左右(如同休息时双手叠放于脑后位置)轻轻旋转牵引
Figure 4 Doctor externally rotated and lifted upwards at about 135 degrees (similar to resting with hands stacked behind the head), gently rotated and pulled
图5 复位困难者可一手握拳向健侧顶推固定肩胛骨
Figure 5 For the patient who was difficulty in reduction, doctor used one hand to clench fist, pushed and fixed the scapula towards the healthy side
图6 复位成功后搭肩试验阴性
Figure 6 Negative shoulder drape test after successful reduction
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