肩关节后脱位的临床诊断治疗分析（附6例报告）

Clinical diagnosis and therapy for posterior dislocation of shoulder （affiliated by 6 cases reports）

目的：分析6例外伤性肩关节后脱位的诊治情况，探讨其诊断方法和临床疗效。方法：6例肩关节后脱位患者，男2例．女5倒；年龄21～71岁。右肩4侧．左肩2例。根据x线及CT检查明确诊断，所有患者均先采用手法复位。结果：6例患者，初诊时误诊、漏诊2例。所有患者均在加拍肩关节CT后确诊，患者均闭合复位成功，1例复位后行关节囊修补紧缩术。随访6～12个月，关节功能均良好。结论：提示仔细的临床查体和合适的影泉学检查对诊断具有重要意义，早期闭合复位可获得良好的功能恢复，对于老年患者关节囊松弛者可行关节囊修补术。

Objective： to discuss diagnosis methods and treatments for posterior dislocation of shoulder by 6 patients caused by injury in clinic. Methods： 6 patients suffered by posterior dislocation of shoulder included 2 males, 5 females; the ages range 21 to 71 years old. Right shoulder 4 eases, left 2 cases. According X - rays and CT diagnosis, all patients were adopted to manipulative reduction. Results： 2 patients got misdiagnosis at the beginning. Every patient got accurate diagnosis by CT and all of them were operated by closed replacements succe.~sfully. 1 patient got joint - capsule repaired. The patients were followed - up for 6 - 12 months, and joints function recovered well in them. Conclusion： what we studied indicates that medical examination in details and suitable imaging has great significance to diagnosis for the disease. Closed replacements can result in good recovery of joints function at early stages. Loosening of articular capsule in old patients can be treated by joint - capsule repaired.