足蹬外旋复位法治疗肩关节脱位的对照研究

Control Study of Foot Spin Reset Treatments for Shoulder Dislocation

目的:探讨足蹬外旋复位法治疗肩关节前脱位的临床疗效。方法:收集2008年3月～2012年3月我院收治的肩关节前脱位28例,采用足蹬外旋复位法治疗;同时对另外一组肩关节前脱位的28例患者采用足蹬复位法治疗,对两组患者的复位情况、并发症及恢复情况作出比较。结果:足蹬复位法复位操作在5min内完成,[平均(3.5±1.4)min],其中20例接受麻醉;足蹬外旋复位法复位操作在2min完成,[平均(1.4±0.8)min],3例患者在麻醉下复位;两组复位时间差异具有统计学意义(P<0.05)。其中足蹬复位法组有2例在复位过程中发生骨折,而足蹬外旋复位法组所有28例在复位过程中未见明显并发症。复位1个月后随访,对两组患者肩关节进行UCLA评分,差异无统计学意义(P>0.05)。结论:与足蹬复位法比较,足蹬外旋复位法治疗肩关节前脱位,操作简单,并发症少,值得临床普遍推广。

Objective：To explore the foot spin reduction method treatment before shoulder dislocation of the clinical curative effect.Methods：The data of our shoulder dislocation were before 28 patients,the foot spin the reset method treatment;At the same time for another 28 cases were treated by foot reduction treatment method,two groups of patients to make a comparison.Results：The foot reduction method in 5 min reset operation finish,[average（3.5±1.4）min];The foot spin reset method in 2 min reset operation complete,[average（1.4±0.8）min];Significant difference（P0.05）.Which foot reduction method in 2 cases fractures,and the foot spin reset method 28 cases in the reduction process has not seen the complications.Reset after 1 month follow-up,the two groups of patients on the shoulder UCLA scores,and no significant difference（P0.05）.Conclusion：Compared with sufficient pedal reduction method,the foot spin reset method treatment before shoulder dislocation,simple operation,less complications,is worthy to be popularized.