上举牵引内收复位法治疗肩关节脱位的机制和效果

Clinical effects of lifting traction and adduction reduction on shoulder joint dislocation

目的探讨和分析上举牵引内收复位法治疗肩关节脱位机制和效果。方法选择37例肩关节脱位患者作为研究对象,所有患者均通过上举牵引内收复位进行治疗,总结患者的复位效果。结果本研究37例患者均通过一次治疗就肩关节复位成功,牵引时间1~6(3.11±0.63)min,经摄片证实患者肩关节复位满意。随访0.5~2年,治愈32例,治愈率为86.49%;显效4例,显效率为10.81%;有效1例,有效率为2.70%;治疗的总有效率为100.0%。结论在肩关节脱位的治疗中,上举牵引内收复位法易行、简便,可避免发生继发性损伤,并满足了肩关节解剖以及生物力学原理,应推广使用。

Objective To investigate the clinical effects of lifting traction and adduction reduc- tion in the treatment of shoulder joint dislocation. Methods Thirty-seven patients with shoulder joint dislocation were selected as the research object. All the patients were treated by adduction reduction in the upper lift, and the effect of the reduction was summarized. Results All of the 37 patients were suc- cessfully treated by one time, and the time of traction was 1 to 6 （3.11 ± 0. 63 ） min. The patients were satisfied with the reduction of shoulder joint. After following up for 0. 5 to 2 years, there were 32 cases were cured, the cure rate was 86. 49%, and d cases were markedly effective, the effective rate was 10. 81%, and 1 case were effective, the effective rate was 2. 70%, the total effective rate was 100%. Conclusions In the treatment of shoulder joint dislocation, lifting traction and adduction reduction is simple and easy to operate. It can avoid secondary injury and satisfy the anatomy and biomechanics prin- ciples of shoulder joint, which should be popularized in clinical practice.