临床骨科杂志2001，Vol.4Issue(1)：46-48,3.
肩关节后脱位的诊断与治疗
Diagnosis and treatment of posterior dislocation of the shoulder
摘要
Abstract
Objective To explore the significance of involved diagnostic examinations and the effects of treatment of posterior dislocations of the shoulder. Methods The trauma series of radiological examination and CT scan were used in 5 cases of neglected posterior dislocations of the shoulder. The therapy opinion was based on the time between injury and diagnosis, clinical symptoms and the findings of radiological examinations. Three acute cases were treated with close reduction. One of the 2 cases of chronic dislocations was treated with open reduction and internal fixation, and the other case was skillfully neglected. Results CT scan, MRI, late ral view, axillary view and Velpeau axillary view revealed respectively 5 cases, 1 ca se, 5 cases, 2 cases, 5 cases of posterior dislocations of humeral head. CT scan , axillary view and Velpeau axillary view could show the complicated fractures. After 2～5 years of follow-up, The UCLA score was 32～35 points for acute cases, 14 points for the open reduced case, and 22 points for the skillfully neglected case. Conclusion Lack of clinical experience and misunderstanding of A-P view of radiograph were among the main causes leading to the miss of diagnosis in posterior dislocation of the shoulder. CT scan and trauma series of radiological examination are of importance in the diagnosis. Early close reduction usually yields satisfactory results.关键词
肩脱位分类
医药卫生引用本文复制引用
翟伟韬,唐明杰,蒋垚..肩关节后脱位的诊断与治疗[J].临床骨科杂志,2001,4(1):46-48,3.
