Beeson M S
Department of Emergency Medicine, Summa Health System/Northeastern Ohio Universities College of Medicine, Akron, USA.
Am J Emerg Med. 1999 May;17(3):288-95. doi: 10.1016/s0735-6757(99)90127-4.
Dislocations of the shoulder are the most common joint dislocations seen in the emergency department, and complications of shoulder dislocations are more frequent than is generally believed. It is vital that emergency physicians have current knowledge of complications associated with shoulder dislocations because of their important role in recognition and prevention. Delayed recognition of complications can have an impact on the long-term outcome of patients. Prompt recognition and follow-up are essential. Most references address reduction methods rather than recognition of specific complications. Emergency physicians have few opportunities to update their knowledge of complications of shoulder dislocations. This article briefly reviews mechanisms of shoulder dislocation and discusses complications in light of the mechanisms of injury.
肩关节脱位是急诊科最常见的关节脱位,而且肩关节脱位的并发症比一般认为的更为常见。由于急诊医生在识别和预防并发症方面起着重要作用,因此他们掌握与肩关节脱位相关的最新知识至关重要。对并发症的延迟识别会影响患者的长期预后。及时识别和随访至关重要。大多数参考文献关注的是复位方法,而非特定并发症的识别。急诊医生很少有机会更新他们关于肩关节脱位并发症的知识。本文简要回顾肩关节脱位的机制,并根据损伤机制讨论并发症。