Tomcovcík L, Kitka M, Molcányi T, Cibur P
Klinika úrazovej chirurgie FN L. Pasteura a LF UPJS, Kosice, Slovenská republika.
Rozhl Chir. 2001 Jan;80(1):38-42.
Authors present 248 shoulder dislocations included recurrent dislocations in a 3-year period. All of dislocations were of anterior type except 3 posterior dislocations and 1 inferior or luxatio erecta. They describe and recommend method of reduction without local or general anesthesia according to Arlt, which was used in 234 cases with effectivity of 96.6%. Posterior dislocation can have a very subtle signs and is generally initially missed in more than 50% cases. Two X-ray views in posterior dislocation are necessary to confirm diagnosis. Authors used in addition to anteroposterior transthoracic view with no posterior dislocation missed.
作者报告了在3年期间的248例肩关节脱位，其中包括复发性脱位。除3例后脱位和1例下脱位或直立性脱位外，所有脱位均为前脱位类型。他们描述并推荐了根据阿尔特法在无局部或全身麻醉情况下的复位方法，该方法用于234例患者，有效率为96.6%。后脱位的体征可能非常不明显，通常在超过50%的病例中最初会被漏诊。后脱位需要两张X线片来确诊。作者除了使用前后位经胸视图外，没有漏诊任何后脱位病例。
