Shapovalov V M, Tikhilov R M, Trachuk A P, Dokolin S Iu, Burulev A L
Vestn Khir Im I I Grek. 2001;160(2):53-8.
The article gives an analysis of results of conservative treatment of 503 patients with a primary traumatic dislocation of the shoulder. High frequency of the development of chronic instability of the shoulder joint was shown to be 31.2%. The using of arthroscopy, noninvasive methods of diagnosis (rentgenography, USI) allowed to diagnose the typical complex of morphological injuries following dislocations of the shoulder. General and local factors responsible for the development of chronic instability of the shoulder joint were established. Arthroscopy and early surgical stabilization of the joint are thought to be expedient in cases of a combination of these factors. Conservative treatment is indicated to patients older than 40 without high physical needs.
本文对503例原发性创伤性肩关节脱位患者的保守治疗结果进行了分析。结果显示,肩关节慢性不稳定的发生率较高,为31.2%。关节镜检查以及非侵入性诊断方法(X线摄影、超声检查)有助于诊断肩关节脱位后典型的形态学损伤复合体。确定了导致肩关节慢性不稳定的全身和局部因素。对于存在这些因素组合的病例,关节镜检查和早期手术稳定关节被认为是适宜的。对于年龄超过40岁且对身体活动需求不高的患者,建议采用保守治疗。