Sagarin Mark J
University of New Mexico Health Sciences Center, Albuquerque, New Mexico 87131-0001, USA.
J Emerg Med. 2005 Oct;29(3):313-6. doi: 10.1016/j.jemermed.2005.02.012.
This article describes a combination maneuver for the reduction of anterior glenohumeral dislocations. It maximizes the force counter to the patient's musculature by using downward motion, with the physician's body mass and gravity doing the work, and the base of the ED gurney providing countertraction. It couples this force with the benefit of a scapulothoracic manipulation maneuver, which rotates the glenoid fossa into a position more amenable to "reaccepting" the humeral head. Some might regard this as a variation of the scapulothoracic manipulation maneuver. Because minimal sedation and analgesia is necessary, this technique may be useful for shoulder reductions at sporting events, wilderness areas, or accident scenes. It may also expedite the care of patients in busy emergency department settings.
本文描述了一种用于复位肩关节前脱位的联合手法。通过向下运动，利用医生的体重和重力来发挥作用，并借助急诊推床的底部提供对抗牵引，从而使对抗患者肌肉组织的力量最大化。它将这一力量与肩胛胸壁手法操作的益处相结合，该手法可将肩胛盂旋转至更有利于“重新接纳”肱骨头的位置。有些人可能认为这是肩胛胸壁手法操作的一种变体。由于只需极少的镇静和镇痛措施，该技术可能适用于体育赛事、野外或事故现场的肩部复位。它还可能加快繁忙急诊科环境中患者的救治。
