Nho Shane J, Dodson Christopher C, Bardzik Katherine F, Brophy Robert H, Domb Benjamin G, MacGillivray John D
The Hospital for Special Surgery, New York, NY, USA.
J Orthop Trauma. 2006 May;20(5):354-7. doi: 10.1097/00005131-200605000-00010.
The 2-step closed reduction maneuver was developed to aid in the rarely encountered inferior shoulder dislocation. The maneuver converts the humeral head from an inferior dislocation to an anterior dislocation and then reduces the humeral head into the glenoid. The operator places one hand on the shaft of the humerus and the other hand on the medial condyle. The hand on the shaft initiates an anteriorly directed force rotating the humeral head from an inferior to an anterior position. Once this is accomplished, the humerus is adducted against the body. The humerus is then external rotated reducing the humeral head into the glenoid. Two cases of inferior shoulder dislocation were closed reduced by using the described technique with minimal analgesia and without a change in the postreduction neurovascular status.
两步闭合复位手法是为辅助治疗罕见的肩关节下脱位而开发的。该手法将肱骨头从下脱位转换为前脱位，然后将肱骨头复位至关节盂。操作者一只手放在肱骨干上，另一只手放在内侧髁上。放在肱骨干上的手施加向前的力，将肱骨头从下位置旋转到前位置。一旦完成此操作，将肱骨内收靠向身体。然后将肱骨外旋，将肱骨头复位至关节盂。使用所述技术对两例肩关节下脱位进行了闭合复位，镇痛效果 minimal，且复位后神经血管状态未发生改变。
