Malik Sanjeev, Chiampas George, Leonard Heather
Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, 259 East Erie Street, Suite 100, Chicago, IL 60610, USA.
Emerg Med Clin North Am. 2010 Nov;28(4):739-63. doi: 10.1016/j.emc.2010.06.006.
This article provides a review of the evaluation and treatment of common injuries to the shoulder, humerus, and clavicle in the emergency department (ED) setting. In addition to a focused review of the shoulder's physical examination, topics include common emergent injuries such as glenohumeral dislocations, proximal humerus fractures, and acromioclavicular separations as well as less common, but important injuries including pectoralis and biceps tendon injuries and sternoclavicular dislocations. Accurate recognition and management of these injuries is essential in the optimal care of patients in the ED.
本文综述了急诊科(ED)环境下肩部、肱骨和锁骨常见损伤的评估与治疗。除了重点回顾肩部的体格检查外,主题还包括常见的紧急损伤,如肩肱关节脱位、肱骨近端骨折和肩锁关节分离,以及不太常见但重要的损伤,包括胸大肌和肱二头肌肌腱损伤以及胸锁关节脱位。准确识别和处理这些损伤对于急诊科患者的最佳护理至关重要。