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椅子法:一种简单有效的复位肩关节前脱位的方法。

Chair method: a simple and effective method for reduction of anterior shoulder dislocation.

作者信息

Mahiroğulları Mahir, Akyıldız Faruk, Köksal Ismet, Cakmak Selami, Kürklü Mustafa, Kuşkucu Mesih

机构信息

Department of Orthopedics and Traumatology, GATA Haydarpaşa Training Hospital, İstanbul, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2012;46(2):102-6. doi: 10.3944/AOTT.2012.2676.

Abstract

OBJECTIVE

The ideal reduction method for anterior shoulder dislocation is defined as a practical technique applied without any assistance and minimizing patient interference. The aim of this study was to evaluate the outcomes of patients with shoulder dislocations reduced using the chair method in the emergency department and show that the chair method is one of the ideal methods.

METHODS

Seventy-four patients with anterior shoulder dislocation were treated using the chair method. Data from patients were recorded and analyzed.

RESULTS

All dislocated shoulders were successfully reduced using the chair method without any complication or difficulty. Thirty patients had first time dislocation and 44 patients had previous dislocation. Mean duration between dislocation and reduction was 3 (range: 1 to 6) hours. Mean duration of reduction was 13.9 (range: 3 to 45) seconds.

CONCLUSION

The chair method is an effective and successful reduction method for shoulder dislocation. We believe that orthopedists and emergency department physicians should be familiar with this simple technique which does not have to be performed under general anesthesia.

摘要

目的

理想的肩关节前脱位复位方法是一种无需任何辅助且能将对患者的干扰降至最低的实用技术。本研究的目的是评估在急诊科采用座椅法复位的肩关节脱位患者的治疗效果,并证明座椅法是理想的方法之一。

方法

74例肩关节前脱位患者采用座椅法治疗。记录并分析患者的数据。

结果

所有脱位的肩关节均成功采用座椅法复位,无任何并发症或困难。30例患者为首次脱位,44例患者曾有过脱位。脱位与复位之间的平均时长为3(范围:1至6)小时。平均复位时长为13.9(范围:3至45)秒。

结论

座椅法是一种有效且成功的肩关节脱位复位方法。我们认为骨科医生和急诊科医生应熟悉这种无需在全身麻醉下进行的简单技术。

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