Hoelen M A, Burgers A M, Rozing P M
Department of Orthopaedic Surgery, University Hospital, Leiden, The Netherlands.
Arch Orthop Trauma Surg. 1990;110(1):51-4. doi: 10.1007/BF00431367.
From 1982 to 1987, 194 patients with 196 primary traumatic anterior shoulder dislocations were treated in our hospital. One hundred and sixty-six patients with 168 shoulder dislocations (87%) were available for study at follow-up an average of 4 years after treatment. The most important prognostic factor in relation to recurrence was the age of the patient at the time of the primary dislocation. The highest recurrence rate was found in patients of 30 years and younger (64%). Athletes in this age group had no worse a prognosis as to recurrence than non-athletes. A fracture of the greater tuberosity improved the prognosis significantly (P less than 0.01). Neither the presence of a Hill-Sachs lesion nor the period of immobilization influenced the recurrence rate in patients aged 30 years and younger.
1982年至1987年，我院共治疗194例患者的196例原发性创伤性肩关节前脱位。166例患者的168例肩关节脱位（87%）在治疗后平均4年的随访中可供研究。与复发相关的最重要预后因素是初次脱位时患者的年龄。30岁及以下患者的复发率最高（64%）。该年龄组的运动员在复发预后方面并不比非运动员差。大结节骨折显著改善了预后（P<0.01）。Hill-Sachs损伤的存在以及固定时间均未影响30岁及以下患者的复发率。
