关节常见脱位的游戏内管理。
In-game Management of Common Joint Dislocations.
机构信息
Washington University in Saint Louis, Saint Louis, Missouri.
出版信息
Sports Health. 2014 May;6(3):246-55. doi: 10.1177/1941738113499721.
CONTEXT
Sideline management of sports-related joint dislocations often places the treating medical professional in a challenging position. These injuries frequently require prompt evaluation, diagnosis, reduction, and postreduction management before they can be evaluated at a medical facility. Our objective is to review the mechanism, evaluation, reduction, and postreduction management of sports-related dislocations to the shoulder, elbow, finger, knee, patella, and ankle joints.
EVIDENCE ACQUISITION
A literature review was performed using the PubMed database to evaluate previous and current publications focused on joint dislocations. This review focused on articles published between 1980 and 2013.
STUDY DESIGN
Clinical review.
LEVEL OF EVIDENCE
Level 4.
RESULTS
The clinician should weigh the benefits and risks of on-field reduction based on their knowledge of the injury and the presence of associated injuries.
CONCLUSION
When properly evaluated and diagnosed, most sports-related dislocations can be reduced and initially managed at the game.
背景
运动相关关节脱位的场外处理常常使治疗医务人员面临挑战。这些损伤通常需要在送往医疗机构进行评估之前，进行快速评估、诊断、复位和复位后处理。我们的目的是回顾肩部、肘部、手指、膝关节、髌骨和踝关节运动相关脱位的机制、评估、复位和复位后管理。
证据获取
使用 PubMed 数据库进行文献复习，评估以前和当前专注于关节脱位的出版物。本综述重点关注 1980 年至 2013 年期间发表的文章。
研究设计
临床综述。
证据水平
4 级。
结果
临床医生应根据他们对损伤的了解和是否存在相关损伤，权衡在场下复位的利弊。
结论
如果经过适当评估和诊断，大多数运动相关脱位可以在比赛中复位并初步治疗。
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