Noack W, Strohmeier M
Orthopädische Klinik und Querschnittgelähmtenzentrum in RKU, Universität Ulm.
Unfallchirurgie. 1988 Aug;14(4):184-90.
We evaluated the results of treatment in six patients with unreduced chronic anterior dislocations of the shoulder. In three patients the dislocations had not been recognized by the initial treating physician. In the remaining three patients the dislocations initially had been diagnosed but reduction had failed and the dislocations had remained unreduced. In one of the six shoulders the dislocation was left unreduced. The dislocation existed for 3.5 years and there was absence of disabling functional impairment, pain or neurovascular disturbance. In five of six shoulders the function was severely impaired. One of five shoulders with an anterior dislocation of three weeks duration could be reduced by closed manipulation. Four shoulders underwent open reduction. In all patients the humeral head could be preserved. Associated osseous lesions of the glenoid or the humeral head (Hill-Sachs lesions, fractures) were treated by rotation osteotomies according to Weber and the Eden-Lange-Hybinette procedure. Preoperatively all shoulders were graded as poor. Postoperatively the results in one was graded as excellent, in three as good and in one (algodystrophy of the left arm) as fair.
我们评估了6例慢性肩关节前脱位未复位患者的治疗结果。其中3例脱位最初未被主治医生识别。其余3例脱位最初已被诊断，但复位失败，脱位仍未复位。6个肩关节中有1个未进行复位。该脱位存在3.5年，没有导致功能障碍、疼痛或神经血管紊乱。6个肩关节中有5个功能严重受损。5个持续3周的前脱位肩关节中有1个可通过闭合手法复位。4个肩关节接受了切开复位。所有患者的肱骨头均得以保留。根据Weber法以及Eden-Lange-Hybinette手术，通过旋转截骨术治疗关节盂或肱骨头的相关骨质病变（Hill-Sachs损伤、骨折）。术前所有肩关节均评定为差。术后1例结果评定为优，3例为良，1例（左臂痛性营养不良）为可。
