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J Emerg Med. 2023 Mar;64(3):405-408. doi: 10.1016/j.jemermed.2023.01.009. Epub 2023 Mar 15.
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First-time traumatic anterior shoulder dislocation: current concepts.初次创伤性前肩脱位：当前的概念。
J ISAKOS. 2023 Apr;8(2):101-107. doi: 10.1016/j.jisako.2023.01.002. Epub 2023 Jan 24.
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Intra-Articular Lidocaine versus Procedural Sedation for Shoulder Dislocation Reduction: A Randomized Trial.关节内利多卡因与程序镇静用于肩关节脱位复位的随机试验
J Emerg Trauma Shock. 2022 Jul-Sep;15(3):135-138. doi: 10.4103/jets.jets_49_22. Epub 2022 Sep 28.
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Intra-articular lidocaine versus intravenous sedation for closed reduction of acute anterior shoulder dislocation in the emergency department: a systematic review and meta-analysis.关节内利多卡因与静脉镇静用于急诊科急性前肩脱位的闭合复位：系统评价和荟萃分析。
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Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis.比较不同镇静或镇痛方法在前肩脱位复位中的疗效：系统评价和网络荟萃分析。
Acad Emerg Med. 2022 Oct;29(10):1160-1171. doi: 10.1111/acem.14568. Epub 2022 Aug 11.
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Closed reduction techniques for acute anterior shoulder dislocation: a systematic review and meta-analysis.急性前肩关节脱位的闭合复位技术：一项系统评价和荟萃分析。
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前肩脱位病例在自然睡眠期间发生的自发复位：四例系列报道。

Spontaneous Reductıon Occurrıng Durıng Natural Sleep ın Anterıor Shoulder Dıslocatıon Cases: A Serıes of Four Cases.

作者信息

Akar Bedrettin, Sukur Erhan, Balioglu Mehmet, Ozturkmen Yusuf, Ugur Fatih

机构信息

Deparmant of Orthopedics and Traumatology, Sakarya Yenikent state Hospital. Sakarya .Turkey.

Deparmant of Orthopedics and Traumatology Biruni University.

出版信息

Orthop Rev (Pavia). 2025 May 29;17:138670. doi: 10.52965/001c.138670. eCollection 2025.

DOI:10.52965/001c.138670
PMID:40453677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12124934/
Abstract

In this study, the authors report that in four cases of anterior shoulder dislocation resulting from trauma, where reduction attempts under emergency conditions failed due to muscle spasm caused by severe pain, the state of natural sleep induced by analgesic and sedative medications administered in the observation room helped relax the muscles around the shoulder joint. This relaxation prevented spasm and allowed spontaneous reduction of the shoulder joint to occur within a few hours, without the need for anesthetic intervention.

摘要

在本研究中，作者报告了4例因创伤导致的前肩关节脱位病例，在紧急情况下，由于剧痛引起肌肉痉挛，复位尝试失败，而在观察室给予镇痛和镇静药物后诱导的自然睡眠状态有助于放松肩关节周围的肌肉。这种放松防止了痉挛，并使肩关节在数小时内自行复位，无需麻醉干预。