Kuriyama S, Fujimaki E, Katagiri T, Uemura S
Am J Sports Med. 1984 Sep-Oct;12(5):339-46. doi: 10.1177/036354658401200501.
Over a period of 10 years we have studied 14,952 cases of skiing injuries. Of these, 660 cases (4.5%) were injuries to the shoulder with 291 cases (44.1%) being anterior dislocations of the shoulder. One hundred forty-three cases revealed an initial dislocation (49.1%), and 148 cases were recurrent dislocations (50.9%). We examined the arthrography of the dislocated shoulder in 89 cases. Of these initial dislocations, one-half of the capsular detachment type were redislocated, but no redislocation had occurred in the capsular tear type. In addition, almost all of the recurrent cases were of the capsular detachment type. Thus, through arthrography of the anterior dislocated shoulder, we have been able to discover the mechanism of the dislocation and decide upon the necessary duration and method of fixation of the shoulder after reduction.
在10年的时间里，我们研究了14952例滑雪损伤病例。其中，660例（4.5%）为肩部损伤，291例（44.1%）为肩关节前脱位。143例为初次脱位（49.1%），148例为复发性脱位（50.9%）。我们对89例脱位肩关节进行了关节造影检查。在这些初次脱位病例中，囊膜分离型的一半出现了再脱位，但囊膜撕裂型未发生再脱位。此外，几乎所有复发性病例均为囊膜分离型。因此，通过对肩关节前脱位的关节造影，我们能够发现脱位的机制，并确定复位后肩部固定的必要时长和方法。
