Simonet W T, Cofield R H
Am J Sports Med. 1984 Jan-Feb;12(1):19-24. doi: 10.1177/036354658401200103.
All patients treated for a first-time anterior glenohumeral dislocation in Olmsted County, Minnesota, from 1970 through 1979 were identified. Of these 124 patients, 116 were available for study at a mean followup of 4.63 years (range 2 to 11). Of the 116 patients, 38 (33%) had recurrence of dislocation: 21 of the 32 (66%) patients less than 20 years old, 17 of the 43 (40%) patients 20 through 40 years old, and none of the 41 patients older than 40 years. Symptomatic instability remained a problem in 24 patients. Twenty-seven of 33 (82%) young athletes had recurrence of dislocation as compared with only 8 of 27 (30%) nonathletes of similar ages. Patients restricted from resuming sports participation for 6 weeks or more had significantly better results than those restricted for less than 6 weeks. The recurrence rate of dislocation is not as high as previously reported. However, the rate in athletes is much higher than that in nonathletes. Many patients continue to complain of symptomatic instability without actual redislocation. In our younger patients, we now advise immobilization for from 3 to 6 weeks, followed by extensive rehabilitation before return to athletic activity.
确定了1970年至1979年在明尼苏达州奥姆斯特德县首次接受治疗的所有肩关节前脱位患者。在这124例患者中，116例可用于研究，平均随访4.63年（范围2至11年）。在这116例患者中，38例（33%）出现脱位复发：32例年龄小于20岁的患者中有21例（66%），43例年龄在20至40岁之间的患者中有17例（40%），41例年龄大于40岁的患者中无一例复发。24例患者存在症状性不稳定问题。33例年轻运动员中有27例（82%）出现脱位复发，而年龄相仿的27例非运动员中只有8例（30%）复发。限制恢复运动参与6周或更长时间的患者比限制时间少于6周的患者效果明显更好。脱位复发率不像以前报道的那么高。然而，运动员中的复发率远高于非运动员。许多患者继续抱怨存在症状性不稳定但没有实际再脱位。在我们的年轻患者中，我们现在建议固定3至6周，然后在恢复体育活动前进行广泛的康复训练。
