Bumbasirević M, Lesić A, Vidaković A, Sudić V
Klinika za ortopedsku hirurgiju i traumatologiju, Univerzitetskog klinickog centra, Beograd.
Med Pregl. 1993;46(5-6):191-3.
We present a pilot seria of 18 patients with acute anterior dislocation of the shoulder joint following simple trauma. All the patients underwent conservative treatment using a standard Kocher technique. In the majority of cases muscular spasm and pain rendered through neurological examination difficult to perform. All patients were, therefore, submitted to extensive electrodiagnostic procedure which revealed a nerve injury on half of them. Such high incidence was, probably, due to the increased age (17 out 18 patients were over 40 years old), and rather traumatic reduction procedure. The axillary nerve was the most frequently affected (38.8%), either alone or in combination with musculocutaneus nerve. Comparing to previous reports in the literature, we found musculocutaneus nerve lesion in a rather high number of patients (22%). Extensive electrodiagnostic study is therefore recommended when further treatment and prognosis of anterior dislocation of the shoulder are taken in consideration.
我们报告了一组18例因单纯外伤导致肩关节急性前脱位患者的初步系列研究。所有患者均采用标准的科赫（Kocher）技术进行保守治疗。在大多数病例中，肌肉痉挛和疼痛使得通过神经学检查难以进行。因此，所有患者均接受了广泛的电诊断程序，结果显示其中一半患者存在神经损伤。如此高的发生率可能是由于年龄增长（18例患者中有17例年龄超过40岁）以及复位过程创伤较大。腋神经是最常受影响的（38.8%），单独或与肌皮神经合并受影响。与文献中先前的报告相比，我们发现相当多的患者（22%）存在肌皮神经损伤。因此，在考虑肩关节前脱位的进一步治疗和预后时，建议进行广泛的电诊断研究。
