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40岁以上患者肩关节前脱位后的早期并发症。一项超声和肌电图研究。

Early complications after anterior dislocation of the shoulder in patients over 40 years. An ultrasonographic and electromyographic study.

作者信息

Toolanen G, Hildingsson C, Hedlund T, Knibestöl M, Oberg L

机构信息

Department of Orthopedics, University Hospital, Umeå, Sweden.

出版信息

Acta Orthop Scand. 1993 Oct;64(5):549-52. doi: 10.3109/17453679308993690.

DOI:10.3109/17453679308993690
PMID:8237322
Abstract

The rate of complications after anterior dislocation of the shoulder was evaluated in 65 patients aged over 40 years. 36 of 55 cases had electromyographically verified axillary nerve or brachial plexus injury. Rotator-cuff lesion was seen in 24 of the 63 sonographically examined cases. At follow-up in a telephone interview on average 3 years after the injury, 27 of the 57 cases had complaints from their shoulder. The incidence of initial nerve and/or cuff lesions was higher in those with persisting symptoms at follow-up.

摘要

对65例40岁以上肩关节前脱位患者的并发症发生率进行了评估。55例中有36例经肌电图证实存在腋神经或臂丛神经损伤。在63例接受超声检查的病例中,有24例发现肩袖损伤。在受伤后平均3年的电话随访中,57例中有27例肩部有不适。随访时仍有症状的患者中,初始神经和/或肩袖损伤的发生率更高。

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