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Has the management of shoulder dislocation changed over time?

机译:肩关节脱位的治疗方法是否随时间而改变?

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摘要

Anterior shoulder dislocation is a disabling injury affecting all ages, young and old alike. Recently, the treatment of traumatic shoulder dislocation has included immobilisation for varying periods of time followed by physiotherapy. This study is the first in this country to address the demographic data and recurrence rates of shoulder dislocation. Three hundred and eight patients (170 men and 138 women) were followed up for an average of 5.9 years. The most frequent mechanism of injury was a fall (65.66% of cases), and in 92.1% of the patients, the shoulder was reduced in the Emergency Department without the need for sedation or general anaesthesia. The overall recurrence rate in all ages was 50%, but rose to 88.9% in the 14–20-year age group. The duration of immobilisation did not affect the rate of re-dislocation of the humeral head. We believe that conventional shoulder immobilisation in a sling offers no benefits, and it would be preferable not to immobilise the shoulder at all.
机译:肩关节前脱位是一种致残性损伤,影响所有年龄段的年轻人和老年人。最近,创伤性肩关节脱位的治疗包括在不同时间段内固定,然后进行理疗。这项研究是该国第一个研究人口统计学数据和肩关节脱位复发率的研究。 308名患者(170名男性和138名女性)接受了平均5.9年的随访。最常见的损伤机制是跌倒(占病例的65.66%),而在92.1%的患者中,急诊科无需镇静或全身麻醉即可减轻肩膀。所有年龄段的总复发率均为50%,但在14-20岁年龄段中上升到88.9%。固定的持续时间不影响肱骨头的再脱位率。我们认为,传统的将肩部固定在悬带中没有任何好处,因此最好不要完全固定肩部。

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