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Surgical versus nonsurgical treatment in first traumatic anterior dislocation of the shoulder in athletes

机译:运动员首次外伤性肩关节前脱位的手术和非手术治疗

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Abstract: Anterior traumatic dislocation is a common problem faced by orthopedic surgeons. After the first episode of shoulder dislocation, a combination of lesions can lead to chronic instability. The management in treatment of young athletes after the first acute anterior shoulder dislocation is controversial. The available literature supports early surgical treatment for young male athletes engaged in highly demanding physical activities after the first episode of traumatic dislocation of the shoulder. This is because of the best functional results and lower recurrence rates obtained with this treatment in this population. However, further clinical trials of good quality comparing surgical versus nonsurgical treatment for well-defined lesions are needed, especially for categories of patients who have a lower risk of recurrence.
机译:摘要:外伤性前脱位是整形外科医师面临的普遍问题。肩关节脱位的首发后,病变的结合可导致慢性不稳定。首次急性前肩关节脱位后年轻运动员的治疗方法存在争议。现有文献支持对肩部外伤性脱位首发后从事高强度体育锻炼的年轻男运动员进行早期手术治疗。这是因为在该人群中使用这种治疗方法可获得最佳的功能结果和较低的复发率。但是,还需要进一步的临床试验,比较明确定义的病变的手术治疗与非手术治疗,特别是对于复发风险较低的患者类别。

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