无痛手牵足蹬法整复肩关节脱位合并大结节骨折刘盼许春彦陈河.docVIP

无痛手牵足蹬法整复肩关节脱位合并大结节骨折整复肩关节脱位合并大结节骨折肩关节脱位合并大结节骨按Neer评分系统，依据疼痛功能肩关节活动范围及解剖关系恢复情况进行评价，优1例良例可例，优良率85肩关节脱位合并大结节骨折肩关节脱位；骨折 Painless Method of Hippocrates Manipulation Reconstruction of Shoulder Joint Dislocation Combined with Greater Tuberosity Fracture LIU Pan, XU Chun-yan, CHEN He, TANG Zhi-rong (Liuhe District Hospital of Tradionial Chinese Medicine, Nanjing, Jiangsu211500) Abstract: Objective: To observe the clinical curative effect of painless method of hippocrates manipulation reconstruction of shoulder joint dislocation combined with greater tuberosity fracture with propofol intravenous narcosis. Methods: 21 Patients with shoulder joint dislocation combined with greater tuberosity fracture were retrospectively analyzed from August 2011 to August 2016. The patients were treated with painless method of hippocrates manipulation with propofol intravenous narcosis, and after operation, they were treated with combination of chinese and western medicine, functional exercises. Results: 21 Patients were follow-up 6~18 months, all fracture of osseous healing, based on pain, function, scope of shoulder joint activities and evaluate the anatomical relationship between recovery, the effective rate was 85.71%. Conclusion: Use the modern painless technology, with propofol intravenous narcosis quickly in the unconscious state, reset the technique of painless downward greater tuberosity fractures in the treatment of shoulder joint dislocation, slight power traction, quick completion of maneuver reduction, it is beneficial to inherit and innovate traditional chinese medicine. Key words: Shoulder joint dislocation; Fracture; Manipulative reduction; Painless 中图分类号：R684 文献标识码：B 肩关节脱位临床关节脱位，往往合并肱骨大结节骨折治疗对于改善患者预后有重要意义[]。初发性的肩关节脱位多以保守治疗为主[2]，肩关节脱位合并肱骨大结节骨折的研究，治疗难度往往较大[3]。肩关节脱位合并大结节骨折临床资料本组2例，男例，女例；年龄38~7岁，平均9岁；右侧例，左侧例；致伤原因：跌伤例，车祸伤例，坠落伤2例损伤至就诊时间 h，平均1 h；关节脱位均为前脱位其中喙突下脱位1例盂下脱位例锁骨下脱位2例；肱骨大结节撕脱性片状骨折例，粉碎性骨折例；合并损伤：肋骨骨折3例，神经损伤3例表现为桡神经麻痹2例尺神经麻痹1例。主要临床表现为患肩肿胀、痛，方肩畸形有空虚感以健手托住患侧前臂，D