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肩关节脱位合并肱骨大结节骨折不同治疗方法对功能的影响 被引量:7

THE EFFECT OF DIFFERENT METHODS OF TREATING SHOULDER DISLOCATION COMBINED WITH FRACTURE OF GREATER TUBEROSITY OF HUMERUS ON FUNCTIONS
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摘要 目的:探讨保守治疗和手术治疗肩关节脱位合并大结节撕脱骨折对肩关节功能的影响。方法统计肩关节手法复位后悬吊患肢与行肱骨大结节骨折切开复位内固定术后功能恢复情况。结果术后随访6~16个月,显示手术组疗效明显优于保守治疗组,保守治疗易导致肩峰撞击症和冻结肩。结论肩关节脱位合并肱骨大结节撕脱骨折手术治疗效果优于非手术治疗。 Objective To explore the effect of conservative and surgical treatment of shoulder dislocation combined with fracture of greater tuberosity on shoulder function . Methods Suspension of the affected limbs was conducted after the shoulder joint received manipulative reduction ,and open reduction and inter-nal fixation was conducted for the fractures of greater tuberosity of humerus .The recovery of functions was investigated .Results The follow-up surveys of f 6 to 16 months showed that the effect in the operation group was obviously better than that in the conservative treatment group and the latter could easily got ac-romion impingement syndrome and frozen shoulder .Conclusion The surgical treatment of shoulder joint dislocation with avulsion fracture of greater tuberosity of humerus is more effective than the non-surgical treatment .
作者 蔡跃
出处 《山东医学高等专科学校学报》 2014年第3期174-176,共3页 Journal of Shandong Medical College
关键词 肩关节脱位 肱骨大结节骨折 保守治疗 手术治疗 肩峰撞击症 冻结肩 Shoulder dislocation Fracture of greater tuberosity of humerus Conservative treatment Surgical treatment Impingement syndrome Frozen shoulder
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