20xx年醫(yī)學(xué)專題—肩關(guān)節(jié)前脫位anterior-shoulder-dislocation(參考版)
2024-11-14 13:47本頁面
【正文】 Conclusion,第三十二頁，共三十二頁。Field 1999 50 50 33 30 8 0。ASC Open ASC Open ASC Open。ir243。,Conclusion Asc. repair of the Capsuloligamentous injury to the shoulder is a simple procedure for a surgeon skilled in arthroscopic technique Chronic instabilities have associated plastic deformity of the tissues that need to be addressed and this makes the result of a simple procedure unpredictable. An active young person with a first traumatic dislocation of the shoulder should have the damage repaired arthroscopically within 10 days of the injury,第三十一頁，共三十二頁。,Acute Labral Tear,第二十九頁，共三十二頁。 anchors – Can be done by any surgeon skilled in arthroscopic techniques,第二十七頁，共三十二頁。 tacks 232。 open surgery 1980s – Simple Asc. techniques 232。 DEM staff to refer the young athlete within 23 days. Time consuming discussions convincing patient to have the operation rather than early return to sport. No problem advising a recurrent dislocators to have a stabilisation procedure at the end of a sporting season. Mostly after hours surgery with staff who are not familiar with the operation and instrumentation.,第二十六頁，共三十二頁。,Stern Jozrawi Rastolazzi – Arthroscopy Oct. 2002 Advantages V’s Disadvantages of Asc. Repair Advantages ↑ cosmesis ↓ morbidity ↓ stiffness Easy revision Disadvantages 1) Reluctance to refer patient immediately 2) Difficult operation 3) Expensive instrumentation 4) Biological healing time is not accelerated 5) Same post operative restrictions,第二十五頁，共三十二頁。 Pendulum exercises Isometric resistance exercises Graduated in 4 – 8 weeks ↑ ROM Graduated weight training Return to sport Non contact = 6 weeks contact = 12 weeks,第二十三頁，共三十二頁。 debrided Repair method selected,Arthroscopic Repair Procedure,第二十二頁，共三十二頁。 shoulder abducted Shoulder examined, degree amp。 abducted compared with normal shoulder 1+ ball to rim 2+ ball riding over rim with spontaneous reduction 3+ ball stays dislocated Arthroscopy,第二十一頁，共三十二頁。 cuff, physiotherapy Avoid ext. rotation and abduction for 6 weeks Return to contact sport in 12 weeks,第二十頁，共三十二頁。 active person 15 to 50 years old First episode of glenohumeral dislocation Reduced on field,
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