【正文】
en University Definition ? Joint dislocation, or luxation – A dislocation is a separation of two bones where they meet at a joint – Often caused by a sudden impact to the joint – A dislocation may also cause ligament or nerve damage ? Subluxation(半脫位) is a partial dislocation 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Classification ? Traumatic, Congenital(先天性) , Pathologic ? Complete, subluxation ? Anterio posterio lateral central ? Acute, old, habitual (shoulders) ? Close, open 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University bilateral dislocation of the hip because of traffic accident 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University ?Congenital dislocation of the hip(先天性髖關(guān)節(jié)脫位) ?Shenton’s line 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University ?Rheumatoid arthritis(類風(fēng)濕性關(guān)節(jié)炎) of the wrist and hands. ?Subluxation and ulnar deviation at the metacarpophalangeal joint 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Occurrence ? the most mon sites – Shoulders – Elbows – Hips – Fingers – Ankles ( most likely be acpanied by a fracture) – Knees – Wrists 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Symptoms of a Joint Dislocation ? Intense Pain ? Swelling ? Immobility of the affected joint ? Deformity 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University NOMENCLATURE FOR DISLOCATIONS ? Name the JOINT ? Name the dislocation by the position of the DISTAL FRAGMENT in relation to the proximal fragment ? Add FRACTURE to the name if there is a periarticular fracture. ? Add OPEN if a wound municates with the dislocation 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Complications ? Fracture ? Nerve, vascular injury ? Bone necrosis ? Traumatic arthritis 附屬第三醫(yī)院 The 3rd Affiliated Hospit