Extorsion traction and pushing manipulation with fingers for the treatment of anterior shoulder dislocation in elder-ly
10.3969/j.issn.1003-0034.2014.06.019
- VernacularTitle:外旋牵引指推法治疗老年人肩关节前脱位
- Author:
Tao Hai XI
1
;
Jing Hai HUANG
;
Yi Jing XIN
Author Information
1. 天津中医药大学研究生院
- Keywords:
Skeletal tracting reposition;
Shoulder joint;
Dislocations;
Manipulation,orthopedic;
Aged
- From:
China Journal of Orthopaedics and Traumatology
2014;(6):522-524
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate a manipulating therapy for treatment of anterior shoulder dislocation in elderly. Methods:From October 2011 to June 2012,27 elderly patients with anterior shoulder dislocation were treated by extorsion traction and pushing manipulation with fingers ,including 7 males and 20 females aged from 65 to 86 years old with an average of 77. The course of disease ranged from 1 h to 1 d. The shoulder manifested square deformity ,Dugus signs showed positive, and X ray displayed anterior shoulder dislocation. Dugus fixation was applied for and removed external fixation at 3 weeks after operation and carried out shoulder functional exercise. Functional evaluation standard on shoulder joint injuries was used for e-valuate clinical outcomes. Results:All patients were gained reduction for the first time ,and followed up at 3 months after oper-ation,no dislocation occurred. According to functional evaluation standard on shoulder joint injuries ,22 cases got an excellent result,2 cases good,and 1 case moderate. Conclusion:Extorsion traction and pushing manipulating therapy for treatment of anterior shoulder dislocation in elderly,which has advantages of simple,convenient,less painful,and can avoid iatrogenic in-jury,is feasible to widespread.
