A new method of immobilization after traumatic anterior dislocation of the shoulder: A preliminary study

被引:131
作者
Itoi, E
Hatakeyama, Y
Kido, T
Sato, T
Minagawa, H
Wakabayashi, I
Kobayashi, M
机构
[1] Akita Univ, Sch Med, Dept Orthoped Surg, Akita 0108543, Japan
[2] Tazawako Municipal Hosp, Tazawako, Japan
[3] Ogachi Chuo Hosp, Dept Orthoped Surg, Yuzawa, Japan
[4] Honjo Daiichi Hosp, Dept Orthoped Surg, Honjo, Japan
关键词
D O I
10.1016/S1058-2746(03)00171-X
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This preliminary prospective study was conducted to determine whether immobilization with the arm in external rotation would decrease the rate of recurrence after initial traumatic anterior dislocation of the shoulder. Forty patients with initial shoulder dislocations were assigned to (1) conventional immobilization in internal rotation (IR group, n = 20) or (2) a new method of immobilization in external rotation (ER group, n = 20). The recurrence rate was 30% in the IR group and 0% in the ER group at a mean 15.5 months. The difference in recurrence rate was even greater among those who were aged less than 30 years (45% in the IR group and 0% in the ER group). Immobilization with the arm in external rotation is effective in reducing the rate of recurrence after initial dislocotion of the shoulder.
引用
收藏
页码:413 / 415
页数:3
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