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Introduction of anterior dislocation
发表人:admin 发布时间:2010-03-12 15:05:00

The glenohumeral joint of the shoulder is the most commonly dislocated joint in the human body. Acute dislocation is a surgical emergency and demands urgent relocation. Failure to reduce a dislocated shoulder successfully within the first 24 hours carries the risk that it will be impossible to achieve a stable closed reduction. Broadly speaking, anterior shoulder dislocation shows a bimodal age distribution. The first, and by far the largest group are young adult men who have sustained high-energy injuries to the shoulder. The second group are older patients who have been injured with a much lower level of violence. In older patients, the dislocation usually proves to be an isolated event. Management priorities in this second, older-age group include both early reduction and early         mobilization to avoid the risk of long-term stiffness. In the younger-age group, the risk of recurrence correlates strongly to the violence of the initial injury and the age of the patient at the time of presentation with the 16–30year-old group being at particularly high risk. Management priorities in the younger-age group remain contentious with individual surgeons debating both the indications and timing of initial surgery. In this paper we focus on traumatic anterior dislocation in the younger patient, reviewing the existing literature in the field and discussing current controversies on diagnosis and management of the condition.

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