Author/Editor		Čretnik, Andrej; Košir, Roman; Frank, Aleksander
Title		Izpah ramenskega sklepa
Type		članek
Source		In: Komadina R, editor. Zbornik izbranih predavanj simpozija o poškodbah mehkih tkiv ramenskega sklepa. 3. celjski dnevi; 2001 apr; Celje. Celje: Splošne in učne bolnišnice Celje, Služba za raziskovalno delo in izobraževanje,
Publication year		2001
Volume		str. 222-36
Language		slo
Abstract		The shoulder is the most commonly dislocated major joint in the body. Diagnosis can be determinated in a high percentage wifh clinical examination only, dislocation must be then soon reduced. It can be done in a high percentage without additional analgesia or anesthesia. The question about the management and diagnostic procedures can be raised there- fore. In a manner to find the answers a study with fhe patients with the shoulder dislocation who were treated in the Teaching Hospital Maribor in the years 1995 to 1999 was done. There were 324 patients with shoulder dislocation. 262(81 %) of them were men, 99(30%) were under 30 years old. Radiographs were obtained in all patients, in 9 patients (3%) EMG and in one patient (0,39b) angiography. It took more than an hour in all cases to reduce fhe dislocation. In 275 cases (85%) the successful reduction was obtained with the use of intravenous analgetics and Milch's or Kocher's reduction method. After reduction immobilization with Gilchrist slirtg and early rehabilitation was performed. There were additional fractures in 48 cases (20)%. 68(21 %) patients had neurological changes, in 9 cases (2, 7%) important nerve injuries were confirmed. There was one (0,3%) vascular injury. In 7 patients (2%) operative procedures were performed because of the concomitant injuries. 34(10%) of all patients and 24(24%) of patients under 30 years sustained redislocation. In 11 of these patients (46%) operative therapy was necessary. There was no early operative (endoscopic) treatment. The results of the study support the theory that many shoulder dislocations can be reduced without general anesthesia. The goal of the treatment must be early and careful reduction. The dislocation that cannot be reduced smoothly with the use of correct manoeuvre, must be reduced under general anesthesia to avoid addifional injuries. Concomitant injuries can be found only with additional diagnostic procedures. (Abstract truncated at 2000 characters).
Descriptors		SHOULDER DISLOCATION TREATMENT OUTCOME