HUMERAL HEAD TORSION IN RECURRENT ANTERIOR DISLOCATION OF THE SHOULDER

被引:18
|
作者
SYMEONIDES, PP [1 ]
HATZOKOS, I [1 ]
CHRISTOFORIDES, J [1 ]
POURNARAS, J [1 ]
机构
[1] ARISTOTELIAN UNIV THESSALONIKI, G PAPANIKOLAOU HOSP, DEPT ORTHOPAED, GR-75010 EHOXI, GREECE
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关键词
D O I
10.1302/0301-620X.77B5.7559690
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
We measured torsion of the humeral head in 38 patients (40 shoulders) with recurrent anterior dislocation of the shoulder (RADS) and in 40 normal subjects. We found a reduced mean retroversion in the patients with RADS at 4.3 +/- 10.56 degrees (17 degrees anteversion to 32 degrees retroversion) as compared with 16.1 +/- 11.07 degrees in the control group (0 degrees to 49 degrees) (p = 0.0001). There was anteversion in 11 of the 40 shoulders in the RADS group (27.5%) and in none of the control group. The first dislocation had occurred after minimal force in 18 of 25 patients with less than 10 degrees retroversion, but in only three of 15 with over 10 degrees retroversion. We conclude that decreased retroversion of the humeral head is often associated with RADS and with first dislocation of the shoulder caused by minimal force.
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页码:687 / 690
页数:4
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