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训练伤致肩关节脱位的临床特点分析

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目的:探讨武警战士的训练伤致肩关节前脱位的临床特点.方法:选取收治的肩关节前脱位的住院武警官兵的临床资料,采用回顾性横断面研究,分析人口学特征、首次肩关节脱位情况、肩关节复发性脱位情况和就诊住院临床资料.结果:①51例训练伤致肩关节前脱位的住院病例,全部为男性,年龄在21~29岁占比最高(P<0.05).②造成肩关节首次脱位的军事训练前三位是400米障碍、单双杠训练和卧倒,复发性肩关节脱位次数多集中在2~10次(P<0.05),多数患者出现了肩关节不稳症状(P<0.05),大部分患者脱位后未能及时就医、无特殊保护处理,继续参与了不同程度的军事训练(P<0.05).③大部分患者出现了Bankart损伤(P<0.05),伴随Hill-Sachs损伤或(和)SLAP损伤(P<0.05),Constant-Murley肩关节评分以 70~89 分范围者居多(P<0.05),ASES评分≤59分及ROWE评定为差者占了绝大多数(P<0.05).结论:年轻的男性武警战士是肩关节脱位的好发人群,军事训练伤可能是主要诱因,发生肩关节脱位后应及时正规就诊,保守治疗易脱位复发,可能导致肩关节不稳.
Analysis of clinical characteristics of shoulder joint dislocation caused by training injuries
Objective To explore the clinical characteristics of shoulder anterior dislocation caused by training injuries in armed po-lice soldiers.Method A retrospective cross-sectional study was conducted to analyze the clinical data of hospitalized armed police of-ficers and soldiers with anterior dislocation of the shoulder joint admitted to the hospital,including demographic characteristics,first dislocation of the shoulder joint,recurrent dislocation of the shoulder joint,and hospitalization clinical data.Results ①There were 51 hospitalized cases of dislocation of shoulder due to training injury in the hospital.All patients were male,with the highest proportion aged from 21 to 29 years(P<0.05).②400-metre obstacle,bars training and lying down were most likely to cause the first-time dislo-cation of shoulder.The frequency of recurrent shoulder dislocation was mainly 2~10 times(P<0.05),and most patients had shoulder instability symptoms(P<0.05).Most of the patients did not seek medical treatment in time after shoulder dislocation,did not have professional protection,and continued to participate in military training at different levels(P<0.05).③Most patients had Bankart le-sion(P<0.05),accompanied by Hill-Sachs lesion or(and)SLAP lesion,Constant-Murley shoulder score was mostly in the range of 70~89(P<0.05),the ASES score≤59 and ROWE rating as poor accounted for the vast majority(P<0.05).Conclusion Young male armed police soldiers are susceptible to shoulder dislocation,and military training injury may be the main inducement.Timely and regular medical treatment should be carried out when suffering shoulder dislocation.Conservative treatment is prone to dislocation re-currence,which may lead to shoulder instability.

Shoulder dislocationMilitary training injuryHill-Sachs lesionSLAP lesion

王键、薛剑、吴金春

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中国人民武装警察部队广东总队医院骨科,广东 广州 510507

广东省监狱中心医院外科

肩关节脱位 军事训练伤 Hill-Sachs损伤 SLAP损伤

广东省医学科研项目

B2020076

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(6)
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