CAJ | 학술논문

目的：探讨“上举、内收、旋转”复位法治疗肩关节脱位合并肱骨大结节骨折的疗效。方法：将72例肩关节脱位合并肱骨大结节骨折患者随机分为治疗组（36例）和对照组（36例），治疗组采用“上举、内收、旋转”手法整复，对照组则运用足蹬牵引法治疗，观察两组临床疗效。结果：治疗组优良率及一次复位成功率均高于对照组（P<0.05），VAS评分低于对照组（P<0.05）。结论：“上举、内收、旋转”复位法治疗肩关节脱位合并肱骨大结节骨折疗效显著，且具有用力均匀、合力集中、省时省力、轻松便捷、避免医源性损伤等优点，值得临床推广应用。
목적：탐토“상거、내수、선전”복위법치료견관절탈위합병굉골대결절골절적료효。방법：장72례견관절탈위합병굉골대결절골절환자수궤분위치료조（36례）화대조조（36례），치료조채용“상거、내수、선전”수법정복，대조조칙운용족등견인법치료，관찰량조림상료효。결과：치료조우량솔급일차복위성공솔균고우대조조（P<0.05），VAS평분저우대조조（P<0.05）。결론：“상거、내수、선전”복위법치료견관절탈위합병굉골대결절골절료효현저，차구유용력균균、합력집중、성시성력、경송편첩、피면의원성손상등우점，치득림상추엄응용。
Objective: To investigate the efficacy of "rand raising, adduction, rotation" reposition for shoulder dislocation combined with frac-ture of greater tuberosity of humerus. Methods:72 cases of patients with shoulder dislocation combined with fracture of greater tuberosity of humer-us were randomly divided into treatment group (36 cases) and control group (36 cases), the treatment group treated by"rand raising, adduction, rota-tion"reposition, while control group by foot pedal traction, observed the efficacy of two groups. Results:The excellent rate and one-time reposition successful rate of treatment group were both higher than those of control group (P<0.05), the VAS score was lower than that of control group (P<0.05). Conclusion:The treatment of"rand raising, adduction, rotation"reposition has a significant curative effect on shoulder dislocation combined with fracture of greater tuberosity of humerus, and its advantages such as uniform force, force concentration, save time and effort, easy and conve-nient, avoids iatrogenic injury makes it deserve clinical promotion and application.